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Home My WebLink About2334 HOSP WAY; 110; CB910890; Permitr, u I L r I N r, i,10/ l 16 36 c 1 C f 1 A j, ,.. P n,ttc Q ~r \ t N • '-1 v [.. P v e 1 of r t• Pt "' Fl: **** Stt.:' • 2823 06/10/91 0001 ~1 r-P~T 1 N : zj 4 HLS WY I ~ LI A"t OJ 16l-2r::,o 4, \D 0 cf!_ J__O} 1 fJ - J I truGt,on T1,1p·-= N vl ,.,cy Cr>•~= Ja.:; r 1pt on= FL tJt1E .,NG ELE'CTRICF<L ~ OR = flNv KI CHtNS uNI~ tt20.8 ~f p I/Ow .. r-: NEW 01:S LGN RE:.MOOEL NG 928 PA5uAL Cf t,200 AR BflD CA 920' hit-if~ : HuSP W8 L I ~ol'l!RAC OR : NEW DESIGN f'ASC Co I~= L :)RY Statu - Api:lird: Apr/1 1... : v 1 ,-1 t 619 431 1.8 r o 9 4., ,9 lB rAFLSBl-lD r c ,t-. .,. .. 11 II* R - ~e -: ( 1 J .tn nt· = r t 1 f pe : F P 1 C f ,. MIS ---. PPROVAL ~-----DATE g~ lt ,q l JJ(( &MC<S? - CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 ( .2.c. oo f 'I( l tP 'O C ,c 0( 0 PERMIT APPLICATION City of Carlsbad Building Department 4\ V 2075 Las Pal mas Dr., Carlsbad, CA 92009 (6191 438-1161 EST. VAL ______________ _ PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE ______________ _ A C(IIIMERCIAL TENANT IMPROVEMENT B O INDUSTRIAL □TENANT IMPROVEMENT C -□RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING □MECHANICAL □POOL □SPA □RETAINING WALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. Address 2334 HOSP WAY Buil ,ng or Suite No. 110 Nearest Cross Streets LEGAL DESCRIPTIO. EL CAMINO BEA~, Lot No, Sutxlivis1on Name/Nunber Un, t No. Phase No. 02 Structural Cales 1 Addressed Envelo PROPOSED USE Plumbing and Electrical for laundry and kitchens. BLDG. SQ, FTG. # OF STOll:IES 3. CONTACT PERSON NAME CITY Keith Smith Carlsbad SIGNATURE STATE CA AooRess 5928 Pascal ZIP COOE 92008 Court, Suite 200 DAYTELEPH0NE (619) 431-2800 4. APPLICANT "1fcoNTRACTOR Remodeling & 0 AGENT FOR CONTRACTOR □OWNER Const. ADDREss 5928 Pascal 0 AGENT FOR OW'-IER Court, Suite 200 5. 6. 7. NAME New Deisgn CITY Carlsbad STATE CA z1P ccm92OO8 DAY TELEPHONE ( 619) 431-2800 PROPERTY OWNER OWNER □LESSEE □TENANT NAME CITY Hosp Way Limited Los Angeles ADDRESS 1990 Westwood Blvd., Suite 300 STATE CA ZIP CODE 90025 DAY TELEPHONE (213) 474-1720 CONTRACTOR NAME CITY New Design Carlsbad Remodeling & Const. STATE CA STATE LIC. # 545075 ADDRESS 5928 Pascal Court, Suite 200 ZIP COOE92OO8 DAY TELEPHO.E ( 619) 431-2800 LICENSE CLASS CITY BUSINESS LIC. # 437954 SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # WORKERS' COMPENSATION Workers• C~nsat1on Declaration: hereby affirm that I have a cert1ficate of consent to self·insure issued by the 01rector of Industrial Relations, or a certificate of Workers' C~nsat ion Insurance by an actni t ted insurer, or an exact copy or dupl i cate thereof cert if i eel by the o i rector of the insurer thereof filed with the Building lrispection Department (Section 3800, Lab. C). INSURANCE COMPANY Nationwide Insurance 73WCOO84O2-OOO19 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 si..tiject to the 1,/orkers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner·Bu1lder 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 e1Tployees 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 iq:iroves thereon,. and who does such work himself or through his own employees, provided that such iq:irovements are not intended or offered for sale. If, however, the building or irrprovement is sold within one year of CO!Jl)letion, the owner·builder will have the burden of proving that he did not build or irrprove 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 irrproves 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, irrprove, demolish., or repair any structure, prior to its issuance, al so requires the appl i cant for such permit to f i le a signed statement that he is licensed pursuant to the provisions of the Contractor's license law (Chapter 9, coomenc i ng with Section 7000 of Oi vision 3 of the Business and Professions Code) or that he is ex~t therefrom, and the basis for the alleged eK~tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civit penalty of not more than five hundred dollars [S500]). SIGNATURE DATE COMPLETE THIS SECTlot.l FOR NON-RESIDENTIAL BUILDING PERMITS Of,ILY: 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 Acco!Xlt Act? QYES 0NO 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 IF ANY OF TIE AISlol:RS ARE TES, A FINAL CERTIFICATE OF OCCI.J>ANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 lllLESS THE APPLICANT HAS !ET OR IS IEETING Tiff REQUIREIENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION <XlNTROL DISTRICT. 9. CONSTRUCTION LENOING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097( i ) Ci vi l Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information 1s correct. J agree to comply with 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 A~EE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JOOGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN <XlNSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issuecl 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 cOlllllenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any -t~·me after _ work is COlllllenced for a period of 180 days (Section 303(d) Uniform Building Code). N~U~ ( ~ □ OWNER -;gfcoNTRACTOR □BY PHONE APPROVED BY:~------- '/-;-,,,,,. ~ -DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910890 FOR 09/10/91 DESCRIPTION: PLUMBING & ELECTRICAL FOR LDRY AND KITCHENS TYPE: MISC JOB ADDRESS: 2334 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: NEW DESIGN REMODELING & CONS OWNER: HOSP WAY LIMITED PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB91082Q::' OCC GRP / ~ CONSTR. TYP NEW STR:** FL:****/sTd: 110 619 4 -2800 619-3 -2800 REMARKS: RS/RICHARD/434-1494 INSPECTOR-+----------- SPECIAL INSTRUCT: TOTAL TIME: CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical ---------------------------------------------'---------- iCOMMENTS ***** INSPECTION HISTORY***** DATE 073191 073191 DESCRIPTION Rough/Topout Rough Electric ACT INSP AP PK AP PK COMMENTS