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Home My WebLink About2312 HOSP WAY; 253; CB910891; PermitBJILDI"IG 06/J ), 1 lti:17 ·',l'lt. 1 of-1 j,Sl:;;l- J , fl,:1dre.:-·:: .:1.---1SP WY JU I //Ji~ t..l,\ -oq C , rn't f',11 f....rc 1 "I• ~ ,, J~t,r r,: Cor>"' r1r 1or1 11,n•E= Nw rrc Jf d .. ,c. V Gr ')I f : c. ,-:; Cole= Gv rr\ption: FlJM6ING & ELEC•~1 : AND KI~CHE'NS l"-'I T ~ 1ppl/U~rr : NEw DfSIS~ REMODEL[NG ? 28 PA ~~L CT #7.CO l l,,"IJ:' R t.ONTRArTOR CARL'" BAC, Cl'=I 920 HOC'f WAY l IM : t-iEW DESI:;N •-; 9 2 s P r s,.. r~r;,Lssn F E" . r;•p, •1 ired P<-,: Af 1 _ t, r t : late I reF . : ""1 t.:11 neo1..,-s fee * ~ISCl LAN[QUS TO LORY CITY OF CARLSBAD FFrr 1t No: rb9. Pro 1ec-t N : Ar,.• DFUE-' 1 c F L;_ ***~ 20:.3 06/ ~ vOl C /Ml ( . f'fpliFd" C6/1"l/r Apr/I.a, re= 06/1()/'1) vc..11, " ... ,, 'C 619 431-7800 O" ') (' -; ~ 0 (, Ext t"eF D tc 0 01) Pl/~. /I 3 00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION A • City of Carlsbad Building Department EST. VAL, _____________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CIC DEPOSIT ___________ _ 1. A 2. PERMIT TYPE COMMERCIAL TENANT IMPROVEMENT ONE'w □TENANT IMPROVEMENT 0 INDUSTRIAL 0 RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DIJELLING 0ADDITION/ALTERAT ION OouPLEX □DEMOLITION □MECHANICAL □POOL □RELOCATION □MOBILE Ha-IE □ELECTRICAL □PLUMBING □SPA □RETAINING WALL □SOLAR □OTHER PROJECT INFORMATION PLAN CHECK No. A ress~~AY Neares~Cfeets EL CAMINO REAL Bui ding or Suite No. 253 VALID. BY ______________ _ DATE ______________ _ LEGAL DESCRIPTION Lot No. Subdiv1S10n Name/NI.Ml"ber Unit No. Phase No. CHECK BELIM IF SUBNJTTED: D 1 Addressed Envelope EXISTING USE q2 Energy Cales 02 Structural Cales D 2 Soi ls Repart PROPOSED USE Plumbing and Electrical for laundry and kitchens. BLDG. SQ. FTG. # OF STORIES 3. CONTACT PERSON NAME Keith Smith cm Carlsbad STATE CA Aoo11.ess592s Pascal Court, Suite 200 ZIP CODE 92008 0AY TELEPHONE (619) 431-2800 4. 5. 6. 7. 8. SIGNATURE APPLICANT rv CONTRACTOR Rel!ilbdeling & 0 AGENT FOR Const. CONTRACTOR O DYNER 0 AGENT FOR OWNER Court, Suite 200 DAY TELEPHONE ( 619) NAME New Deisgn AooRES55928 Pascal CITY Carlsbad STATE CA ZIP cooi2008 431 2800 PROPERTY OWNER OWNER □LESSEE ADDREss 1990 Westwood Blvd. , □TENANT Suite 300 NAME Hosp Way Limited CITY Los Angeles STATE CA ZIP COOE9QQ25 DAY TELEPHONE ( 2] 3) 474-] 72Q CONTRACTOR ADDRESS NAME New Design Remodeling & Const. 5928 Pascal Court, Suite 200 CITY Carlsbad STATE CA ZIP '00§2008 DAY TELEPHONE ( 619 ) 431-2800 STATE LIC. # 545075 L l CENSE CLASS _ _,. ___ _ SIGNATURE Tl TLE CITY BUSINESS LIC. # \4~3H7~9~5',<14f----- DATE DESIGNER NAME ADDRESS ZIP CODE CITY STATE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers' Compensation 0eclarat1on: hereby affirm that I have a cert1f1cate of consent to self·rnsure issued by the Director of Industrial Relations, or a certificate of l,lorkers• C~sation Insurance by an &allitted 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). INSURANCE m<PmNationwide Insurance ,oc?d'llr.008402-00019 Certificate of Exemption: I certify that in the performance of the work for which this permit so as to become st.bject to the Workers' Compensation Laws of California. SIGNATURE 0ATE EXPIRATION DATE is issued, I shall OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: person in any manner 0 I as owner of the property or~ employees with wages as their sole cClll"f)ensation, 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 i~roves thereon., and who does such work himself or through his own employees, provided that such i~rovements are not intended or offered for sale. If, however, the building or i~rovement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or i~rove 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 iirproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law). 0 I am exerrpt under Section __________ _ Business and Profess i ans Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, iirprove, 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, conmencing with section 7000 of Division 3 of the Business and Professions Code) or that he is eK~t therefrom, and the basis for the alleged exerrption. 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 Cc»-IPLETE THIS SECTION FOR N0N·RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future bui ldi ng occupant required to submit a business pl an, acutely hazardous mater i at s regi strati on form or risk management and prevention progr001 lX'lder Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accou,t Act7 □YES 0NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □,o Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0VES D•o IF ANY Of TtE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCQ.l'ANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIRENEITS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTltw 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 3097Cil Civil Code). LENDER'S 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 coirply with all Clty 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 INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST All LIABILITIES, JLOQIENTS, COSTS All) EXPENSES WHICH NAY IN ANY WAY ACCRU: AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PfRMIT. Expiration. Every permit 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 coomenced within 1B0 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 conmenced for a period of 180 days (Section 303(dl Uniform Building Code). 0 OWNER ~CONTRACTOR QBV PHONE APPROVED BY: ______ _ DATE: _________ _ HITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910891 FOR 08/14/91 DESCRIPTION: PLUMBING & ELECTRICAL FOR LDRY AND KITCHENS UNIT #208 TYPE: MISC JOB ADDRESS: ~ HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: NEW DESIGN REMODELING & CONS OWNER: HOSP WAY LIMITED PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB910891 OCC GRP CONSTR~ STR:** FL:*** STE: 253 619 43 -2800 619-4 1 2800 REMARKS: MH/GENE/439-7120 SPECIAL INSTRUCT: INSPECTOR -.1-Go,,::::._ ________ _ TOTAL TIME: CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical DATE DESCRIPTION 080191 Final Plumbing 080191 Final Electrical 061491 Rough/Topout 061491 Rough Electric ***** ACT COMMENTS -W---- INSPECTION HISTORY ***** ACT INSP COMMENTS NR PK NR PK AP PK AP PK 09/1:1/91 INSPECTION HISTORY LISTING FOR PERMIT# CB910891 DATE INSPECTION TYPE INSP ACT COMMENTS 08/14/91 Final Plumbing RI RI MH/GENE/439-7120 08/14/91 Final Plumbing PK AP 08/14/91 Final Electrical RI RI MH/GENE/439-7120 08/14/91 Final Electrical PK AP 08/01/91 Final Plumbing PK NR 08/01/91 Final Electrical PK NR 06/14/91 Rough/Topout RI RI MH/ 06/14/91 Rough/Topout PK AP 06/14/91 Rough Electric RI RI MH/ 06/14/91 Rough Electric PK AP HIT <RETURN> TO CONTINUE ..•