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Home My WebLink About2334 HOSP WAY; 209; CB911045; PermitB U I L D I N G PERMIT Permit No: CB911045 07/17/91 13:12 Page 1 of 1 Job Address: 2334 HOSP WY Pet:mi t Type: MISCELLJl _JL,.., Parcel No: 167-250-4: Ot> Valuation: G Construction Type: NEW ProJer~ hl~. P9101282 Developm ~· · Str: Fl: S c d--0 3515 07/17/91 1 02 C-PRHT 30-00 Occupancy Group: Class Code: ---.... L&._. _.:..--~D Applied: 07/17/91 Apr/Issue: 07/17/91 Validated By: DC Description: PLBG/ELEC FOR LDRY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT CARLSBAD, CA 92008 *** Fees Required Fees: Adjustments: '!'otal Fees: * * 1i 619 431-2800 .00 .oo 30.00 *** Fee description t Ext fee Data Miscellaneous Fee# * MISCELLANEOUS T Ak ~----------------- Fl AL APPROVAL &/ {./ DATE. °I ... f ~" 71 l\JSP. CLEARANCE ~~---------- CllY OF CARLSBAD 3C.OO PLBG/ELE 30.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. q /-1or;5 City of carlsbad Building Depart1Ret1t 2075 Las Palaas De., Caelsbad, CA 92009 (619) 438·1161 PIAN CK DEPOSIT ________ _ I EST. VAL VAIJD. BY __________ _ I. PEl&I I IYPE DATE A -Li COmmerc1al D New Bmldmg D tenant Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool D Spa □ Retaining Wall D Solar □ Other 2. PRQJF.C'f INFORMATION FOR OFFICE USE ONLY Address 2334 Hosp Way, CArlsbad Bmldmg or Suite No. 209 Nearest Cross Street El Camino Real LEGAL DESCRIPIION Lot No. Subcl1vis1on Name/Number Omt No. Phase No. CHECK BEWW IF SOBMI I I ill: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PABCEl DESCRIPTION OF WORK EXISTING USE PROeoSED USE Plumbing and Electrical for laundry and Kitchens. SQ. Ff. # OF SIDRIES 3. WN IACI PFllSON (II dnterenl from apphcan() NAME ADDRESS Keith Smith 5928 Pascal Court, Suite 200 CITY Carlsbad STATE CA ZIPCODE 92008 DAYTELEPHONE (619) 431-2800 4. APPIJCANI UWNiRACIOR □AGENI FORWNIRACIOR DOWNER UAGENI FOR OWNER NAME New Design Remodeling & ADDRESS 5928 Pascal Court, Suite 200 STATE ZIP CODE DAY TELEPHONE 5. PkOPEkl d NAME Hosp WAy Limited CA ADDRESS ZIP CODE 92PPB {619) 431-2800 1990 Westwood Boulevard, Suite 300 CITY Los Angeles STATE CA 90025 DAYTELEPHONE (213) 474-1720 NAME CITY New Design Remodeling Carlsbad STATE CA ADDRESS ZIP CODE 5928 Pascal Court, Suite 200 92008 DAYTELEPHONE (619) 431-2800 STATE LIC. # 5 4 5 0 7 5 LICENSE CLASS CITY BUSINESS LIC. # 4 3 7 9 5 4 CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WuitkRRS' WMPENSAIION Workers' Compensation Declarar1on: I hereby allirm that I have a certificate of consent to self-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). Nationwide Insurance POLict~008402 -0001iJa,IRATION DATE 6 28 92 SIGNATURE DATE 8. UWNEll-B0llDkll tmCOOtA'llUN dwner-Bmlder Declaration: I hereby affirm that I am exempt from the Contracto?s License Law for the foliowmg 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 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 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.). □ 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). □ 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 SEC I JUN FUR NON-RESIDENIIAt BOIIDING PERMIIS 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? □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 THI!ANSWERS ARE YES, A FINAL CERTIFICATE OFOCx:IJPANCY MAY NOT REISSUED AFl1!RJULY 1, 1989UNLESS THI!APPIJCANT HAS MIIT OR IS MEETING nm RF.QUIREMRNTS OF nm OFFICE OF EMERGENCY SERVICES AND THI! AIR POI1.IJ110N CDN111.0L DIS11UCf. 9. WNSIROCIION LENDMG AGENCY I hereby afurm that there 1s a construcuon lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1} CivU Cocle). LENDER'S NAME LENDER'S ADDRESS IO. APPLICANI cmtliFR'.!AfiuN I certify that I have read ilie apphcatmn and state that the above mformauon 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. 1 AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS THI! CTlY OF CAR1SBAD AGAINST ALL UABllJTIES, JUDGMENTS, CXlSTS AND EXPENSES WHICH MAY IN ANY WAY AlilUIE AGAINST SAID CTlY IN CDNSEQIIENCI! OF nm GRANTING OF TIDS 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 period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIG,~~-·· DATE: File YEU..OW: Applicant PINK: Finance 09/11/91 DATE 07/18/91 07/18/91 INSPECTION HISTORY LISTING FOR PERMIT# CB911045 INSPECTION TYPE Rough/Topout Rough Electric INSP ACT COMMENTS PK PK AP co HIT <RETURN> TO CONTINUE ...