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Home My WebLink About2330 HOSP WAY; ; CB901911; Permit.. B U I L D I N G P E R M I T Permit No: CB901911 Project No: A9002187 Development No: 12/06/90 12 :43 Page 1 of 1 Job Address: 2330 HOSP WY Permit Type: MISCELLA~ U Parcel No: 167-250-43-C$ Valuation: o Construction Type : NEW Occupancy Group : Description : PLUMBING/ELEC Class Code: FOR LDRY & KITCH Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT #200 CARLSBAD , CA 92008 **A Fees Required **~ ------------------------•--- Fees : Adjustments: Total Fees: Fee description ------------------~ Miscellaneous Fee #1 * MISCELLANEOUS T TAL .DO .o'o • 0 ( Str: ** Fl: **** Ste: 103 619 9725 l2/06190 00 1 01 0~ - .., a L ~. Applied: Apr/Issue: Validated By : 431-2800 _ < U D 12/06/90 12/06/90 DC llected & Credits **A t .00 ,00 30 .00 Ext fee Data ~----------------- 30,00 PLMB/EL 30 .00 INSP.~~ CLEARANCE --1J1r...u.c... ___ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ V City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas □r., Carlsbad, CA 92009 {619) 438-1161 PLAN CIC DEPOSIT ___________ _ VALID. BY _____________ _ 1. PERMIT TYPE DATE ______________ _ A • 0 COMMERCIAL TENANT IMPROVEMENT B 0 INDUSTRIAL □NEW □TENANT IMPROVEMENT C 0 RESIDENTIAL 0 APARTMENT □CONDO QSINGLE FAMILY DWELLING OA0DITION/ALTERATI0N □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING 0 MECHAM I CAL □POOL □SPA □RETAINING WALL □SOLAR □OTHER, _____ _ 2. PROJECT INFORMATION PLAN CHECK No. F Address 2330 Hosp Way, Carlsbad 103 Nea~est Cross Streets El CAmino Beal LEGAL DESCRIPTION Lot No. Subdivision Name/Nlfflber Unit No. Phase No. CHECK BELOW If SUBMITTED: Q2 Energy Cales 02 Structural Cates 02 Soils Report 0 1 Addressed Envelope ASSESSOR IS PARCEL EXISTING USE PROPOSED USE Plumbing and Electrical for laundry and kitchens. BLDG, SC, FTG. # OF STORIES 3. CONTACT PERSON 4. 5. 6. 7. 8. ADDRESS Court, Suite 200 NAME CITY Keith Smith Carlsbad STATE CA ZIP CODE 5928 Pascal 92008 DAYTELEPHDNE (619) 431-2800 SIGNATURE APPLICANT NAME New Design Cl TY Carlsbad PROPERTY OWN ER ii?ciNTRACTOR Remodeling NAME CITY Hosp Way Limited Los Angeles CONTRACTOR 0 AGENT FOR & Const. STATE CA OWNER STATE CA NAME New Design Carlsbad Remodeling & Const. CITY SIGNATURE DESIGNER NAME CITY WORKERS' COMPENSATION STATE CA STATE CONTRACTOR □OWNER Aoo11ess 5928 Pascal ZIP cooe92008 0 AGENT fOR OYNER Court; Suite 200 DAY TELEPHONE ( 619) 431-2800 ADDRESS ZIP CODE □LESSEE 1990 Westwood Blvd., 9QQ 2 5 DAY TELEPHONE □TENANT Suite 300 ( 213) 4 74-1720 AooRess 5928 Pascal ZIP C00'92008 LICENSE CLASS __ .,._ __ _ TI HE ADDRESS ZIP CODE Court, Suite 200 DAY TELEPHONE ( 619) 431-2800 C!TY BUSINESS LIC. # 437954 DATE DAY TELEPHONE STATE LIC. # Workers' Coo-pensation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Coo-pensation Insurance by an admitted insurer, or an e11act copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, lab. C). 1NsuRANcE COMPANY Nationwide Insurance Pot~?WcFOOS4o2-oooi9 ExPtRAT101, DATE 6/28/91 Certificate of EKemption: 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' Coo-pensation 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: 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 irrproves thereon., and who does such work himself or through his own employees, provided that such irrprovements are not intended or offered for sale. If, however, the building or irrprovement is sold within one year of COJlllletion, the owner-builder will have the burden of proving that he did not build or improve 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 improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Lai.). 0 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 License Law (Chapter 9, c011111encing 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 [$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 □,o 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 0,0 IF MtY Of THE ANSWERS ARE YES, A FINAL CUTlflCATE Of OCCUPANCY NAY NOT BE ISSUED AfTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET at IS MEETING THE REQUIREMENTS Of THE OFFICE Of ENERGENCT SERVICES AND THE AIR POt.LUTION 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(il Civil Code). LENDER I 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. l 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 INDEJIIMIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlllGMENTS, COSTS AND EXPENSES WHICH NAY IN ANT MAY 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 or work authori~ed by such permit is not coornenced i.ithin 180 days from the date of such permit or if the building or work authorized by such permit the building is suspended or abandoned at after the ork is CO(ffllenced for a period of 180 days (Section 303(d) Uniform Building Code). _,,-,f'"-/f---[7 O.JNER p(c□NHI.ACTOR □ BY PHONE APPROVED BY: _______ _ DATE: __________ _ HITE: File YELLOW: Applicant PINK: Finance PERMIT# CB901911 DESCRIPTION: PLUMBING/ELEC FOR TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 02/14/91 LORY & KITCH INSPECTOR AREA PK PLANCK# CB901911 OCC GRP JOB ADDRESS: 2330 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: PHONE: PHONE: CONSTR. TYPE NEW STR:** FL:**** STE: 103 619 431-800 OWNER: REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: UNIT #103 TOTAL TIME: CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical PHONE: INSPECTOR-~~'.:_ ______ _ ACT COMMENTS 4--- ***** INSPECTION HISTORY***** DATE 121190 121190 DESCRIPTION Rough Electric Rough/Topout ACT INSP AP PK AP PK COMMENTS