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HomeMy WebLinkAbout2332 HOSP WAY; 107; CB911046; PermitB U I L D I N G P E R M I T Permit No: CB911046 Project No: A9101283 Development 07/17/91 13:15 Page 1 of 1 Job Address: 2332 HOSP WY Permit Type: MISCELL Parcel No: 167-250-4 -0~ Valuation: Construction Type: NEW Occupancy Group: Class Code: Description: PLBG/ELEC FOR LDRY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT #200 CARLSBAD, CA 92008 *** Fees Required ** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T --------.---~- > Str: 619 CITY OF CARLSBAD Fl: Ste: to ·i 3515 07/17/91 0001 01 02 C-PRMT ~ d,./ I 7:) Applied: Apr/Issue: Val1dated By: 431-2800 07/17/91 07/17/'H DC *** ~--------------------- .oo .00 30.00 Ext fee Dat;:i 30.00 PLBG;ELJ 30.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PIAN CHECK NO. City of carlsbad Building Departaent 2075 Las PallllllS Dr., Cerlsbad, CA 92009 (619) 438-1161 EST.VALc.._ ________ _ PLAN CK DEPOSIT _______ _ VALID.BY __________ _ I. P£ltMI I IYPE A -D COmmerc1al O New Butldmg Li lenant Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential □ Apartment D Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex Li Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing U Mechanical □ Pool □ Spa □ Retaining Wall □ Solar U Other DATE 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY Address 2332 Hosp Way, Carlsbad El Camino REal BuJJdmg or Suite No. 107 Nearest Cross Street LEGAL DESCRtlfl ION Lot No. Su&:i1V1s1on Name/Number Omt No. Phase No. CHECK BEWW IF SOBMI I I Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report O 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and Kitchens. SQ. Ff. # OF STORIES 3. WN JACI PERSON (II dnferent from appJJcant) NAME ADDRESS Keith Smith 5928 Pascal Court, Suite 200 CITY Carlsbad STATE CA ZIPCODE 92008 DAYTELEPHONE (619) 431-2800 4. APPUCANI ULUNIHACJUtl UAGENI FORWNIRACIOR UUWNl:J< □AGENI FOR OWNER NAME New Design Remodeling & ADDRESS 5928 Pascal Court, suite 200 CllY Carlsbad STATE CA ZIP CODE 92006 DAY TELEPHONE (6191 431 zaoo 5. PkOPEkl'V OWNRK NAME Hosp WAy Limited ADDRESS ZIP CODE 1990 Westwood Boulevard, Suite 300 Los Angeles STATE CA 90025 DAYTELEPHONE (213) 474-1720 NAME CllY New Design Remodeling Carlsbad STATE CA ADDRESS ZIP CODE 5928 Pascal Court, Suite 200 92008 DAY TELEPHONE ( 619) 431-2800 STATE LIC. # 545075 LICENSE CI.ASS CllY BUSINESS LIC. # 437954 CllY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORkRRS1 WMPENSXIION Workers' Compensation Oeclarallon: I hereby afi1rm that I have a cert1Ilcate of consent to seir-msure issued by the Director of 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). INSURANCE COMPANY Nationwide Insurance POLIZ;j~6°08402-000l%cJ>1RATION DATE 6 28 92 SIGNATURE DATE 8. UWNEk-BOllDRk Dli!OOlAlluM Owner-Builder Oeciarauon: I hereby afhrm that I am exempt from the COntracto?s Llcense Law for the foilowmg 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 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 Llcense 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]). SIGNATURE DATE COMPLE'IE l'AIS SECIION FOR NON-RESIDENIIAt B0IIDING PERMIIS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely ha1.ardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha1.ardous 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 CNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFl1!RJULY I, 19891lNIBSS nmAPPIJCANT HAS MET OR IS MEETING nm REQIJIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR 1'011.UTION CONTROL DISTIiier. 9. WNSJROCIION U!NDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vti Code). LENDER'S NAME LENDER'S ADDRESS 10. APPilCAN I CRRIIPft'.!XI iuN I cemfy that I have read the apphcat1on and state that the above mformat1on 1s 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 AL',() AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS nm CITY OF CARJ5BAI) AGAINST AIL llABllITlES, JUDGMENTS, CXlSTS AND EXPENSES WIIlCH MAY IN ANY WAY A£DUJE AGAINST SAID CITY IN CONSEQUENCE OF nm GRANTING OF 11IlS PERMIT. OSHA; An OSHA pennit 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) Unifonn Building Code). DATE: _____ _ ' WHITE: File YEIJ.OW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911046 FOR 09/10/91 DESCRIPTION: PLBG/ELEC FOR LORY AND KITCHEN TYPE: MISC JOB ADDRESS: 2332 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB911046 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 431-280 REMARKS: RS/RICHARD/434-1494 SPECIAL INSTRUCT: INSPECTOR---,~~===------- TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE CB911042 MISC STATUS ISSUED :., ACT COMMENTS 29 PL Final Plumbing n O ~ ~ ..d, $t EL -~~i~..,a-~..,.a.Ep,l:::::e"'c'--t-r_ic_a_1 _____ J_-><r_ ff jjj3!:; ~ CD LVL DESCRIPTION :;::::--------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS