HomeMy WebLinkAbout2312 HOSP WAY; 154; CB911410; PermitB U I L '> I N G
P E R M ::: 'I Permit No: CB91 41 IJ
Pro~ect: Ne): A910.7'-l~
10/17/~1 .S:">,j
Page 1 ot 1
,Tob Addres~;: 2312 HOSP WY
Permit 7ype: \
hn ce ... No: 11:i, .;)5'0 •-h O.:;)_
Vc.1 lu.t.1t ion:
Construction Type: NEW
1)ccupdnC"y Group: Class Code:
Description: PLUMBING & ELEC7RICAL FOR LORY
: AND K:TC~ENS UNIT #208
s+-r: A,,. F
DPvelooMent ,lo:
4869 10/17/91 0001 01 02
C-PRMT 30-00
Ck 'J.-3 9 "-
Applied: ... 01.'7/'-l
Apr/Isnw: 1' /17/'•1
Vdli•la+-ed Ey: D.
Appl/Ownr : NEW DESIGN REMODE;LING
5928 PASCAL CT #200
CARLSBAD, CA qzoos
t,19 431-2800
UWNER
CONTRAC'"OR
,...,,..,,. Fees
HOSP WAY I.IM
NEW DESIGN
5928 PASC
CARLSBAD,
Requireij
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Fees:
Ac1iustments:
Totc1l Fees:
Fee description
---------------
Miscellaneous Fee#
"MISCELLANEOUS TOTA,{
-.,-J--_______ _,_ __ _
30 0
61~-431-28U0
-------------
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.no
-:io. oc
Ext fee Data -~-------------
30.0CJ PL/.:LIK/
30.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION ~ ~
PLAN CHECK NO. q /-!WO
City of carlsbad Building Oepartaent
2075 Las PallllllS Or •• carlsbad, CA 92009 (619) 438-1161
PLAN CK DEPOSIT _______ _
I
ESf. VAL
VAIID. BY __________ _
i. PMMII IYPE
A -U COmmerc1al LI New Bu1idmg U I enant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -□ Residential D Apartment □ Condo □ Single Family Dwelling □ Addition/ A1teration
U Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
DATE
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address 2312 Hosp Way BuUdmg or Smte No. 154
Nearest Cross Street El Camino Real
LECAL DEsCRIJfi ION Lot No. Suix11V1s1on Name/Number 0mt No. Phase No.
CHECK BEWW IF S0BMII JED:
□ 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 the Laundry and Kitchens.
SQ. IT. # OF STORIES
3. WN IACI PERSON (11 Olfferent from applicant)
NAME ADDRESS Richard Whitney 5928 Pascal Court, Suite 200
CilY Carlsbad, STATE CA ZIPmDE 92008 DAYTELEPHONE (619) 431-2800
4. APPIJCXNI UWNIRACIOR □AGENI FORWNIRACIUR DOWNER □AGENI FOR OWNER
NAME ADDRESS New Design Remodeling
□lY Car 1 sbad. STATE CA 5. PROPER i'Y OWNER
NAME
Hosp Way Limited
CI1Y u:xb9(yAnge]es STATE 6. WNI
NAME
CA
CilY
CITY
New Design
Carlsbad,
Remodeling
STATE CA
STATE UC.# 545075
STATE
7. WORkERS OJMPRNSAJION
ZIP ffiDE
ADDRESS
ZIP ffiDE
ADDRESS
ZIP CODE
5928 Pascal Court, Suite 200
92008 DAY TELEPHONE ( 6] 9) 43] 2800
suite 200 5928 Pascal Court,
92008 DAYTELEPHONE (619) 431-2800
LICENSE CLASS B CilY BUSINESS UC. # 437954
ZIP CODE DAY TELEPHONE STATE UC.#
Workers' Compensation beclarat1on: I hereby affirm that I have a centf1cate of consent to seif-msure issued by the D1rectorof 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 Build in~ 1•~~09' Jll'~'b"be8\. fuSection 3800, Lab. CJ.
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
I
Certificate of Exempt10n: I certllY that m the performance of the work for which this pemuf 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of C-alifomia.
SIGNATURE DATE
8. OWN£k-B0UD£k nm:ARX'ilUN
bwner-Bmlder Declaration: I hereby affirm that I am exempt from the Contracto?s License Law for the following 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.).
□ 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 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 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 [SSOO]).
SIGNATURE DATE
COMPLEIE IHIS SECIION FOR NON-RESIOENIIAL B0IIDING PERMII'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
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF 111E ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:tJPANCY MAYNOf BE ISSUED AFl1!R JULY 1, 1989 l.lNIJlSS 11IE APPLICANT
HAS MET OR IS MEIITING 11IE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 11IE AIR POillJTION <XlN11IOL DJSllUCT.
9_ WNSIR0CIION I.ENDING AGENCY
I hereby afhnn that chere 1s a construction lend mg agency for the performance of the work for which this pernut 1s issued (Sec 3097 (I} Civll Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLlcANI CFJlllPICAliuN
I certify that I have read the apphcatton and state that the atx>ve 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 Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE m SAVE INDEMNIFY AND KEEP 1IARMIJ!SS 11IE CflY OF CARISIIAD AGAINST AIL LIABIUl1ES, JUDGMENTS, CDSTS
AND EXPENSES wmrn MAY IN ANY WAY NilUJE AGAINST SAID CflY IN CDNSEQUENCE OF 11IE 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 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). 't:ZT l9-f~ ~m.,a-n-s)
File YEIJ.OW: Applicant PINK: Finance
t CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB911410 FOR 12/19/91
DESCRIPTION: PLUMBING & ELECTRICAL FOR LORY
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:
CD
29
39
LVL DESCRIPTION
PL Final Plumbing
EL Final Electrical
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PHONE:
PHONE:
PHONE:
***** INSPECTION HISTORY*****
DATE
102191
102191
DESCRIPTION
Rough/Topout
Rough Electric
ACT INSP
AP PK
AP PK
COMMENTS
INSPECTOR AREA PK
PLANCK# CB911410
OCC GRP
CONSTR. TYPE NEW
STE: 154