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HomeMy WebLinkAbout2310 HOSP WAY; 260; CB911637; Permit8 II I J.J [) I N , P~1'M"T 2/Jt;/'.-ll U:JO PagP : ('t 1 ,fob A<lrhe-ss: 2 110 HOSP WY Per~ ... t Type: Mi~CEL~A P<.Ucr>l N,,: lt,/-250-41 If., V..ilUdt1on: c on..;trt,ct1<-n rype: '.\JEW Occupdncy Group: C'c-1s · Cvde: .Je;cr1pt-1or1: PL'IMB/ELEC FUR LA'INDRY/KI':'CHF-~ St r : 1r * Per n· 1.. Ne': c'F., ... t ;, 7 '">rcJe<..t Ne: A• t>eve lO[JP)en t ;,J /'Ir "") u-fo Fl: 1r1r~* 3te: ,._ v,--, .,t-/ 5499 12/05/91 0001 01 02 C-PRHT 30-00 .;) u r_,1 At:,p,:J.,;,;u: 1ZIJ"'/-'· Apr/ ·:: tH' : 1 2 / l , ; 1 V..:i. tdat(-'d E-y: r· Appl/Ownr NEW DESIGN REMO[>EI, LNG o4:l8 PASCAL l'T #2Cu CARL~BAD, CA 920CS h:9 4:,1-2eou 'AA* F~es Required Ft" •s: Adju~tments: Total Fees: F-ee riescr1pt1on Miscellaneous Fee 1r MI~, 'ELLANEolJS TO .00 • (J .i O • 011 Ext fe Du ~---~----------- Ju.Pt! E:[;;l'1f,L ., l • ( 0 PPROVAL -----INSP. CLtARANCE DATE ..r-~ '- ---------- 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 Pal-Dr., carlsbad, CA 92009 (619) 438-1161 PIAN CK DEPOSIT _______ _ I EST. VAL VAIID. BY __________ _ I. PERMI I hPE A -Li COmmerctal U New Building U lenanr Improvement B -O Industrial □ New Building D Tenant Improvement C. □Residential □Apartment □Condo □Single Family Dwelling □Addition/Alteration □ Duplex U Demolition □ Relocation U Mobile Home □ Electrical O Plumbing U Mechanical □ Pool O Spa □ Retaining Wall □ Solar LI Other DATI! 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address BuUdmg or Suite No, 2310Hosp Way, Carlsbad 260 Nearest cross Street El Camino Real ttGAL bESCRIJfliON Lor No. Sutxl1vis1on Name/Number 0mt No. Phase No. CHECK BEWW lF S0BMII 1£0: D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE DESCRIPTION OF WORK PLurnbing and Electrical for Laundry And kitchens. SQ. FT. # OF STORIES 3. WN IACI PERSON (II dll[ereni from apphcant) NAME Richard Whitney ADDRESS 5928 Pascal Court, Ste. 200 CllY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE (619)431-2800 4. APPllCANI UCONIRACIDR □AGENI FORWNIRACIUR □OWNER □AGENI FOkOWNER NAME New Design Remodeling ADDRESS 5928 Pascal Court, Ste. 200 CilY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE (619)431-2800 NAME Hosp Way Limited ADDRESS 1990 Westwood Blvd., Ste 300 CITY Los Angeles STATE CA 6. OON IRACIOR ZIP CODE 90025 DAYTELEPHONE (213)474-1720 NAME New Design Remodeling ADDRESS 5928 Pascal Court, Ste. 200 CilY Carlsbad STATE ca ZIP CODE 92008 DAYTELEPHONE (619)431-2800 STATE !JC. #545075 LICENSE CLASS B CilY BUSINESS !JC. ,,437954 CilY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WUltkERS' WMPENSAIION Workers• Compensation beclarat1on: I hereby afhrm that I have a certificate of consent to self-msure issued by the Director of lndustnal Relations, 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 Inspection Department (Section 3800, Lab. C). . . 73WCoo8402-00019 INSURANCE COMPANY Nationwide Insurance POIJCY NO. EXPIRATION DATE 6/28/92 Cert1bcate of Exemption: I certify that m the performance of the work for which this permit 1s 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. OWNER-B0llDkll bF1ilkAIIUN Owner-Bu1ider Oeclarat1on: I hereby afhrm that I am exempt from the Contracto?s License Law for the followmg reason: □ 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 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 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, 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). a 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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. 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 [$500)). SIGNATURE DATE COMPLEIE IHJS SECIION FOR NON-RESIDEN IIAL BUILDING PERMil'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 CNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OOCUPANCY MAY Nill BE ISSUED AFTER JULY I, 1989 UNLllSS THE APPIJCANT HAS MIIT OR IS Ml!lmNG THE REQUIREMllNTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POILIJTION CDNTIIOL DISillICf. 9. WNSIR0CIION !ENDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vH Code). LENDER'S NAME LENDER'S ADDRESS IO. Al'PUtANl CFltlMCAliON I certify that I have read the apphcat1on and state that the a&ive mformat1on 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 Al.50 AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CfIY OF CARISBAD AGAINST AIL LIABlllTil!S, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY J\£IlUII! AGAINST SAID CfIY IN CDNSF.QIIENCE OF THE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" 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 pericx:l of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE DATE: /2--tf' -<if . ,/ UNSCHEDULED INSPECTION DATE_~y~,~~'.:,__"7.~Z====---INSPECTOR _ _,. ________ _ PERMIT #_______ PLANCK # _____ _ JOB ADDRESS _ _:e9.::..,,.~u.r:.....:::O:,.___.,e.~=aa, :,,,:;/?:,,L_.!O::~~~-_;eP.::::...§~o!:.'01.l------- TIME ARRIVE: _____ TIME LEAVE: _____ _ CD LVL DESCRIPTION PERMITS 6/15/89 , . ACT COMMENTS ~-- PERMIT# CB911637 DESCRIPTION: PLUMB/ELEC FOR TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 04/13/92 LAUNDRY/KITCHEN '- INSPECTOR AREA PK PLANCK# CB911637 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 260 JOB ADDRESS: 2310 HOSP WY APPLICANT: NEW DESIGN REMODELIN CONTRACTOR: OWNER: REMARKS: RS/GENE/434-1494 SPECIAL INSTRUCT: PHONE: 61972-431 00 PHONE: PHONE: INSPECTOR_._ __________ _ TOTAL TIME: CD 29 39 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing EL Final Electrical :t-f:Ii;.~;ziG #~ ------------------ ------------------------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 011792 Final Plumbing NR PK INCOMPLETE 011792 Final Electrical NR PK 121691 Rough/Topout AP PK 121691 Rough Electric AP PK