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HomeMy WebLinkAbout2310 HOSP WAY; 158; CB910459; PermitB U I L D I N G P E R M I T Permit Project Developmen No : CB 91 'l 4 5 9 No: A9100!:>54 03/14/91 15:44 Page 1 of 1 Job Address: 2310 HOSP WY Permit Type: MISCELLANEOUS Parcel No: 167-250-41-0b Valuation: 0 Construction Type: NEW Str: Fl: Ste Occupancy Group: Class Code: Description: PLMBG/ELEC FOR LAUNDRY/KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT #200 CARLSBAD, CA 92008 *** Fees Required *** *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T ,30. 0 > 619 .,. Vf!__1~~1 .:, ,, ISS:.JED Applied: 03/14/91 Apr/Issue: 03/14/91 Validated By: DC 431-2800 ~lected & Credits .00 ,00 30.00 *** Ext fee Data 30.00 PLBG/EI 30.00 L APPROVAL INSP. ---1'-'a::;..__,-DATE tf✓,~-'il CLEARANCE_~ ......... ~---- CITY OF CARLSBAD 2075 Las Pal.mas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ V City of Carlsbad Building Department EST. VAL. ______ =-"'=-----2075 Las Palmas Dr., Carlsbad, CA 92009 1619) 438·1161 PLAN CK OEPOSIT,_~_.,.~C::::. ..---_______ _ 1. PERMIT TYPE VALID. err....,.,,...,::::....----_________ _ DATE ~,<.,-::._ ___________ _ ' A COMMERCIAL TENANT IMPROVEMENT ' 0 HIOUSTRIAL 0 TENANT IMPROVEMENT C 0 RES IDHHI AL 0 APARTMENT □CONDO □SINGLE FAMILY Ql,IELLING QADDITION/ALTERATIOf.l □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING □MECHANICAL □POOL □SPA □RETAINING WALL □SOLAR O0TKER 2. PROJECT INFORMATION PLAN CHECK NO. F Address Building or Suite No. 2310 Hosp Way, CArlsbad 158 Nearest cross Streets El Camino Real LEGAL--DESCRIPTION Lot No. Subdiv1s1on Name/Nl.ll'ber Unit No. Phase No. CHECK BELOW IF SUBMITTED: 3. Q2 Energy Cales 02 Structural Cales D 2 Soi ls Report ASSESSOR IS PARCEL D 1 Addressed Envelope £)(!STING USE PROPOSED USE Plumbing and Electrical for laundry and kitchens. BLDG, S0, FTG, CONTACT PERSON NAME Keith Smith CITY Carlsbad SIGNATURE # OF STORIES ADDRess592s Pascal Court, Suite 200 STATE CA m coo,92008 DAY TELEPHONE ( 619) 431-2800 4. APPLICANT . NAME New ·neisgn 'W:ot1,TR,\CT;OR n AGENT FOR CONTRACTOR no.mER RmOcte.11ng & Const. ADDREs~928--Pascal 0 AGENT FOR OWNER Court, Suite 200 Cl TY Carlsbad STATE CA 5. PROPERTY OWNER Oo!NER NAME Hosp Way Limited Cl TY Los Angeles STATE CA ZIP ccxl/2008 ADDRESS 1990 ZIP cooe90025 DAY TELEPHONE ( 619) 431-2800 □LESSEE Westwood Blvd., [;TENANT suite 300 DAY TELEPHONE ( 213) 474-1720 6. CONTRACTOR 7. NAME New Design Remodeling & Const. c1rY Carlsbad STATE CA 545075 SIGNATURE DESIGNER NAME CITY WORKERS' COMPENSATION STATE AooRes592s Pascal ZIP ccx92008 Court, Suite 200 DAY TELEPHONE (619) 431-2800 LICENSE CLASS -~B~--- TITLE Nt1 r, CITY BUSINESS L!C. #4 ,~3~7~9=5~4~---- ADDRESS Z!P COOE DATE 3 '/ DAY TELEPHONE STATE LJC. # Workers• c~nsation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of workers' C~nsat ion Insurance by an adni t ted insurer, or an exact copy or dupl i cate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). 73WC008402-00019 INSURANCE COMPANY Nationwide Insurance POLICY NO. EXPIRATION DATE 6/28/91 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' C~nsation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION O.iner·Builder Declaration: I hereby affirm that I am exempt from the Contractor's License La.i for the follo.iing reason: DI as owner of the property or my employees .iith .iages as their sole compensation, .iill do the .iork and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an o.iner of property .iho builds or improves thereon,, and who does such work himself or through his o.in employees, provided that such improvements are not intended or offered for sale. !f, ho.iever, the building or improvement is sold .iithin one year of c~letion, the o.iner·builder .iill have the burden of proving that he did not build or improve for the purpose of sale.). D I, as o.iner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an o.iner of property .iho builds or improves thereon, and contracts for such projects .iith contrac:tor(s) licensed pursuant to the Contractor's License La.i). D I am exelll)t under Section ___________ Business and Professions Code for this reason: (Sec. 7.031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any struc:ture, prior to its issuanc:e, also requires the applicant for suc:h permit to file a signed statement that he is lic:ensed pursuant to the provisions of the Contractor's License La.i (Chapter 9, coomencing .iith section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged eKemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001 ) . SIGNATURE DATE COMPLETE THIS SECTION FOR NON-USIOENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to sul::niit a business plan, acutely hazardous materials registration form or risk management and prevention program vnder Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' 0YES 0NO !s the facility to be constructed ~ithin 1,000 feet of the outer boundary of a school site? □YES 0,0 IF ANY OF THE ANSIERS ARE YES, A FINAL CERTIFICATE OF OCOJPANCY MAY NOT BE ISSUEO AFTER JULY 1, 1969 UNLESS THE APPLICANT KAS MET OR IS MEETING THE REQUIREN:NTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL OISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the .iork for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE ! certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State la.is relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JWGNENTS, COSTS ANO EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall eKpire by limitation and become null and void if the building or work authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or .iork authorized by such permit is suspended or abandoned at any time after the .iork is corrrnenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE □ O.INER ,:i CONTRACTOR □ SY PHONE APPROVED BY; _______ _ DATE: __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB910459 DESCRIPTION: PLMBG/ELEC FOR CITY OF CARLSBAD INSPECTION REQUEST FOR 05/14/91 LAUNDRY/KITCHEN INSPECTOR AREA PK PLANCK# CB910459 OCC GRP TYPE: MISC JOB ADDRESS: 2310 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB910458 MISC CD 29 39 PL Final Plumbing EL Final Electrical CONSTR. TYPE NEW STR: FL: STE: J,S-"(' PHONE: 619 431-2800 PHONE: PHONE: n INSPECTOR _-_·f'ti.___-_·· _______ _ STATUS ISSUED ACT COMMENTS @--- ***** INSPECTION HISTORY***** DATE 032191 032191 DESCRIPTION Rough Electric Rough/Topout ACT INSP AP PK AP PK COMMENTS #158 #158