HomeMy WebLinkAbout2334 HOSP WAY; 311; CB910735; Permitt
B U I L D I N G PERM IT Permit No: CB91ll7J~,
05/02/91 1b:30
Page 1 of 1
Job Address: 2334 HOSP WY
Permit Type: MISCELL.
Parcel No: 1b7-250-4~ *~
Valuation: J
Construction Type: NEW
occupancy Group: Class Code:
Description: ELEC/PLMG FOR LDRY AND KITCH
Appl/Ownr: HOSP WAY
CONTRACTOR
1990 WESTWOOD COURT #300
LOS ANGELES, CA 9002?
NEW DESIGN REM0'1EL I.N 1
5928 PASCAL T
CARLSBAD, vA 2008
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
Miscel!aneous Fee #1
* MISCELLANEOUS TO AL
------~-..,..~
Project No: A~100881
Development No:
Str: *"Fl:**** Ste: .:s11
213
OB 05102/91 000 04 O?
:I u
Applied:
Apr/Issue:
Validated By:
474-1720 •
_£D
05/02/91
05/02/91
DC
C 437954 619-431-2800
.00
.00
30.00
***
Ext fee :>ata
30.00 PL'RG/ELE
30.00
INSP.~~-CL~RANCE _____ _
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION ~ w
City of Carlsbad Building Department EST. VAL. ______________ _
2075 Las Palmas Dr., Carlsbad, CA 92009 (6191 438-1161 PLAN CK OEPOSIT ___________ _
VALID. BY ______________ _
1. DATE _______________ _
A •
PERMIT TYPE
COMMERCIAL TENANT IMPROVEMENT
0 INDUSTRIAL
C O RESIDENTIAL
□TENANT IMPROVEMENT
□APARTMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION
2.
□DUPLEX QOEMOLITION
□MECHANICAL □POOL
QRELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
□SPA □RETAINING WALL □SOLAR QOTHER
PROJECT INFORMATION PLAN CHECK No.
Address 2334 Hosp Way
Nearest Cross Streets El Camino Real
F
311
LEGAL DESCRIPTION Lot No. sutx:livision Name/Nl.ll'ber Unit No. Phase No.
CHECK BELOW IF SUBMITTED:
pz Energy Cales 02 Structural Cales 0 2 Soi ls Reeort D 1 Addressed Envelope
EXISTING USE
Plumbing and Electrical for laundry and kitchens.
BLDG. SQ. FTG. # OF STORIES
PROPOSED USE
3. CONTACT PERSON
4.
5.
6.
7.
8.
ADDRESS 5928 Pascal Court, Suite 200 NAME
CITY
Keith Smith
Carlsbad STATE CA ZIP COOE 92008 DAY TELEPHONE (619) 431-2800
SIGNATURE
APPLICANT
NAME New Deisgn
0 CONTRACTOR O AGENT FOR CONTRACTOR O0\,INER Remodeling & Const. ADDREss 5928 Pascal
0 AGENT FOR 01.'NER
Court, Suite 200
Cl TY Carlsbad STATE CA ZIP COOE 92008 DAY TELEPHONE ( 619) 431-2800
PROPERTY OWNER 01.'NER □LESSEE
1990 Westwood Blvd.,
9002 5 DAY TELEPHONE
0 TENANT
Suite 300 NAME Hosp Way Limited ADDRESS
ZIP CODE Cl TY LOS Angeles STATE CA (213) 474-1720
CONTRACTOR
NAME
Cl TY
New Design
Carlsbad
Remodeling & Const.
STATE CA
STATE LIC. # 545075
ADDRESS 5928 Pascal Court, Suite 200
ZIP COOE 92008 DAY TELEPHONE (619} 431-2800
LICENSE CLASS __ ..i,_ __ _ CITY BUSINESS LIC. # 437954
SIGNATURE Tl TLE 0ATE
DESIGNER NAME
CITY STATE
AD0RESS
Z!P COOE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
IJorkers' Compensation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the 0irector of Industrial Relations,
or a certificate of Workers• Compensation Insurance by an aiiflitted insurer, or an exact copy or duplicate thereof certified by the 0irector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
73WC008402-00019 INSURANCE COMPANY Nationwide Insurance POLICY NO. EXPIRATION DATE 6/28/91
Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers• Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am e~empt from the Contractor's License Law for the following reason:
0 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 improve«ient 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.).
0 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).
0 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, irrprove, 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, corrmencing with Section 7000 of 0ivision 3 of the Business and Professions Code) or that he is e~f!lll)t therefrom,
and the basis for the alleged exe~tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than ti ve hundred do l l ars [$500] ) •
SIGNATURE DATE
COMPLETE THIS SECTION FOR N0N·RESIDENTIAL BUIL0JNG PERMITS ONLY:
Is the applicant or future building occupant required to sub-nit 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 ONO
Js 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 o,o
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY NAY NOT BE ISSUED AFTER JUlY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS NEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES ANO 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. J agree to co~ly 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 ANO KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JlDGMENTS, COSTS ANO EXPENSES WHICH NAY 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 e~pire by limitation and become null and void if the building
or work authorized by such permit is not cOlllllenced within 180 days from the date of such permit or if the building or .iork authorized by such permit is susper1dcd
or abandoned at any time after the work is coornenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S S!GNATUR~~ □ BY PHONE APPROVED BY:
DATE:
\
\
PERMIT# CB910735
DESCRIPTION: ELEC/PLMG FOR
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 12/23/91
LORY AND KITCH
INSPECTOR AREA PK
PLANCK# CB910735
OCC GRP
TYPE: MISC
JOB ADDRESS: 2334
APPLICANT: HOSP WAY
HOSP WY
CONTRACTOR: NEW DESIGN REMODELING
OWNER:
REMARKS: MH/GENE/434-1494
SPECIAL INSTRUCT: SOMEONE WILL BE HOME 0~
TOTAL TIME:
CD
29
39
LVL DESCRIPTION
PL Final Plumbing
EL Final Electrical
DATE DESCRIPTION
062591 Final Combo
051691 Rough/Topout
051491 Rough/Topout
051491 Rough Electric
***** INSPECT:CON
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NR
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,l\P
CONSTR. TYPE NEW
STR:** FL:****
PHONE: 213 474-1720
STE: 311
PHONE: 619-1i/243 00 PHONE: -
INSPECTOR -+'"d>"~---------MONDAY
HISTORY *****
INSP COMMENTS
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