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Home My WebLink About2312 HOSP WAY; 255; CB910892; Permit, , o/10/91 16 a .,e t ~ AdrlrF .... I VP£ 1 No= 1at1cn= ' J 1 L D I N t 'SP WY N Oll F ~ R M I ";" Str: ** P r ti 1 t N : CB I ) ~ ' F°"o _1ec , l"C: A9 1 u r,n DevP l oprner,t l'ic : F 1: **** Ste= 1'7S 2823 06/ 0/91 0001 01 C.~ C .., Or, 1 ll iU I fv I : l'!- [(Cl~r:Jr .y Group: Cla_<:o LodF= [, -cr1rt1ar: f L'1BI"-IG & HECTRICM !'."OR _1R" Sta Aopl1e-d• A~r/!cr,_11e= Ucll ntt [..;: (1S, 41• -780 l' , Lt Oc/1"' O~/!C19• ) ,. : A"'tr KI TLlh..NS L NI #lOlj J "It R t01' F.A.HR f' (" ~. : ~hi ' I -t llE.: r, otc l fee,: NEIIJ DESIGN HMJDE'L l"'( :i928 'AS~AL -r #700 CARI Sf AD, CA c,.zo P HO~~· 1ij4V L I NEW DE:.SIGN • 9 '/ 11i"CE"l a11Fou .. Fee- * 1ISCELL~NfO~S T01 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 & CrFdit ', 9-tdl- . ,) 0 C ) ·:rn C 1 * * * . )( t f f"f" [) t 10,0~ '/r II :10 ')0 PERMIT APPLICATION ~ "" City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (6191 438-1161 1. A PERMIT TYPE COMMERCIAL PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ DATE ______________ _ TENANT IMPROVEMENT B O INDUSTRIAL □NEW □TENANT IMPROVEMENT C □RESIDENTIAL □APARTMENT OcoND0 □SINGLE FAMILY DWELLING □ADDITION/ALTERATION □DUPLEX Q0EMOLITI0N □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING □MECHANICAL □POOL OSPA □RETAINING WALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. ' "" i!!l!Jtllll2 HOSP WAY .;;131'"2... Nearest c~1'1:9eets EL CAMINO REAL Bu, l mg or Suite No. 255 LEGAL DESCRIPTION Lot No. Sutx:hv1sion Name/Nunber Unit No. Phase No. CHECK BELOII IF SUBMITTED: Q2 Energy Cales 02 Structural Cales Q2 Soils Report Q 1 Addressed Envelope EXIST ING USE Plumbing and Electrical for laundry and kitchens. BLDG. S0. fTG. # OF STORIES PROPOSED USE 3. CONTACT PERSON 4. 5. 6. 7. 8. Court, Suite 200 NAME CITY Keith Smith Carlsbad STATE CA ADDRESS ZIP CODE 5928 Pascal 92008 DAY TELEPHONE ( 619) 431-2800 SIGNATURE APPLICANT NAME New Deisgn .. CONTRACTOR Remodeling & 0 AGENT FOR CONTRACTOR QOWNER Const. AooREss 5928 Pascal 0 AGENT FOR OWNER Court, Suite 200 CITY Carlsbad STATE CA ZIP cooE92OO8 DAY TELEPHONE ( 619) 431-2800 PROPERTY OWNER OWNER □LESSEE 1990 Westwood Blvd., □TENANT Suite 300 NAME C!TY Hosp Way Limited LOS Angeles STATE CA ADDRESS ZIP COOE 9QQ2 5 DAY TELEPHONE < 213 l 474-1720 CONTRACTOR NAME Remodeling & ADDRESS 5928 Pascal Court, Suite 200 CITY New Design Carlsbad Const. STATE CA ZIP CCXlE92008 DAY TELEPHONE ( 619 ) 431-2800 SIGNATURE DESIGNER NAME CITY STATE LIC. # WORKER ' COMPENSATION 545075 STATE LICENSE CLASS -~---- TITLE ADDRESS ZIP COOE CITY BUSINESS LIC. # DATE DAY TELEPKONE 4379§ 4 STATE LIC. # Workers• C~sat,on Dec aration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' C~nsat ion Insurance by an actni t ted insurer, or an exact copy or duplicate thereof cert if i eel by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). is issued, I shat l not so as 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: 0 I as owner of the property or my ~loyees 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 ~loyees, provided that such improvements are not intended or offered for sale. If, however, the building or ill'4'rovement is sold within one year of coq:iletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 I , as owner of the property, am exc l us i vel y contracting with licensed cont rectors 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 exef"1t 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom, and the basis for the alleged ex~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 dot tars ($500] ). SIGNATURE DATE COMPLETE THIS SECTION FOR NON·RESIDENTIAL 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? 0YES 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 ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF ANY Of THE AIIS\ERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS TII: APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES All) 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 3D97( i ) Ci vi l Code). LENDER'S NAME LEN0ER•s ADDRESS 10. APPLICANT'S SIGNATURE 1 certify that ! have read the application and state that the above information ,s correct. ! 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 INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JlDGHENTS, COSTS AND EXPENSES WHICK MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issue<! by the Building official under the provisions of this Code shall e11pire by limitation and become null and void if the building or work authorized by such permit is not conmenced within 180 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 pe~i of 180 days (Section 303(d) Uniform Building Code). □ OWNER ONTRACT0R Dev PHONE A.PP-ROVED BY:-------- DATE: YELLOW: Applicant PINK: Finance J CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910892 FOR 08/28/91 DESCRIPTION: PLUMBING & ELECTRICAL FOR LDRY AND KITCHENS UNIT #208 TYPE: MISC INSPECTOR AREA PK PLANCK# CB910892 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2320 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: NEW DESIGN REMODELING OWNER: HOSP WAY LIMITED STR:** FL:**** STE: 255 PHONE: 619 431-2800 & CONS PHONE: 619-431 800 REMARKS: MH/RICHARD/434-1494 SPECIAL INSTRUCT: UNIT 255 TOTAL TIME: CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical -------------------- -------------------- PHONE: ACT COMMENTS ***** INSPECTION HISTORY***** DATE 061491 061491 DESCRIPTION Rough Electric Rough/Topout ACT INSP AP PK AP PK COMMENTS ~~~,.,~-,!! .)-,3 :l5'< ;) 3 3-z..., .µ 107 fl I l '(