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Home My WebLink About2330 HOSP WAY; 102; CB901910; Permit-... B U I L D I N G P E R M I T Permit No: CB901910 Project No: A9002186 Development No: 12/06/90 12:42 Page 1 of 1 Str : * * Fl: **** Ste: 102 9725 J.2/06/-10 0001 C'1 " {3(2. !Co41 Job Address: 2330 HOSP WY Permit Type: MISCELLANEOUS Parcel No: 167-250-43-0.;D. Valuation: 0 Construction Type: NEW Occupancy Group: Description: PLUMBING/ELEC Class Code : FOR LDRY & KITCH s L. : Applied: Apr/Issue: Validated By: 431-2800 ISSUED 12/06/90 12/06/90 DC Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT #200 CARLSBAD, CA 92008 *** Fees Required Fees: Adjustments: Total Fees : Fee description Miscellaneous Fee # * MISCELLANEOUS T ~At *** (),00 .00 36. 619 t Ext Fl A APPROVAL 1 INSP. -1-,;.~-DATE ;>-1//-f,. CLEARANCE-'11tt',~/4~,t-.---1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 *** .00 ,00 30.00 fee Data 30.00 PLMB/EL 30.00 PERMIT APPLICATION ~ V City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (6191 438-1161 PLAN CK DEPOSIT ___________ _ VALIO. BY ______________ _ 1. DATE _______________ _ A • B PERMIT TYPE COMMERCIAL 0 INDUSTRIAL TENANT IMPROVEMENT □TENANT IMPROVEMENT C 0 RESIDENTIAL O APARTMENT □DUPLEX QoEM0LITJON QMECHANICAL □POOL □CONDO □SINGLE fAMILY D\JELLING OADDITI0N/ALTERATI0N □RELOCATION □MOBILE KOME □ELECTRICAL □PLUMBING OSPA □RETAINING I.IALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. Address , • d ,.-2330 Hosp Way Limite, Carlsbad 102 )learest Cross Streets E] Cami no aeal LEGAL DESCRIPTION lot No. Subdivision Name/Nurrber Unit No. Phase No. CHECK BELOW IF SUBMITTED: 02 Soils Reeort D 1 Addressed Envelope f)(JSTING USE Q2 Energy Cales 02 Structural Cales ASSESSOR'S PARCEL PROPOSED USE Plumbing and Electrical for laundry and kitchens. BLOG. SC, FTG. # Of STORIES 3. CONTACT PERSON 4. 5. 6. 7. 8. NAME Keith Srni th ADDRESS 5928 Pascal Court, Suite 200 cnY Carlsbad STATE CA ZIP COOE 92008 DAY TELEPHONE (619) 431-2800 SIGNATURE APPLICANT CONTRACTOR 0 AGENT FOR CONTRACTOR □OWNER Const. ADDREss5928 Pascal 0 AGENT FOR OWNER Court, Suite 200 NAME New Deisgn Carlsbad CITY R modeling & STATE CA ZIP coor92OO8 DAY TELEPHONE ( 619) 431-2800 PROPERTY OWNER OWNER □LESSEE ADDREss 1990 Westwood Blvd., □TENANT Suite 300 NAME Cl TY Hosp Way Limited LOS Angeles STATE CA ZIP CODE 90025 DAY TELEPHONE ( 213) 4 74-1720 CONTRACTOR ADDRESS 5928 Pascal Court, Suite 200 HAME CITY Cl TY New Design Carlsbad Remodeling & Const. STATE CA 545D75 STATE ZIP CClllE92008 DAY TELEPHONE (619) 431-2800 LICENSE CLASS _ _J:L __ _ TITLE ADDRESS ZIP CODE C!TY BUSINESS LIC. # 437954 DATE DAY TELEPHONE STATE LJC. # WORKERS' COMPENSATION workers' CO!Jl)ensation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Re\at10ns, or a certificate of workers' Corrpensat ion Insurance by an actni t ted insurer, or an exact copy or dupl i cate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. CJ. INSURANCE COMPANY Nationwide Insurance Pou63NW.C0084O2-oooi9 EKPIRAr10N DATE 6/28/91 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Corrpensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: DI as owner of the property or my employees with wages as their sole compensation, 1,1ill 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 completion, the owner-builder will have the burden of proving that he did not build or i~rove 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 01,1ner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ___________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County 1,1hich 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 License Law (Chapter 9, coomencing 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 [$5001 ). SIGNATURE DATE COMPLETE THIS SECTION FOR NOt.·RESIDENTIAL BUILDING PERMITS ONLY: !s the app\ icant 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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Dns ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES o,o IF ANY Of THE ANSWERS ARE TES, A FINAL CERTIFICATE OF OCQJPANCT MAT N01 BE ISSUEO AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET DA IS MEETING THE RECIUIRENEIITS OF THE OFFICE OF EM:RGENCT SERVICES AND 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 l. LENDER'S NAME LENDER IS 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. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEltNIFV AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JlllG'IENTS, COSTS AND EKPENSES WHICH MT IN ANT WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Eluilding 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 cormienced 1,1ithin 180 days from the date of such permit or if the building or 1,10d; authorized by such permit is susperided or abandoned at any time after the worK is cormienced for a period of 180 days (Section 303(d) Uniform Building Code). Q',JNER ,PQcONTRACTOR D BY PHONE APPROVED BY: _______ _ DATE: PINK: Finance PERMIT# CB901910 DESCRIPTION: PLUMBING/ELEC FOR CITY OF CARLSBAD INSPECTION REQUEST FOR 02/14/91 LDRY & KITCH INSPECTOR AREA PK PLANCK# CB901910 OCC GRP TYPE: MISC JOB ADDRESS: 2330 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: CONSTR. TYPE NEW STR:** FL:**** STE: 102 OWNER: REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: UNIT #102 TOTAL TIME: CD LVL DESCRIPTION PHONE: 619 431-28 PHONE: PHONE: ACT COMMENTS 29 PL ~ EL Final Plumbing Af ______________ _ Final Electrical -"~'a!--"-',~"" ..... =-✓_--------.!1:P. ;,;:y7 ..... ·7t} t < .... S.~-=e/-~,e,,:,,...,~----------h._ 1B-12 • 10 .1 ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 121490 Rough/Topout NS PK 121490 Rough Electric NS PK 121190 Rough/Topout co PK BLOWN OUT SHEAR WALL 121190 Rough Electric co PK