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HomeMy WebLinkAbout2330 HOSP WAY; 301; CB920638; PermitB J I P E: H M I I-'erm t Ne //l ,./q ,:2b T dCJe 1 < t ::.. J< t> AddrE.>..,.: 2...,Jo H0-P WY ~~rrri+-Iype: MISCEL f-J a r ~ • E> l No 1 t-i / -2 "> 0 -4 .3~ Vc.1 .... .lut10n: c mc;truc+-1<..n rypp: NE:w 0cc11pan,·y Group: Rl·f".rencE #: :::>e:::;cr1ption: PLUMB:NG & ELECrR.TCAL H,R r~iR\ : AN:..> KI£ CHEN~, NEW DESIGN REMOD~L!NG 128 f-AC...,_,'AL C'T #,.0,1 CAR~SBA!::.>, c'A '-l2C(d Fee.., t<equ::. red F c~ : A< 1.._.s+-m(•nts: :'ota ... ~ees: FE.e·description 301 Pr > r•r +-Nt :-,i ( 8327 07/02/92 0001 01 C-PRMT C/2. 3~,3 .:>t:c t.U~ AE,>p i le, A.lr / r, ::-u,·: 02 I' I Va"~ ]~teri Py: J< lH bl.~ 4l1-2!:IC' ( . l 0 Ext f «:.. :J • • 30-00 Mi~rel:,neou~ fee " M ... ,CFLLANE0US TU 30 (ll.) P /\m.,1 t J ,) • t lNSP._....__.__ :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--- ------------------ ------------------ ***** 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