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Home My WebLink About2310 Hosp Way; 259; CB910889; Permitr I u n !6-3~ f 1 l i r-e_. : -7.: · , 1: JF' ld- y •c': ISC t•p~ -.io = 1 61 2 ~ o Lil -\ S f" I ,I 1 t on· 0 cc [ e ~ C1 i "Co f: t J t1C'r1 ry,p• d cv Gro 1p= BI~G & ELECTRI AL DRY .. ii:,t,o ,: f'LL : At-iD KIT ~£"IS t,;N Ir ~ d?.6 1 ~fpl Cwrr = NEW ~ESIGN R~MODELIN 5928 FASCAL CT #200 CAfiLSPAD, rp 9700 "> ... Q ,~ f'err ,t t•r J':"Ct 0f"velopntr 202! 'Mlio ~91 € .. ~o-(E?l No= 11?1') Ac,pl1,.::lc 06/'C' q f:q::-.-/ ... ~.u: 06 1 10,9 J l 'de t l 1;, ~r 1-7.800 V Wl'if"R ONTr;:(H .. OR 6 9 4 ; 7 '1 (' l' ~ Cred t.::, " .. * ..... : ' . .., f) l ' I I • t ~ C' ~, t ' ~ 0 , ot, r::ee : =rn 0 Ext t c' r ~ 10 I) 0 f EL M1 c l~are::iu ... Pe ~ ('I(' * ""r!: E LAN DUS flJ p INSP. ~ DATE--...-, --CLEARANCE ___________ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departaent 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL'----------- PIAN CK DEPOSIT ________ _ VAIID. BY, __________ _ I. PmMIJ I YPE DATE A-UCommerc1al □New Building Li lenant Improvement B -LI Industrial □ New Building D Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical D Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PRarncr INFORMATION FOR OFFICE USE ONLY Address 2310 Hosp Way BuHdmg or Suite No.259 Nearest Cross Street El Camino Real LEGAL DESCkiJYI ION Lot No. Su&l1V1s1on Name/Number 0ntt No. Phase No. CHECK BEWW IF S0BMI 11 ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi, EXISTING USE PBOPQSED USE DESCRIPTION OF WORK SQ. IT. Plumbing and Electibl"s~ft~~ Laundry and Kitchens. 3. WN IACI PFltSlJN (II dlHereni from appJJcant) NAME Richard Whitney ADDRESS 5928 Pascal Court, Suite 200 CI1Y Carlsbad, STATE CA ZIP CODE 92008 DAYTELEPHONE (619) 431-2800 4. APPUCXNI UCONiRACIUk □AGENI FOR WNIRACIUR uuwNu< DAGEN! FOR OWNER NAME New Design Remodeling ADDRESS 5928 Pascal Court, Suite 200 CI1Y Carlsbad, STATE CA ZIPCODE 92008 DAYTELEPHONE (619) 431-2800 NAME Hosp Way Limited ADDRESS ZIP CODE 1990 Westwood Boulevard, Suite, 300 CilY Los Angeles STATE 6. OON 1100'.!'IOK NAME CA 90025 DAYTELEPHONE (213) 474-1720 New Design Remodeling ADDRESS 5928 Pascal Court, Suite 200 CI1Y CArlsbad., STATE CA ZIPCODE 92008 DAYTELEPHONE (619) 431-2800 STATE IJC. # 545075 IJCENSE CLASS B Cl1Y BUSINESS IJC. # 437954 CI1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WOllk£RS5 WMPF!NSXliON Workers3 Compensation Oeciaratmn: I hereby affirm that I have a cert1tlcate of consent to self.insure issued by the Vlrectorof lndustnal Relations1 or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building lns~tion DeQ_artment (Section 3800, Lab. C). 73WCooB402-00019 INSURANCE COMPANY POIJCY NO. EXPIRATION DATE Certificate of Exemption: I certUY that m the performance of the work for which chis penmt ts issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNRk-B0llDmt DF.CLARAIION OWner-Builder Oeclarauon: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the foilowmg reason: D I, as owner of the property or my employees with wages as their sole compensation, will 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 owner of property who bui1ds 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 will 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, Busine5.$ 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 I.aw). □ 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 ics 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt cherefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjeccs the applicant to a civil penalty of not more than five hundred dollars ($500]). SIGNATURE DATE COMPI.EIE IHIS SEC I ION FOR NON-RESIDENIIAC BUILDING PERMIIS 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? □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? □ YES C NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF l1IE ANSWERS ARE YES, A FINAL CERllFICATE OF oa:tlPANCY MAY NCJf Bl! =mID AFTER JULY I, 1989 UNIJlSS l1IE APPUCANT HAS MET OR IS MElm!IG l1IE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND l1IE AIR FOillITION a>NlllOL DISl1IICT. 9. WNSIR0CIION LENDING AGENCY I hereby afhrm that there ts a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1} Civll Code). LENDER'S NAME LENDER'S ADDRESS lo. XPPllcAN I cmtliFICAJJON I certify that I have read the apphcallon and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws 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 10 SAVE INDEMNIFY AND KEEP HARMIJlSS l1IE aTY OF CARlSBAD AGAINST AIL IJABlllllES, JUDGMENTS, CXlSTS AND EXPENSF.S wmrn MAY IN ANY WAY ACCRUE AGAINST SAID aTY IN a>NSF.QUENCE OF l1IE GRANTING OF 11IlS PERMIT. OSHA: An OSHA pennit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). PIJCANTS SIGNATURE DATE:_:_·--~--- / / WJ--llTE: File YELLOW: Applicant PINK: Fmance 05/27/92 DATE 12/06/91 12/06/91 12/06/91 12/06/91 10/24/91 10/24/91 10/24/91 10/24/91 INSPECTION HISTORY LISTING FOR PERMIT# CB910889 INSPECTION TYPE INSP ACT Final Plumbing RI RI Final Plumbing PK AP Final Electrical RI RI Final Electrical PK AP Rough/Topout RI RI Rough/Topout PK AP Rough Electric RI RI Rough Electric PK AP COMMENTS MR/GENE/434-1494 MR/GENE/434-1494 MR/RICHARD MR/RICHARD vJ1 ~y;9 ~ ) 0\'D HIT <RETURN> TO CONTINUE •..