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HomeMy WebLinkAbout2310 HOSP WAY; 157; CB910733; Permit----------------- 05/02/91 16:28 Page 1 of 1 B U I L D I N G Job Address: 2310 HOSP WY Permit Type: MISCELLA Parcel No: 167-250-41 6 Valuation: Construction Type: NEW PERMIT Permit No: CB91U7l Project Nn• A91CUH79 Development N Str: ** Fl: **** :c:te-c:f ~ 2'108 05/02/Qt CX. j Occupancy Group: Class Code: ED Applied: 05/G2/9~ Apr/Issue: 05/02/~~ Validated By: DC Description: ELEC/PLMG FOR LDRY AND KITCH Appl/Ownr : HOSP WAY CONTRACTOR 1990 WESTWOOD COURT #300 LOS ANGELES, CA 90025 NEW DESIGN REM OELI 5928 PASCAL CARLSBAD, Fees Required Fees: Adjustments: Total Fees: Fee description ------------------4 Miscellaneous Fee * MISCELLANEOUS T 213 414-1720 • C 437954 619-431-28clU .00 .00 3o .un *k* Ext fee !::>ata 30. 00 PLBG/EI 30.00 APPROVAL INSP.~~-DATE v·o25'-q( CLEARANCE CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 • PERMIT APPLICATION & V City of Carlsbad Building Department EST. VAL. _____________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT, ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE A -0 COMMERCIAL TENANT IMPROVEMENT ' C 0 INDUSTRIAL □NEW □RESIDENTIAL □APARTMENT QDUPLEX O 0EM0LI T ION □MECHANICAL □POOL 0 TENANT IMPROVEMENT QCONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING OSPA □RETAINING WALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. F Address 2310 Hosp Way Nearest Cross Streets El Camino Real LEGAL DESCRIPTION Lot No. Subdivision Name/Nu:rber Unit No. Phase No. CHECK BELOW If SUBNITTED: Q2 Energy Cates pz Structural Cales 02 Soils Report D 1 Addressed En>'elope EKJSTING USE Plumbing and Electrical for laundry and kitchens. BLDG. SQ. fTG. # OF STORIES PROPOSED USE 3. CONTACT PERSON 4. 5. 6. 7. 8. ADDRESS Court, Suite 200 NAME CITY Keith Smith Carlsbad STATE CA ZIP COOE 5928 Pascal 92008 DAY TELEPHONE (619) 431-2800 SIGNATURE APPLICANT 0 CONTRACTOR Remodeling & 0 AGENT FOR CONTRACTOR OD'wNER 0 AGENT FOR OWNER Court, Suite 200 NAME New Deisgn Const. AooRess 5928 Pascal CITY Carlsbad STATE CA ZIP cooe92008 DAY TELEPHONE ( 619) 431-2800 PROPERTY OWNER O.H.ER 0 LESSEE 1990 Westwood Blvd., 0T.ENANT suite 300 NAME CITY Hosp Way Limited Los Angeles STATE CA ADDRESS ZIP COOE 9QQ2 5 DAY TELEPHONE (213) 474-1720 CONTRACTOR NAME CJ TY New Design Carlsbad Remodeling & Const. STATE CA STATE LIC. # 545D25 ADDRESS 5928 Pascal Court, ZIP COOE92ooa Suite 200 (619) DAY TELEPHONE 431-2800 LICENSE CLASS CITY BUSINESS LIC. # 4379:34 SIGNATURE Tl TLE DATE DES I GNER NAME ADD.RESS CITY STATE ZIP CODE DAY TELEPHONE STATE LJC. # WORKERS' COMPENSATION Workers' Compensation 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' Compensation Insurance by an actni t ted insurer, or an exact copy or dup\ i cate thereof certified by the Di rector of the insurer thereof f i led with the Bui ldi ng Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY Nationwide Insurance eouJ~!;IC008402-00019 EKPIRATJON DATE 6/28/9] Certificate of Ex~tion: I certify that in the performance of the work for which so as to become subject to the Workers' COO"f)ensation Laws of California. this permit is issued, I shall not eJ!llloy any person in any manner SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D ! as owner of the property or my employees with wages as their sole compensation, .iill do the work 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 who builds or improves thereon,, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder .iill have the burden of proving that he did not build or improve for the purpose of sale.). D I, as owner 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 owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ___________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exefll)tion. 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 [S500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON·RES!DENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? QYES □,o □YES 0NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' □YES □ND If ANY Of THE ANS\l:RS ARE YES, A FINAL CERTIFICATE Of OCaJ>ANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS 11:T OR IS 11:ETING THE REQUIREMENTS Of THE OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENnING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for .ihich this permit is issued (Sec 3097(1) Civil Code). LENDER IS NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I 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. ALSO A.GREE TO SAVE INOEMNIFY AND KEEP HARMLESS THE CITY DF CARLSBAD AGAINST ALL LIABILITIES, JlOGMENTS, COSTS ANO EICPENSES WHICH NAY IN ANY \IAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall e~pire by limitation and become null and void if the building or work authorized by such permit is not corrmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abardoned at any time after the work is COIIJllenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S S!GNATURE □BY PHONE APPROVED BY: DATE: CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910733 FOR 06/25/91 DESCRIPTION: ELEC/PLMG FOR LORY AND KITCH TYPE: MISC JOB ADDRESS: 2310 HOSP WY APPLICANT: HOSP WAY CONTRACTOR: NEW DESIGN REMODELING OWNER: PHONE: PHONE: PHONE: STR:** 213 47 619-43 REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: 157 INSPECTOR TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS INSPECTOR AREA PK PLANCK# CB910733 OCC GRP CONSTR. TYPE NEW STE: 157 24 PL Rough/Topout ,,,JC +-----34 EL Rough Electric 34 EL 1ugh Electric ___.:lk_ ___ .........,VH,-:=,::__ _________ N_ ___________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE 051691 051691 DESCRIPTION Rough/Topout Rough Electric ACT INSP AP PK AP PK COMMENTS