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Home My WebLink About2312 HOSP WAY; 256; CB911311; Permit. ,• .. B U I L D I N G P E R M I T 09/18/91 16:2- Page 1 of ~31~ Job Address: --.....-t OSP WY Permit Type · f)\ :ous Parcel No: 1~7 ~:304-1 1;::.... Valuation: o Construction Type: NEW Occupancy Group: Class Cod0: Description: ELEC LDRY AND KITCHEN Str : * * PE>rmit N0: CB9l:311 Project No: A9101668 ::>evelopment Ne F~\4~:~11~;~=~1 o~:!J3lf1 C-PRMT 30-00 Status: ISSUED Applied: 09/18/~1 Apr/Issue: 09/18/91 Validated By: DC Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL CT #200 CARLSBAD, CA 92009 619 431-2800 *** Fees Required f'eE>S : Adjustments: Total Fees: Fee description Miscel~aneous Fee * MISCELLANEOUS TO *** L..-1"-- > CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 .00 .00 30.00 Ext fee ::::>atu ~---------------- 3J.00 KIT/LDI:<Y 30.00 PERMIT APPLICATION City of carlsbad Building Depart111e11t 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 I. P£kMI I UP£ A-UCOmmerc1al □New Buildmg Li lenant Improvement B -□ Industrial D New Building D Tenant Improvement c -□ Residential □ Apamnent □ Condo □ Single Family Dwelling □ Addition/ A1teration □ Duplex U Demolition D Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool U Spa D Retaining Wall □ Solar □ Other 2. PRQJF.Cf INFORMATION Add~ i1'it~~ Hosp % Nearest Cross Street Way, Carlsbad El Camino Real BuJJdmg or Suite No. LEGAL DESCRIP I ION Lot No. Sutxi.1V1s1on Name/Number CHECK BEWW IF S0BMll 1£D: 256 □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOB'S PARCEi, EXISTING USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and kitchens SQ. IT. # OF STORIES PLAN CHECK NO. EST.VAL. __________ _ PIAN CK DEPOSIT _______ _ VALID.BY __________ _ DATE FOR OFFICE USE ONLY 0mt No. Phase No. PROPOSED USE 3. WN IACI PERSON (II dlIIerenl from apphcanf) NAME Keith Smith CITY Carlsbad STATE CA ADDRESS 5928 Pascal Ct., Ste. 200 ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 4. At'l'UlANt □WNJRACIOR UAGENI FORWNIRACIOR DOWNER □AGENI FOR OWNER NAME lie. 1Esigr1 !arrrl:ili.n;J & Cl:nst. ADDRESS 5928 Pascal Ct., Ste. 200 CITY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 NAME Hosp Way Limited ADDRESS ZIP CODE 1990 Westwood Blvd., qJ025DAY TELEPHONE Ste. 300 (213) 474-1720 CITY Tm 8Jl;i= l ffi STATE CA 6. WN IRACJOR NAME New Design !arrrl:ili.n;J & Cl:nst. ADDRESS ZIP CODE 5928 92008 Pascal ct., Ste. 200 CITY Carlsbad STATE CA DAY TELEPHONE 9619) 431-2800 STATE UC. # 545075 LICENSE CIASS B CITY BUSINESS UC. # 437954 CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOltkERS5 CDMP£NSXIR.JIQ Workers' CZmpensatlon Oeclarat1on: I hereby affirm that I have a certificate of consent to self.insure issued by the Ulrector of industnal 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). INSURANCE COMPANY ~ Jnsuran:::e POLICY NO.7Ji(DJ3402~IRATION DATE 6/28/92 Cenihcate of Exempuon: 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. OWNRk-B0IWtk DECLAIL\'ilUN Dwner-Bmlder beciarauon: I hereby affmn that I am exempt from the Contractor's Lcense 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 completion1 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 Llcense Law does not apply to an owner of property who builds or improves thereon1 and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law). □ 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, improve1 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 91 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 COMPLf:1£ 'IHIS SECIION FOR NON-RESIDEN tIAL BUILDING PERMii'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? CJ YES CJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF TilE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAY Nill BE ISSUED AFTER JULY I, 1989 UNUlSS TilE APPLICANT HAS Mirr OR IS MEIITING TilE REQUJREMENTI; OF TIIE OFFICE OF EMERGENCY SERVICES AND TilE AIR POILIITION <DNTI\OL DISfRICT. 9. WNSIR0CIION LENDING AGENCY I hereby aihrm that there 1s a conscrucuon lendmg agency lor the performance of the work for which this permit 1s issued (Sec 3097W CiVJI Code). LENDER'S NAME LENDER'S ADDRESS lo. APPLk'.!AN I CERIIFICAIION I certify that I have read the apphcatton and state that the above mformauon 1s correct. I agree to comply wnh ail 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 TO SAVE INDEMNIFY AND KEEP HARMLESS TilE CTIY OF CARISBAD AGAINST ALL LJABJIJTIES, JUDGMENTS, COSTS AND EXPENSES WIIlCH MAY IN ANY WAY ACCRUE AGAINST SAID CTIY IN <DNSEQUENCE OP TIIE 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 chis 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 Buildin Code). DATE: 1' /:? 1' APPLICANTS SIGNATURE 2 ~ p ~ mTE: File YEIJ.OW: Applicant PINK: Finance PERMIT# CB911311 DESCRIPTION: ELEC LDRY AND TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/27/91 KITCHEN PHONE: INSPECTOR AREA PK PLANCK# CB911311 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 256 619 431-2800 JOB ADDRESS: 2320 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: PHONE: PHONE: /) REMARKS: MH/434-1494 SPECIAL INSTRUCT: TOTAL TIME: CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical INSPECTOR --4-~----------- ACT COMMENTS #----- -------------------------------------------------------- ***** INSPECTION HISTORY***** DATE 092491 092491 DESCRIPTION Rough Electric Rough/Topout ACT AP AP INSP PK PK COMMENTS YDCQPYLIP IffSflC'l'~ DATE to-r5i,9J. . INSPECTOR._~ ... ·------•.:::::.:: ____ _ PERMIT f 9 !;/.31( PWICK i_.. ___ _ JOB ADDRESS > g82p tie p C♦ @ST,,") TIMI ARRIVE: ____ TIMB LEAVE: ____ _ CD LVL DESCRIPTION ACT ·. COMMENTS ;.it>-- ----