HomeMy WebLinkAbout2330 HOSP WAY; 301; CB920638; PermitB J I P E: H M I I-'erm t Ne
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:LEARANCE------1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PIAN CHECK NO.
City of Carlsbad Building Department
2075 Las Pal•s Dr., Carlsbad, CA 92009 (619) 438-1161
PLAN CK DEPOSIT _______ _
I
ESf. VAL
VAIJD. BY, __________ _
I. PFllMI I hPE DATE
A -D COmmerc1al U New Butldmg O I enant Improvement
B -□ Industrial O New Building D Tenant Improvement
C -□ Residential D Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex O Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PRWECf INFORMATION FOR OFFICE USE ONLY
ress UJ mg or u1te o.
2330 Hosp Way
Nearest Cross Street #301
Fl ,,~mi PO P~~ LEGAL DEst!RIF'I ION Lot No. Naffiumber Omt No. Phase No.
CHECK BEWW IF S0BMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE DESCRIPTION OF WORK
Plumbing and Electrical for Laundry and Kitchen
SQ. FT. # OF STORIES
3. WN IACI PFJtSON (II dlHerenl from app!lcanf)
NAME ADDRESS Richard Whitney 5928 Pascal Court, Suite 200
CllY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800
4. APPUCANI UCUNiRACIOR □AGENI FORWNIMCIOR □OWNER UAGENI FOR OWNER
NAME ADDRESS New Design Remodeling & Const. Co. 5928 Pascal court, Suite 200
CITY ~arl~bad STATE CA ZIP CODE 5. PkOPFJlFU
NAME
92008 DAY TELEPHONE [6)9)43)-2800
ADDRESS
Hosp Way Limited
CITY STATE roJ:Ri: Angel es CA ZIP CODE 1990 Westwood Blvd., 9002 5 DAY TELEPHONE
suite 300
(310)474 1720 6. crnn 1
NAME ADDRESS
& Const. New Design Remodeling
CITY CArlsbad STATE CA ZIP CODE
5928 Pascal court,
92008 DAY TELEPHONE Suite 200
(619)431-2800
STATE !JC. # 54507 5 LICENSE CIASS B CITY BUSINESS !JC. # 4 3 7 9 5 4
CilY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOitRERS' WMPENSAIION
Workers' Compensation Declaration: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Ulrectorof lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted 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).
Truckers N2007 85 50 8-27-92 INSURANCE COMPANY Insurance POLICY NO. EXPIRATION DATE
Certificate of Exemption: I cerufy that m the performance of the work for which this penmf 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATIJRE DATE
8. OWNkk-B0tmml DRci.ARAJ1UN
OWner-Builder Declarauon: I hereby affirm that I am exempt from the Contracto?s license Law for the followmg reason:
□ I, as owner of the property or my employees 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.).
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 thereon1 and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License law).
□ 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, commencing 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]).
SIGNATIJRE DATE
COMPLETE 1'81S SEC I ION FOR NON-RESIDEN I IAL BOILblNG PERMI IS 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 □NO
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 □NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCx:IJPANCY MAY Nar BE ISSUED AFTER JULY I, 1989 IJNIBSS THE APPLICANT
HAS MET OR IS MEETING THE REQIJIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POlLITI10N WNTII.OL DISJ1IICT.
9. WNSIKOCIION LENDING AGENCY
I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued. (Sec 309?(1) CivU Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPllCAN I CFltllFICAIIDN
I certify that I have read the apphcation and state that the above mformatmn ts correct. I agree to comply wttii all City ordmances 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 ID SAVE INDEMNIFY AND KEEP IIARMIJ'.SS nm CfIY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCII MAY IN ANY WAY ACCRUE AGAINST SAID CfIY IN WNSEQIJENCI! OF nm GRANTING OF TIIIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
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 commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
AFPIJCANT'S SIGNATURE DATE: _____ _
WHITE: File YEil.OW: Applicant PINK: Finance
.,
• CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB920638 FOR 07/20/92
DESCRIPTION: PLUMBING & ELECTRICAL FOR LDRY
AND KITCHENS
TYPE: MISC
JOB ADDRESS: 2330 HOSP WY
APPLICANT: NEW DESIGN REMODELING
CONTRACTOR:
OWNER:
REMARKS: MH/GENE/434-1494
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PK
PLANCK# CB920638
OCC GRP
CONSTR. TYPE NEW
STR:** FL:**** STE: 301
800
CD
29
39
LVL DESCRIPTION ACT COMMENTS
PL Final Plumbing
EL Final Electrical ff---
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***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
071092 Rough/Topout AP PK
071092 Rough Electric AP PK
070892 Rough/Topout NR PK
070892 Rough Electric NR PK