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Home My WebLink About2330 HOSP WAY; 303; CB910093; Permit• 01/17/91 12:22 Page 1 of 1 B U I L D l N G Job Address: 2330 HOSP WY Permit Type: MISCELLA~ l- Parcel No: 167-250-43-iS' Valuation: v Construction Type: NEW P E R M I T Str: Permit Project Developmeni Fl: Ste· 0369 01/17 /91 0 No: Cl:3910093 No: A9100113 C Occupancy Group: Class Code: Status: ISSUED 01/17/91 01/17/91 DC Description: PLMB/ELEC FOR KITCH/LAUNDRY Applied: Appl/Ownr : STONE, BRENDA CONTRACTOR *** Fees Fees: Adjustments: Total Fees: 2330 HOSP WAY #303 CARLSBAD, CA 92008 NEW DESIGN 5928 PASCAL t:.A Fee description Miscellaneous Fee * MISCELLANEOUS TO 213 Apr/Issue: Validated By: 474-1720 C 437954 619-431-2800 .oo .00 30.00 Ext fee Data ~-----------------30.00 ELEC/PLM 30.00 PPROVAL / JNSP. __,__~DATE~ --?/ CLEARANCE_a~,'-g,.:i.-.. __ 1 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 Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CIC DEPOSIT ____ -7'~------ VALID. BY, _____ -,,c_ _______ _ 1. PERMIT TYPE DATE -------,<---------- A COMMERCIAL TENANT IMPROVEMENT ' 0 I NDUSTR l AL ONE\,' □TENANT IMPROVEMENT C □RESIDENTIAL 0 APARTMENT □CONDO OS!NGLE FAMILY DIJELLING □ADDITION/ALTERATION □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING 0 MECHANICAL □POOL □SPA QRETAINING IJALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. Address 2330 Hosp Way, CArlsbad Building or Suite No. 303 Nearest Cross Streets El Camino Real LEGAL DESCRIPTION Lot No. Sulxlivision Name/Number Unit No. Phase No. CNECIC BELCM IF SUBMITTED: 3. Q2 Energy Cales 02 Structural Cales 02 Soils Report ASSESSOR'S PARCEL D 1 Addressed Envelope E~ISTJNG USE PROPOSED use Plumbing and Electrical for laundry and kitchens. BLDG. SQ. FTG. CONTACT PERSON NAME Keith Smith CITY Carlsbad SIGNATURE # Of STORIES ADDREss 5928 Pascal Court, Suite 200 STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800 4. APPLICANT . n co,u,,~TOJ< NAME ""New Oeisgn R'e"moa.e.11.ng & n AGENT FOR CONTRACTOR O OWNER O AGENT fOR 01.JNER C"onst. Aoo11ess 5928 Pascal Court, Suite 200 Cl TY Carlsbad STATE 5. PROPERTY OWNER Q',JNER NAME Hosp Way Limited CI TY Los Angeles STATE CA CA 21P CODE92QQ8 DAY TELEPHONE (619) 431-2800 ADDRESS ZIP CODE □LESSEE 1990 Westwood Blvd., 90025 DAY TELEPHONE □TENANT Suite 300 (213) 474-1720 6. CONTRACTOR 7. 8. NAME New Design Remodeling & Const. AooRess 5928 Pascal Court, Suite 200 c11Y Carlsbad STATE CA ZIP CODE92QQ8 DAY TELEPHONE (619) 431-2800 ~~ SIGNATURE p LICENSE CLASS _ _,Ba_ __ _ CITY BUSHIESS LIC. # 437954 TITLE AME.. DATE l/t7 /t:;J DESIGNER NAME ADDRESS ZIP COOE CITY STATE DAY TELEPHO'-IE STATE LJC. # WORKERS' COMPENSATION Workers• c~nsation 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,::,ensation Insurance by an aallitted 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). 73WC008402-00019 POLICY NO. INSURANCE cCJo1PANY Nationwide Insurance EXPIRATION 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 eirploy any person so as to become subject to the Workers' C~nsation 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: , n any manner 0 I as owner of the property or my ~loyees 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 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 improve for the purpose of sale.). 0 [, 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 b..Jitds 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 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, c0111'1lencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom, and the basis for the alleged ex~tion. Any violation of Section 7031.S by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred do l l ars {$500] ) . SIGNATURE DATE CCJolPLETE TH!S SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to sub-nit 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 b..Jilding occupant required to obtain a permit from the air pollution control district or air quality management district? Ores ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' QYES ONO If ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCQ.l'ANCY MAT NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS IEETING THE REliltJIREIENTS Of THE OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTR:ICT. 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 IS NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE ! 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 INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlOGMENTS, COSTS ANO EKPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SATO 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 Yoid if or work authorized by such permit is not corrmenced within 180 days from the date of such permit or if the building or work authorized by such pC'rmit or abandonC'd at any time after the work is c0111Tienced tor a period of 180 days (Section 303(d) Uniform Building Code). the building is suspended APPLICANT'S s10<ATUR ~ p ~ljl,IIIJeJ~ OcoNTRACTOR OBY PHONE APPROVED BY: _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB910093 DESCRIPTION: PLMB/ELEC FOR CITY OF CARLSBAD INSPECTION REQUEST FOR 03/26/91 KITCH/LAUNDRY INSPECTOR AREA PK PLANCK# CB910093 OCC GRP TYPE: MISC JOB ADDRESS: 2330 HOSP WY APPLICANT: STONE, BRENDA CONTRACTOR: NEW DESIGN OWNER: REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION CONSTR. TYPE STR:** FL:**** PHONE: 213 474-1720 :::::~c:::-431-~ I ACT COMMENTS STE: NEW ~ 3'03 29 PL Final Plumbing .,Q,O ______________ _ 39 EL Final Electrical LL_ .2 ____________ -131? i .a~ q 1 I :..;z:z> 7/ _;_ _____________ _ ------------------ DATE 012391 012391 DESCRIPTION Final Plumbing Final Electrical ***** INSPECTION HISTORY***** ACT INSP NR PK NR PK COMMENTS NO SUCH SUITE NO SUCH SUITE (318) (318)