The URL can be used to link to this page

Home My WebLink About2312 HOSP WAY; 155; CB910887; Permit• B U I L D I N G P E R M I T 06/10/91 16· Page 1 of Job Address Permit Type: Parcel No: Vdluation: .,l:3 \~ SP WY -',.,,...,..., Construction Type: VN Occupancy Group: Class Code: Description: FIRE DAMAGE ELEC/DRYWALL 600 S : UN1T #15':i Str: Permit No: csq10R87 Project No: A910!082 Development No: Fl: Ste: 28 3 06 '!.0 1 0001 C-MT CEMICj Stat, -· UED Applied: 06/10/Yl Apr/Issue: 06/ 0/➔1 Validated By: DC Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL CT #200 CARLSBAD, CA 9209 619 431-2800 OWNER CONTRAC7OR HOSP WAY Lll':J NEW DESIGN 5928 PAS CARLSBAD , *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS TO CITY OF CARLSBAD OWNER 37954 619-4:.1 -2800 & Credits *** .... .00 .00 282.00 Ext fee Datu 282.00 FIREDAM 282.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 ·------~--· PERMIT APPLICATION 11\ V City of Carlsbad Building Department EST. VAL-~,f--/---"~+--'~,.__-=----=--------2075 Las Palmas Dr., Carlsbad, CA 92009 {619) 438-1161 1. A • C 2. PERMIT COMMERCIAL 0 INDUSTRIAL □RESIDENTIAL □DUPLEX TYPE □NEW 0 APARTMENT □DEMOLITION TENANT IMPROVEMENT □TENANT IMPROVEMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION ORELOCATl0tl □MOBILE HCJIIE □ELECTRICAL □PLUMBING 0 ME CHAN I CAL □POOL QSPA QRETAINING WALL □SOLAR □OTHER RMATION PLAN CHECK No. HOSP WAY 155 Nearest cross streets EL CAMINO REAL PLAN IX DEPOSIT ___________ _ VALID. BY ______________ _ DATE ______________ _ LEGAL DESCRIPTION Lot No. Subdivision Name/Nurber Unit No. Phase No. CHEIX BELOW If SlllMITTEO: q2 Energy Cales 02 Structural Cales Q2 Soils Report D 1 Addressed Envelope 3. 4. 5. 6. 7. 8. ASSESSOR'S PARCEL EXISTING USE PROPOSED USE and '1(&/;_£,s r!•\;;~1-:,.;;;a ~ /!!i /VA l-Ljft t--,,,,.f!}, 3 BLOG. SO. FTG. # OF STORIES CONTACT PERSON ADDRESS 5928 Pascal Court, Suite 200 NAME CITY Keith Smith Carlsbad STATE CA ZIP COOE 92008 DAY TELEPHONE ( 619) 431-2800 SIGNATURE APPLICANT CONTRACTOR 0 AGENT FOR CONTRACTOR QOWNER 0 AGENT FOR OWNER NAME New Deisgn modeling & Const. ADDRESS 5928 Pascal Court, Suite 200 Cl TY Carlsbad STATE CA ZIP COOE920Q8 DAY TELEPHONE (619) 431-2800 PROPERTY OWNER OWNER □LESSEE □TENANT NAME Hosp Way Limited ADDRESS 1990 Westwood Blvd., Suite 300 Cl TY LOS Angeles STATE CA ZIP COOE 90025 DAY TELEPHONE (213) 474-1720 CONTRACTOR NAME New Design Remodeling & Const. ADDRESS 5928 Pascal Court, Suite 200 CITY Carlsbad STATE CA ZIP COOE 92008 DAY TELEPHONE (619) 431-2800 STATE LIC. # 545075 LICENSE CLASS CITY BUSINESS LIC. # 437954 SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP COOE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers• Compensation Declaration: I 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 ad!li tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 380D, Lab. C). 73WC008402-00019 INSURANCE COMPANY Nationwide Insurance POLICY NO, EXPIRATION DATE 6/28/91 Certificate of hemption: I certify that in the performance of the work for which this permit is issued, I shall not e11ploy any person in any 111E1nner so as to become subject to the llorkers' Compensation Laws of California. SIGNATURE 0ATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 iltf)roves 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 wilt have the burden of proving that he did not build or ifl'f)rove for the purpose of sale.). 0 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). D 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, ifl'f)rove, demolish, or repair any structure, prior to its issuance, al so requires the appl i cant for such permit to f i le a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9, coomencing with Section 7D00 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 CCJIIPLETE THIS SECTION fOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to sutwni t a business pl an, acutet y hazardous materials registration form or risk management and prevention program under Sections 255D5, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,0DD feet of the outer boundary of a school site'! □YES D•o IF ANY OF THE ANSWERS ARE TES, A FINAL CERTIFICATE Of DCWPANCT MY NOT BE JSSlED AFTER JULY 1, 1989 UNLESS THE APPLICA#T HAS MET Cit IS MEETING THE REQUIRENEITS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POlLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE J 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 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 TO SAVE INDENNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLDIJIIIENTS, COSTS AND EXPENSES \IHICM MAY IN ANY \IAY ACCRUE AGAINST SAID CITT IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT_ Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if or work authorized by such permit is not cOOJllenced within 180 days from the date of such permit or if the building or work authorized by such permit or abandoned at any time after th work is coomenced for a period of 180 days (Section 303(d) Uniform Building Code). the building is suspended □ OWNER ~CONTRACTOR Dev PHONE APPROVED BY; ______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance • PERMIT# CB910887 DESCRIPTION: FIRE UNIT CITY OF CARLSBAD INSPECTION REQUEST FOR 08/28/91 DAMAGE ELEC/DRYWALL 600 S #155 TYPE: MISC JOB ADDRESS: 2320 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: NEW DESIGN REMODELING & CONS OWNER: HOSP WAY LIMITED REMARKS: RS/RICHARD/434-1494 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB910887 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 431-2800 619-431 00 CD 29 39 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing EL Final Electrical Ar/:-af?lftl~ ------------------ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS 081491 Final Plumbing NR PK 081491 Final Electrical NR PK 080191 Final Structural NR PK 080191 Final Electrical NR PK 061791 Rough/Topout AP PK 061791 Rough Electric AP PK 061491 Rough/Topout co PK ON JOB CARD 061491 Rough Electric co PK