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Home My WebLink About2334 HOSP WAY; 310; CB910732; PermitB U I L D I N G P E R M I T Permit No: CB~1')7:s2 Project No: A91U0878 Development: No: 05/02/91 16:28 Page 1 of 1 Job Address: 2334 HOSP WY Str: ** Fl: **** Ste: 31c, Permit Type: MISCELLANEOUS Parcel No: 167-250-43-~~ Valuation: 0 Construction Type: NEW Occupancy Group: Class Code: Description: ELEC/PLMG FOR LDRY AND KITCH Appl/Ownr : HOSP WAY 1990 WESTWOOD COURT #300 LOS ANGELES, CA 90025 CONTRACTOR NEW DESIGN REM 5928 PASCAL~ CARLSBAD, Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee# * MISCELLANEOUS TO A CllY OF CARLSBAD 2208 0)/02/9! 0001 0 C Applied: Apr/Issue: Validated By: 213 474-1720 vED 0~/02/91 05/02/91 DC C 437954 619-4~1-2800 .00 .00 30.00 *** Ext fee Ddtct 30.00 PLBG/EI 30.00 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 CK DEPOSIT, ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE _______________ _ A • COMMERCIAL TENMH IMPROVEMENT ' 0 INDUSTRIAL □NEW 0 TENANT IMPROVEMENT C ORESI0ENTIAL 0 APARTMENT □CONDO □SINGLE FAMILY DWELLING OADDITIOl<I/ALTERATJ0N □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING □MECHANICAL □POOL OSPA □RETAINING WALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. F Address 2334 Hosp Way Building or Suite No. 310 Nearest cross streets El Camino Real LEGAL DESCRIPTION lot No. SutxHvision Name/NI.Mllber Unit No. Phase No. CHECK BEL°" If SUBMITTED: Q2 Energy Cales 02 Structural Cales 02 Soils Report Q 1 Addressed Envelope EXISTING USE PROPOSED USE Plumbing and Electrical for laundry and kitchens. BLDG. SO. FTG. # OF STORIES 3. CONTACT PERSON 4. 5. 6. 7. NAME CITY Keith Smith Carlsbad SIGNATURE APPLICANT □CONTRACTOR NAME New Deisgn Remodeling & c1TY Carlsbad PROPERTY OWNER NAME CITY Hosp Way Limited Los Angeles CONTRACTOR NAME CITY New Design Carlsbad Remodeling & ADDREss 5928 Pascal Court, suite 200 STATE CA ZIP CODE 92008 DAY TELEPHtmE (619) 431-2800 0 AGENT FOR CONTRACTOR □mlNER 0 AGENT FOR OWNER Court, Suite 200 DAY TELEPHONE ( 619) Const. ADDREss 5928 Pascal STATE CA ZIP CODE92OO8 OWNER STATE CA ADDRESS ZIP CODE ADDRESS □LESSEE 1990 Westwood Blvd., 90025 DAY TELEPHONE 431 2800 □TENANT Suite 300 ( 21 3) 474-1 720 Const. 5928 Pascal ZIP CCXl'<J2008 Court, Suite 200 STATE CA DAY TELEPHONE ( 619) 431-2800 STATE LIC. # 545075 LICENSE CLASS _ __:.,_ __ _ CITY BUSINESS LIC. # '""41oJcr,?U9~S5-4!----- DATE SIGNATURE DESIGNER NAME CITY STATE WORKERS' COMPENSATION TITLE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation 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' Coq:,ensation Insurance by an actnitted 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 POLl;?,3,l\1~008402-00019 EXPIRATION DATE Certificate of Exe!Jl)tion: I certify that in the performance of the work for whid1 this permit is issued, I shall not so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE rson in any manner 8. OWNER-BUILDER DECLARATION owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License law for the following reason: DI as owner of the property or my employees with wages as their sole c0111pensation, 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 i~rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c~letion, the owner-builder 1o1ill have the burden of proving that he did not build or i~rove 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 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, i~rove, 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, co«mencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrOITI, 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 do l l ars [$500] ) . SIGNATURE 0ATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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? Ons □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 □HO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCQJPAfrlCY MY NOT BE ISSl.£D AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MT OR IS IEETING THE REQUIREMENTS Of THE OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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'S 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 CITT OF CARLSBAD AGAINST ALL LIABILITIES, JUJGMENTS, COSTS AND EXPENSES WHICH MY IN ANY WAY ACCRUE AGAINST SAID 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 bec0111e null and void if the building or work authorized by such permit is not coomenced within 180 days frOITI the date of such permit or if the building or 1o1ork authorized by such permit is susperided or abandoned at any time after the work is corr,nenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE □BY PHONE APPR0V£0 BY: DATE: _________ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910732 FOR 06/25/91 DESCRIPTION: ELEC/PLMG FOR LORY AND KITCH TYPE: MISC JOB ADDRESS: 2334 HOSP WY APPLICANT: HOSP WAY CONTRACTOR: NEW DESIGN REMODELING OWNER: PHONE: PHONE: PHONE: STR:** 213 474- 619-431- INSPECTOR AREA PK PLANCK# CB910732 OCC GRP CONSTR. TYPE NEW STE: 310 REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: #310 INSPECTOR--+-'----------- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 24 PL Rough/Topout .J.JJ:. ______________ _ 24 PL Rough/Topout ii 3~,£i EL -~R~o=u~g-h_E_l_e_c_t_r_i_c________ --============================= ---4--4--A .v--v: ------------------------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 051691 Rough Electric AP PK 051691 Rough/Topout AP PK 051491 Rough/Topout NR PK FRAMING HEADOUT 051491 Rough Electric NR PK