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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 ------------------- Fees: Ac1iustments: Totc1l Fees: Fee description --------------- Miscellaneous Fee# "MISCELLANEOUS TOTA,{ -.,-J--_______ _,_ __ _ 30 0 61~-431-28U0 ------------- • 0 ( .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 ------------------ ------------------ ------------------ 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