HomeMy WebLinkAbout2312 HOSP WAY; 156; CB911409; Permit8 U : L :> I N G
10/17/91 1S: )l.
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Vc'l:uat·on:
Construction 1ype: NEW
PERMIT Pt"rmit No: CB91!4IlY
Str: ** F
Pr.,Ject No: A91ri~~':ll
Developm(;"nt No:
4869 10/17/91 0001 01 02
C-PRl1T 30-00
C/2...:237~
Occ-upc:.mcy Group: Cla::-s c '(1e:
Description: PLUMBING & ELECTRICAL FOR I~RY
: ANO KITCHENS UNIT #2.08
Applied: 1C/ ... 71'1 ...
Ape/I ::;ue: :O/ll'l:
Appl/Ownr : NEW DESIGN REMODELING
~928 PASCAL CT #200
CARLSBAD, CA 92008
Vu" 1dcte,~ By: W
619 4J1-2800
OwNER
CONTRACTOR
HOSP WAY LIM:l'
NEW DESIGN ~EM ,bELlNy & CONS
~928 PASCAL C
CARLSBAD, CA ~o~a
OWNER
437954 61~-4:-. ... -f-;(IC,
"** Fees Requ i I ed * * * * * ees Q> lecte~ & Credit~ *~~
Fees:
Adjustments:
Total Fees:
Fee description ----------------~
Miscellaneous Fee #1
* MISCELLANEOUS TOTA:.
0.0
. ~
.00
--------~-----------------------------~---
Tot:-i.l tre its:
'rota! Paymen ~;
Balanae rue~
Units !fee n't
.00
.oo
30. lU
Ext fee ::.> i tc.i -----------~-----------~~--> JO. l 0 30.U0 P:../EL/K/
30.0u
CITY OF CARLSBAD
APPROVAL
INSP. ■---,;;;;;;;:;;___ DATE .,./ _,_____ ..,,,.'""'
CLEARANCE-~----/Z<-a ........... __ _.
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
--------------------
PERMIT APPLICATION ~ ~
PLAN CHECK NO.
City of Carlsbad Building Departaent
2075 Las Palaas Dr .• Cerlsbad, CA 92009 (619) 438-1161
EST. VAL'-----------PIAN CK DEPOSIT _______ _
VAIID. BY __________ _
I. PFJtMI I liPE DATE
A -Li COmmerc1al □New Bu1ldmg LI lenanc Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -□ Residential D Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition
□ Mechanical □ Pool
□ Relocation □ Mobile Home □ Electrical □ Plumbing
0 Spa □ Retaining Wall □ Solar □ Other
2. PROIECT INFORMATION
Address 2312 Hosp Way BuUdmg or Suite No.
FOR OFFICE USE ONLY
156
Nearest Cross Street El Camino Real
LEGAL DEsCRiPI ION Lot No. Suixl1v1S1on Name/Number Omt No. Phase No.
CHECK BEWW IF SOBMII 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi. EXISTING USE PROPQSED USE DESCRIPTION OF WORK
Plumbing and Electrical for Laundry SQ. FT. # OF STORIES and Kitchens.
3. WN IACI PERSON (JI d)I[ereni from appJlcanf)
NAME Richard Whitney ADDRESS 5928 Pascal Court, Suite 200
CITY Carlsbad, STATE CA ZIP CODE 92008 DAYTELEPHONE (619) 431-2800
4. APl'LllAN1 OWNiRACIOR □AGENI FOR WNJHACIOR DOWNER OAGENI FOR OWNER
NAME New Design Remodeling ADDRESS 5928 Pascal Court, Suite 200
□TY Carlsbad, STATE CA ZIPCODE 92008 DAYTELEPHONE (619) 431-2800
NAME
□TY
Hosp Way Limited
Los Angeles. STATE CA
ADDRESS 1990 Westwood Boulevard, Suite 300
ZIP CODE 90025 DAY TELEPHONE ( 213 ) 474-1720
NAME
CITY
New Design
Carlsbad,
Remodeling
STATE CA
ADDRESS
ZIP CODE
5928 Pascal Court, Suite 200
92008 DAY TELEPHONE ( 619) 431-2800
STATE !JC.# 54507 5 LICENSE CLASS B CITY BUSINESS !JC. # 437954
CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOIUMtS' WMPlffiSXilON
Workers' Compensation Declaration: I hereby afhrm that I have a certU1cate of consent to self-msure issued by the Ulrectorof lndustnal
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 In~tion ~wrtment (Section 3800, Lab. C).
73WCoo8402-00019
INSURANCE COMPANY POIJCY NO. EXPIRATION DATE
Ceruhcate of Exemption: I certify that m the performance of the work for which this penmf 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATIJRE DATE
8. uWNFJt-BOliDkk DFl!OOtA:IIUN
□
□
□
owner-HuUder JJeclaratton: I hereby affmn that I am exempt from the t.Zntracto?s Llcense 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 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.).
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.S 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 Llcense 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNA11JRE DATE
COMPLEIE I HIS SECI ION FOR NON.RESIDEN I JAL B0IIDING PERMI I'S 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?
□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?
□ YES □ NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANVOF THE ANSWERS ARE YES, A FINALCER11FICATE OF oa:tJPANCY MAYNCrr Bl! ISSUED AFTl!RJUI.Yl, 1989 UNLESS THEAPPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POillJ11ON CDN11lOL DIS11UCT.
9. WNSIR0CIION LRNDING AGENCY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 309/(IJ Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPllt!AN I CRkliFICAI WN
I cenify chat I have read the apphcauon and state thac the above mformauon 1s correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of C.arlsbad to enter upon the above mentioned property for inspection
purposes. I MSO AGREE ID SAVE INDEMNIFY AND KEEP HARMlJ!SS THE CTIY OF CARISBAD AGAINST AIL UABIIJTIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY ACDUJE AGAINST SAID CTIY IN CDNSEQIJENCE OF 11IB GRANTING OF THIS 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 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 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 Building Code).
DATE: /0-/].Pl I
OW: Applicant PINK: Fmance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB911409 FOR 12/19/91
DESCRIPTION: PLUMBING & ELECTRICAL FOR LDRY
AND KITCHENS UNIT #208
TYPE: MISC
JOB ADDRESS: 2312 HOSP WY
APPLICANT: NEW DESIGN REMODELING
CONTRACTOR: NEW DESIGN REMODELING & CONS
OWNER: HOSP WAY LIMITED
REMARKS: MH/GENE/434-1494
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
STR:**
619 431
619-431
CD
29
39
LVL DESCRIPTION ACT COMMENTS
PL Final Plumbing
EL Final Electrical
DATE DESCRIPTION
102491 Rough Electric
102491 Rough/Topout
102191 Rough Electric
102191 Rough/Topout
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
AP PK
AP PK
AP PK
AP PK
INSPECTOR AREA PK
PLANCK# CB911409
ace GRP
CONSTR. TYPE NEW
FL:**** STE: 156
00
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