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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