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Home My WebLink About2332 HOSP WAY; 307; CB911042; PermitB U I L D I N G P E R M l T Permit No: CB911042 Project No: A9101279 Developmer N : 07/1.7/91 13:01 Page 1 of 1 Job Address: 2332 HOSP WY Str: Permit Type: MISCELU ,...< J: Parcel No: 167-250-4 39 Valuation: Construction Type: NEW Occupancy Group: Class Code: Description: PLG/ELEC FOR LDRY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 619 S928 PASCAL CT #200 CARLSBAD, CA 92008 Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee #1 1 * MISCELLANEOUS T~ L Fl: St~ f!:,07 3515 07/17/91 0001 01 02 C-PRMT 30-00 ~a_/ I 3 _,:iSUED Applied: 07/17/91 Apr/Issue: 07/17/91 Validated By: DC 431-2800 ected & Credits .00 .00 J0.00 *** Ext fee Data 30.00 PLG/ELEC 30.00 A APPROVAL INSP. DATE -t -'6----CLEARANCE_4:17:: __ (Z..s __ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 ·--·----·--,·------- PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Departaent 2075 Las Pal•s Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL. ___________ _ PLAN CK DEPOSIT ________ _ VAIID.BY __________ _ I. P£kMII JIPE DATE A -U Commercial LI New Bmldmg B -□ Industrial □ New Building U lenanr Improvement D Tenant Improvement C -□ Residential D Apartment □ Condo □ Single Family Dwelling □ Addition/ AJteration □ Duplex U Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address 2332 Hosp Way, Carlsbad BuUdmg or Suite No.307 Nearest cross Street El Camino Real LEGAL DESCRIV'I ION Lot No. Sutxl1vts10n Name/Number 0nn No. Phase No. CHECK BEWW IF S0BMI 11 £0: □ 2 Energy c.atcs □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING 1JSE PROPOSED USE DESCRIPTION OF WORK ~lYmlliH~ aH8 fil@@~Fi@al f8F laYHSFY aH8 ffi~@H@H§: SQ. IT. # OF STORlES 3. WN IACI PERSON (II dnferenl from applicant) NAME ff@HH §HIHH ADDREss §Ill!§ ~a§@al !l8YF~, 13\IH@ l!t'lt'l CITY !lafl§Ba8 STATE CA ZIPCODE 92008 DAYTELEPHONE (619) 431-2800 4. APPUCANI □WNiRACIDR UAGENI FORWNIRACIOH uuwNtH UAGENI FOR OWNER NAME New Design Remodeling & ADDRESS 5928 Pascal Court, Suite 200 CT1Yc1>,at, 5. Pk0Pmt1'Ybw\m STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800 NAME Hosp WAy Limited ADDRESS 1990 Westwood Boulevard, Suite 300 CllY Los Angeles STATE CA ZIPCODE 90025 DAYTELEPHONE (213) 474-1720 NAME New Design Remodeling ADDRESS ZIP CODE 5928 Pascal Court, Suite 200 CllY Carlsbad STATE CA 92008 DAY TELEPHONE ( 619) 431-2800 SI'ATE LIC. # 545Q75 LICENSE CLASS CllY BUSINESS LIC. # 437954 CllY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. womams• WMPP.NSAIION Workers' Compensation beclarar,on: I hereby afhrm that I have a cerulicate of consent to seli-msure issued by the Director of industnal 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, I.ab. C). INSURANCE COMPANY i nwide Insurance ro11iYJ:i6°08402-0001k1RATION DATE 6/28/92 ru 1cate o xempt1on: cert1 t at m t e per ormance o t e wor or w 1c t 1s penmt 1s 1ssu , s a not emp oy any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNill-BOliDkk DPlDJtXliuN Owner-Bu1Jder beciaratton: I hereby afhrm that I am exempt from the Comracto?s License Law for the foilowmg reason: D 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 Llcense 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 Llcense 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 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 Llcense 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]). SIGNATURE DATE COMPLEIE IRIS SECIION FOR NON-RESIDENIIAt BUIIDING PERMIIS ONLY: ls 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 ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF TIIE ANSWERS ARE YES, A FINALCER11FICATE OF CXx:IJPANCY MAY Ncrr BE ISSUED AFrnR JULY I, 1989 IJNIBSS THE APPLICANT HAS MET OR JS MEETING THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLU110N WN111OL DISTRICT. 9. WNSIROCIION LENDMG AGENCY I hereby afhnn that there 1s a construcuon lending agency for the performance of the work for which this permit 1s issued (Sec :3097(1) CIVll Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICAN I CEkliFICAliuN I certify that I have read the appJlcat1on and state that lbe above mformallon 1s correct. I agree to comply with ail 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CrtY OF CARISBAD AGAINSI' AIL LIABIIITIF.S, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY A£DUIR AGAINSI' SAID CTIY IN WNSEQIIENCE OF TIIE GRANTING OF 11IlS 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 periOO of 180 days (Section 303(d) Uniform Building Code). APPLl 0 7:ttrit~.LJ DATE: ___ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB911042 DESCRIPTION: PLG/ELEC FOR LORY CITY OF CARLSBAD INSPECTION REQUEST FOR 07/18/91 AND KITCHEN TYPE: MISC JOB ADDRESS: 2332 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: REMARKS: MH/KEITH/~00 SPECIAL INSTRUCT:~******** TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE CB911046 MISC PHONE: PHONE: PHONE: STATUS ISSUED INSPECTOR AREA PK PLANCK# CB911042 OCC GRP CONSTR. Fp~ STR: FL: STESD7 619 431-2800 CD LVL DESCRIPTION ACT COMMENTS 24 PL 34 EL Rough/Topout Rough Electric ~,r--n ---- -------------------- -------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS