HomeMy WebLinkAbout2330 HOSP WAY; 302; CB901789; Permit.,
B U I L D I N G PERMIT Permit No: CB90178~
11/09/90 09:54
Page 1 of 1
Project No: A9001675
Development No:
Job Address: 2330 HOSP WY
Permit Type: MISCELLAN~OU.,
Parcel No: 167-250-43-flf-1.
Valuation: 3
Construction Type: NEW
Str: Fl: Ste:
Occupancy Group: Class Code:
Description: PLUMBING AND ELEC FOR LAUNDRY
: UNIT# 302
Appl/Ownr : NEW DESIGN REMODELING
5928 PASCAL CT #200
CARLSBAD, CA 92008
CONTRACTOR
OWNER
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee 1
* MISCELLANEOUS TO AL
CITY OF CARLSBAD
9309 11/09/90 OC01 01 2 ~-n;, T 0
r I< I 540 tatu."3: ISSUED
Applied: 11/09/90
Apr/Issue: 11/09/90
Validated By: KZH
619 431-2800
C 437954 619-431-2800
Credits
.oo
.00
30.00
***
E.xt fee Data
30.00 PL/EL/K/
30.00
FINAL APPROVAL 71 INSP. /,_ DATE / ~1
CLEARANCE_ .. 1J,_t2-_. ___ ,
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
....... _______________ _
PERMIT APPLICATION
City of Carlsbad Building Department ~ V
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL ______________ _
PLAN CK DEPOSIT ___________ _
VALID. BY ______________ _
1. PERMIT TYPE
COMMERCIAL
DATE ______________ _
A
8
C
0 INDUSTRIAL
0RESIOENTlfll □APARTMENT
Q DUPLE; 0 DEMO LIT JON
□MECHANICAL □POOL
TENANT IMPROVEMENT
□TENANT IMPROVEMENT
□CONDO 0S!HGLE FAMILY DWELLING □ADDITION/Al TERAT ION
□RELOCATION □MOBILE HOME □ELECTRICAL
OSPA □RETAINING \.IALL □SOLAR 00THE
□PLUMBING
2. PROJECT INFORMATION PLAN CHECK No.
Address
2330 Hosp Way
Nearest Cross Streets El Camino Real 302
LEGAL OESCRIPTiott Lot No. Subdivision Name/Number Unit No. Phase No.
CHECK BELOW If SUBMITTED:
Q2 Energy Cales 02 Structural Cales p2 Soils Report D 1 Addressed Envelope
EKJSTJNG USE PROPOSED USE
Plumbing and electrical for laundry and kitchens.
BLDG. SO. FTG. # OF STORIES
3. CONTACT PERSON
NAME
CITY
SIGNATURE
STATE
ADDRESS
ZIP COOE DAY TELEPHONE
4. APPLICANT
NAMIN' ew Design
0 CONTRACTOR
Remodeling
0 AGENT FOR CONTRACTOR O OWNER
ADDREss 5928 Pascal
0 AGENT FOR OWNER
Court, #200
5.
6.
7.
8.
CITY Carlsbad STATE CA ZIP COOE 92008 DAY TELEPHONE { 619) 431 2800 PROPERTY OWNER OWNER □LESSEE □TENANT
NAME Hosp Way Limited
c1TY Los Angeles STATE
'°0
""' 1990 Westwood Blvd., #300
CA ZIP CODE 90025 DAY TELEPHONE C 21 3) 474 J 72D
CONTRACTOR
NAME
Cl TY
CITY
New Design Remodeling
STATE & Construction
Carlsbad LIC. # 545075
STATE
CA
ADDRESS
5928 Pascal Court, #200
ZIP CODE DAY TELEPHONE
92008
LICENSE CLASS ___ 0B~--
TIHE Controller
ADDRESS
ZIP COOE
(619) 431-2800
CITY BUSINESS l!C. # C437Q54
DATE
DAY TELEPHONE STATE LIC. # w
Workers' Carpensat1on Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers• Carpensation Insurance by an actT1itted 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).
tNsuRANCE COMPANY Nationwide Mutual POLICY No. ~i EXPIRATION DATE
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person ,n any manner
so as to become subject to the Workers' Carpensation laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: ! hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D I as owner of the property or my employees with wages as their sole c~nsation, 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 COfll)letion, the owner-builder will have the burden of proving that he did not build or in-prove 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 License Law does not apply to an owner of property who builds or in-proves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License law).
D I am exefll}t 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, al so requi res the appl i cant for such permit to f i I e a signed statement that he is licensed pursuant to the provisions of the
Contractor's license law (Chapter 9, conmencing 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 do l lars ($500] ) .
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 0NO
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 o,o
IF ANT OF THE ANSWERS ARE TES, A FINAL CERTIFICATE OF DCQJPANCT MY NOT BE ISSUED AFTER JULY 1, 19891.l!LESS THE APf'LICANT HAS MET OIi IS M:ETllfG THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES MIO THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building construction. 1 hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll)GMENTS, COSTS AND EICPENSES wt!ICH MAY IN ANY I.IAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 conmenced within 180 days from the date of such permit or if the bui ld1 ng or work authorized by such permit is suspended
or abandoned at any time after the work is conmenced for a period of 180 days (Section 303(d) Uniform Building Code}.
0 BY PHONE APPROVED SY; _______ _
DATE: __________ _
YELLOW: Applicant PINK: Finance
PERMIT# CB901789
DESCRIPTION: PLUMBING AND
UNIT# 302
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/21/91
ELEC FOR LAUNDRY
JOB ADDRESS: 2330 HOSP WY
APPLICANT: NEW DESIGN REMODELING
CONTRACTOR: NEW DESIGN REMODELING
PHONE:
PHONE:
OWNER: HOSP WAY LIMITED
REMARKS: MH/KEITH/431-2800
SPECIAL INSTRUCT:
TOTAL TIME:
LVL DESCRIPTION
PHONE:
ACT COMMENTS
INSPECTOR AREA PK
PLANCK# CB901789
OCC GRP
CONSTR. TYPE NEW
FL: STE:
CD
29
39
PL Final Plumbing
EL Final Electrical ~---
------------------
------------------
------------------
***** INSPECTION HISTORY*****
DATE
111390
111390
DESCRIPTION
Rough/Topout
Rough Electric
ACT INSP
AP PK
AP PK
COMMENTS