HomeMy WebLinkAbout2334 HOSP WAY; 111; CB920452; Permit. ,
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Departaent
I
EST. VAL 2075 Las Pal"""' Dr., Corlsbad, CA 92009 (619) 438-1161
PIJ\N CK DEPOSIT. _______ _
VAIJD. BY __________ _
I. PERMII UPE DAT!!
A -U COmmerc1al □ New Bmldmg □ tenant Improvement
B -D Industrial □ New Building □ Tenant Improvement
C -□ Residential □ Apartment D Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical D Pool □ Spa D Retaining Wall □ Solar □ Other
2. PRCllECr INFORMATION FOR OFFICE USE ONLY
Address 2340 Hosp BuUdmg or Suite fj_o, Way, Carlsbad J.l
Nearest Cross Street
1EGAL DEsCRIPI ION
El Camino Real
Lot No. SufxitV1s1on Name/Number 0mt No. Phase No.
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROP9SED USE
DESCRIPTION OF WORK . 7 Trapes, electrical remodel and mech.
SQ. FT. # OF STORIES
3. WNIXCI PERSON (tr dtfferent from apphcanO
NAME Ricahrd Whitney ADDRESS
ZIP CODE
5928 Pascal court, suite 200
CllY Carlsbad STATE CA 92008 DAY TELEPHONE ( 619) 431-2800
4. APPIJ.l.ANI DWNIRACIOR UAlitNl l'UH.CUNIHALIUK UUWNttl DAGENI FOR OWNER
NAME New Design Remodeling & con;NJJ?RESS 5928 Pascal Court, Suite 200
CllY Carlsbad STATE CA ZIPCODE 92008 DAYTELEPHONE(619)431-2800
NAME
CllY
Hosp Way Limited
Carlsbad STATE CA
ADDRESS
ZIP CODE
1990 Westwood, Blvd,, suite 300
92008 DAY TELEPHONE ( 619) 431-2800
NAME ADDRESS New Design Remodeling & Cosnt. 5928 Pascal Court, Suite 200
CllY Carlsbad STATE CA ZIPCODE 92008 DAYTELEPHONE(619)431-2800
STATE LIC. # 545075 LICENSE CLASS B CllY BUSINESS LIC. # 43 7954
CllY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOltkERS WMPF.NSA'i1UN
Workers' Compensation Oeciaratmn: I hereby affirm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnai
Relations, or a certificate of Workers' Compensation Insurance by an admiued 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).
Truckers Insurance Exchange N2007 85 50 6-28-92
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Cerullcate of Exemption: I certify that m the performance of the work for which this penmt 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNtk-HOUDEk DECLAkAIION
bwner-Bmlder Declarat1on: I hereby afhrm that I am exempt from the Contractor's Llcense Law for the following 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.).
□ 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 pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's license 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DAT!!
COMPllIE IRIS SECIION FOR NON-RESJOENIIAL B0IWiNG PERMII'S ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely ha1.ardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha1.ardous Substance Account Act?
□YES □NO
Is the applicant or future building occupant required to obtain a pennit 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 111EANSWERS ARE YES, A FINALCERTIFICATI! OFOCDJPANCY MAY NOT BE ISSUEDAFTl!RJULY 1, 1989 UNLESS 1llE APPUCANT
HAS MET OR IS MEIITING 1llE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 1llE AIR POLLUTION WNTROL DIS'l1UCT.
9. WNSIRUCIION 11'.NDING AGENCY
I hereby afhnn that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vll Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPilCAN I C£k IIFICAIRTh
I certify that I have read the application and state that the aOOve mformatlon 1s correct. I agree to comply wuh 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. 1 AL'D AGREE TO SAVE INDEMNIFY AND KEEP HARM1J!SS 1llE CTIY OF CAR1SIIAD AGAINST ALL IJAB1LIT11!S, JUDGMENTS, CDSTS
AND EXPENSES WlDCH MAY IN ANY WAY ACDUJI! AGAINST SAID CTIY IN WNSEQUENCE OF 1llE 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 pennit is not commenced within 365 days from the date of such pennit 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).
DATE: 5-t '77,---'
: File YELLOW: Applicant PINK: Finance
' '
PERMIT# CB920452
DESCRIPTION: 7 TRAPS/ELEC/MECH
DISCRETION
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 11/09/92
PER INSPECT
JOB ADDRESS: 2334 HOSP WY
APPLICANT: NEW DESIGN REMODELING
CONTRACTOR:
PHONE:
PHONE:
OWNER: PHONE:
REMARKS: MH/GENE/434-1494
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD
LVL--D-E_S_C_R_I_P~TrikOLN"-'<----------?COMMENTS EL Final rical
'"
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***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
091692 Rough/Topout AP PK
091692 Rough Electric AP PK
091492 Rough/Topout co PK
091492 Rough Electric co PK
061792 Ftg/Foundation/Piers AP PK
061792 Underground/Conduit-Wiring AP PK
061592 Underground/Conduit-Wiring AP PK
061592 Underground/Under Floor AP PK
INSPECTOR AREA PK
PLANCK# CB920452
OCC GRP
CONSTR. TYPE VN
STE: 111
061192 Underground/Under Floor NR PK NDS TO BE TESTED
052292 Underground/Under Floor co PK
052292 Underground/Conduit-Wiring co PK
052192 Rough/Topout CA PK
052192 Rough Electric CA PK