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Home My WebLink About2312 HOSP WAY; ; CB911316; PermitB U I L D I N G P E R M I T Permit No: CB9113lh Project No· ~ 09/18/91 16:3" Page 1 of 1 ;:i:31;i, Job Address:~ ~JSP WY Str: * * Development N : /J KJ ':)_ 3 41 Fl: **** Ste: 2 ~ lA'- Permit Type Pa.reel No: Valuation: Construction Type: NEW Occupancy Group: Class Code: Description: PLUM/ELEC LDRY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL CT #200 CARLSBAD, CA 92009 *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS TO 619 CITY OF CARLSBAD 4464 09/18/91 0001 01 02 C-PRHT Status: Applied: Apr/Issue: Validated By: 431-2800 30-00 TSSUED 09/18/91 09/18/91 DC *** --------------·------- .00 ,00 30.00 Ext fee Data ~----------------30.00 KIT/L:)RY 30.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departaent 2075 Las Pal•s Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _ PIAN CK DEPOSIT _______ _ VAIJD.BY __________ _ I. PEkM1 I IYPE DATE A . U COmmerc1al U New Building U I enanc Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition U Mechanical □ Pool □ Relocation □ Mobile Home U Electrical D Plumbing □ Spa □ Retaining Wall □ Solar □ Other 2. PRClJECf INmRMA11ON FOR OFFICE USE ONLY Address a...¾& H:Ep 1~ay, earJ.sbliiHdmg or Smte No. 254 Nearest Cross s~El ca:nim le3l LEGAL bESCRIPIION Lot No. Su6Chvis10n Name/Number Omt No. Phase No. ~ CHECK HEWWtFStmMriifil- □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi, EXISTING USE PROP9SEP 1 TSE DESCRIPTION OF WORK Phnbin:_:r ard El.e±rical fer 1am:h:y ard kitdB1 SQ. Fr. # OF STORIES 3. WNIACI PERSON (I[ dlliereni from appJJcanf) NAME ~th Sm.th ADDRESS 5928 R3s::al Q:urt, Ste. 200 CITI Qrrlsl::a:i STATE CA ZIP CODE 92008 DAY TELEPHONE (6l9) 431-2800 4. APPUCANI UWNIRACIOR DAGEN! FORWNIRACIOR ~-OWNER UAGh~rFO..l\.uWNER NAME ~ J:Esign l:aTl::relin:_: & a:nst. ADDRESS 59L8 R3s::al ct., :Ote. LW CITI QrrJ.slro STATE CA ZIP CODE 92008 DAY TELEPHONE (6l9) 43l-28QO NAME H::sp \~ Limite:1 CITI 1cE~ STATE CA ADDRESS ZIP CODE 1990 1'€Sl:J...a:rl Blm., Ste. 300 90025 DAY TELEPHONE (213) 474-1720 NAME CITI ~ J:Esign l:aTl::relin:_: & a:nst. Qrrlsl::a:i STATE CA ADDRESS ZIP CODE 5928 R3s::al ct. , Sle. 200 92008 DAY TELEPHONE (619) 431-2800 STATE UC. # 545075 LICENSE CI.ASS B CITI BUSINESS UC. # 437954 CITI STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WUkkkRS WMPRNSA:IION Workers' Compensation Declarauon: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director of Industrial 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). ·-'-·"-"--73'rn:8402--00019 INSURANCE COMPANY <'<>W.U>== InsLJran:e POLICY NO. EXPIRATION DATE ll)0!8)(l« 6/28/92 Ceruhcate of Exemption: I certUY that m the peflormance of the work for which this perrmt 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DA TE 8. OWNffi-B0nnmt DPl!LARAIIUN Owner-Builder DCciaratton: I hereby afhnn that I am exempt from the COntractoi's License Law for the lollowmg reason: D 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 Llcense 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 Llcense 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 Llcense 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLE'rE IHIS SEC I ION FOR NON-RESIDENIIAt BUILDING PERMIIS ONLY: ls 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 pennit from the air pollution control district or air quality management district? 0 YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF nm ANSWERS ARE YES, A FINAL CER'I1FICATE OF oa:uPANCY MAY Nar BE ISSUED AFTER JULY 1, 1989 UNIJ!SS TIIE APPLICANT HAS Mirr OR IS MEl!TING TIIE RF.QUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POlLIJ11ON CDNTIIOL DISl1UCT. 9. WNSIRUCIIUN LENDING AGENCY I hereby aihnn that there 1s a construction lending agency for the perlonnance of the work for which this penn1t 1s issued (Sec 3097(1) C1vH Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANI t!PltlfillCAl1uN I certify that I have read the apphcat1on and state that the above mformauon 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TIIE CITY OF CARISIIAD AGAINST AIL UABllITIES, JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CDNSEQUENCE OF TIIE GRANTING OF nns PERMIT. OSHA: An OSHA pennit 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 pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303{d) Unifonn Building e). APPLICANT'S SIGNATUR/4 DATE: __,:.,wc,;&~...:.l(.L. . Applicant PINK: Finance • CITY OF CARLSBAD INSPECTION REQUEST PE:aMIT# CB911316 FOR 10/28/91 DESCRIPTION: PLUM/ELEC LORY AND KITCHEN TYPE: MISC JOB ADDRESS: 2320 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: REMARKS: MH/GENE/434-1494 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB911316 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 254 619 4 -2800 CD 29 39 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing EL Final Electrical ------------------------------------ ------------------ ***** INSPECTION DATE DESCRIPTION ACT 092691 Rough/Topout AP 092691 Rough Electric AP 092491 Rough/Topout NR 092491 Rough Electric NR HISTORY ***** INSP COMMENTS PK PK PK PK