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Home My WebLink About2334 HOSP WAY; 211; CB911104; Permit07/31/91 15:43 Page 1 of 1 B U I L D I N G Job Address: 2334 HOSP WY Penni t Type: MISCELLA._.,.,.,.,, ,5 Parcel No: 167-250-43 ~7 Valuation: Construction Type: NEW P E R M I T Str: * * c/t. ;;_/ 81 PeL. .): ______ 04 Project No: A910!374 DeveJ i~_: __ _ F 1 : * * ~ ~ _:::::, 3766 07/31/91 0001 01 02 C-PRMT 30-00 Occupancy Group: Class Code: Status: Applied: ISSUED 07/31/91 07/31/91 DC Description: PLMB/ELEC FOR LDRY AND KI~CHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT #200 CARLSBAD, CA 92008 *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T **~ 6:l.9 Apr/Issue: Validated By: 431-2800 lected & Credits .00 .oo 30.00 *** Ext fee Data 30.00 PLBG/ELE-.( 30.00 APPROVAL INSP. ~ DATEtj ✓10 :;4 t CLEARANCE m: M . CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. q{_, ;;of City of carlsbad Building Departaent 2075 Las Palms Dr •• carlsbad, CA 92009 (619) 438-1161 I. PERMII IYPE l ~V~ DEPOSIT _______ _ VAUD. BY ___________ _ DATE A -LI Commercial Li New Buddmg B -□ Industrial □ New Building LI lenant Improvement □ Tenant Improvement C -□ Residencial □ Apartment D Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition LI Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical D Pool □ Spa □ Retaining Wall D Solar □ Other 2. PRCllECf INFORMATION FOR OFFICE USE ONLY Address 2334 Hosp Way, Carlsbad Bu,idmg or Suite No. 211 Nearest Cross Street El Camino Real LEGAL DEsCRIPIION Loe No. Subci1V1s1on Name/Number Omt No. Phase No. CHECK BEWW IF S0BMI 11 ED: D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and Kitchens. SQ. Ff. # OF STORIES 3. WN IACI PERSON (II duierenl from apphcant) NAME Keith Smith Carlsbad ADDRESS ZIP CODE 5928 Pascal Court, Suite 200 CITI STATE CA 92008 DAY TELEPHONE ( 619) 431-2800 4. APYULANt UWNIRACIOR DXGENI FORCONiKACIOR uuwNttt. □AGENI FOROWNElt NAME New Design Remodeling & ADDRESS 5928 Pascal Court, Suite 200 CITI Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800 S. PkOPEkii OWNER NAME Hosp WAy Limited ADDRESS 1990 Westwood Boulevard, Suite 300 CITI Los Angeles STATE CA ZIP CODE 90025 DAY TELEPHONE (213) 474-1720 NAME New Design Remodeling ADDRESS 5928 Pascal Court, Suite 200 CITI Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800 STATE IJC. # 545075 IJCENSE CLASS B CITI BUSINESS IJC. # 4 3 7 9 5 4 CITI STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WOkkERS' WWWWSAIION Workers' Compensation Declarallon: I hereby afiirm that I have a cenihcate of consent to self-msure issued by the Ulrectorof 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 rouditlf008402-000lJ!a,IRATION DATE 6/28/92 Ceruhcace of Exemption: I certUY that m the perlormance of the work for which tills permit 1s issued, I shall not employ any person m any manner so as to become subject to che Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNF.K-B0llDF!R Dfl!LARA'HUN 0Wner-Bu1lder bCdaratton: I hereby afhrm that I am exempt from the Contractor's License Law for the followmg reason: D 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.). 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}. □ I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.S 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.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$S00]). SIGNATIIRE DATE COMPLEIE IHIS SECIIUN FOR NON-RESIDENIIAL BOlilliNG PERMtlS 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 25S0S, 2S533 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIBANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY Nill BEJSSIJED AFTER.JULY 1, 1989 UNLESS TIIBAPPLICANT HAS MET OR IS MEETING 11IB REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 11IB AIR POLLUTION CDNTilOL DISl1UCT. 9. WNS I KOCI ION LENDING XGF.NCY I hereby afhrm that there 1s a construcnon lending agency for the performance of the work for whtch this permit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPIJCAN I Clnti1PICA:i ION I certify that I have read the apphcauon and state that the above mformat1on 1s correct. I agree to comply with ail Ctty 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 AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS 11IB CI1Y OF CARISBAD AGAINST AIL IlAIIIIJTIES, JUDGMENTS, CDSTS AND EXPENSES WlilCII MAY IN ANY WAY AOCRUE AGAINST SAID CI1Y IN CDNSEQIIENCI! OF TIIE GRANTING OF TIIIS PERMIT. OSHA: An OSHA permit is required for excavations over S'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 pennit 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). APPIJCANTS SIGNATURE DATE: _____ _ WHITE: File YEIJ.OW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911104 FOR 09/10/91 DESCRIPTION: PLMB/ELEC FOR LORY AND KITCHEN TYPE: MISC JOB ADDRESS: 2334 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB911104 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 211 619 431-2800 OWNER: PHONE: /) REMARKS: RS/RICHARD/434-1494 SPECIAL INSTRUCT: TOTAL TIME: CD 29 39 LVL DESCRIPTION PL EL Final Plumbing Final Electrical INSPECTOR --+,l-"--L--________ _ COMMENTS ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS