HomeMy WebLinkAbout2336 HOSP WAY; 115; CB901840; Permitt
11/20/90 15:49
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B U I L D I N G
Job Address: 2336 HOSP WY
Permit Type : MISCELLANCOUS
Parcel No: 167-250-43-·~
Valuation: O
Construction Type: NEW
PERMIT Permit No : CB901840
Project No: A9002099
Development No:
Str: ** Fl: **** Ste: 115
9483 11/20/90 0001 ~1 ~2 r-r .. -r"
e/2_ /5fy
Occupancy Group: Class Code: Stat ;:, : • sU::D
Applied: 11/20/90
Apr/Issue: 11/20/90
Validated By : KZH
619-431-2800
Description: PLUMBING & ELEC FOR LDRY AND
: KITCHENS
Appl/Ownr : NEW DESIGN
5928 PASCAL CT STE 200
CARLSBAD , CA 92008
CONTRACTOR NEW DESIGN
5928 PASCAL CT
CARLSBAD , A 92008
OWNER HOSP WY I MlTED
*** Fees Required
Fees:
Adjustments:
Total Fees :
Fee description
Miscellaneous Fee 1
* MISCELLANEOUS TO A
. C 437954 619-431-2800
Credits ***
.00
.00
30.00
Ext fee Data
30. 00 PL/EL/I
30.00
FINAL APPROVAL
INSP. , ~ DATE t r?I 11
. I CLEARANCE-H_.a_. ___ , ..,_ ________________ _
CllY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION 4\ V
City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
A 0 COMMERCIAL
B 0 INDUSTRIAL □NEW
C 0 RESIDENTIAL 0 APARTMENT
□DUPLEX □DEMOLITION
□MECHANICAL □POOL
TENA'-'T IMPROVEMENT
□TENANT IMPROVEMENT
□CONDO □SINGLE FAMILY DWELLING
□RELOCATION
□SPA □RETAINING IJALL
OAD0ITI0N/AL TERAT ION
□PLUMBING
PLAN 0::: DEPOSIT, ___________ _
VALID. KY _____________ _
DATE _______________ _
2. PROJECT INFORMATION PLAN CHECK No.
Buil Address 2336 Hosp Way, Carlsbad
Nearest Cross Streets El Camino ~eal
LEGAL DESCRIPTION Lot No. Subd1v1sion Name/Nurrber Unit No. Phase No.
CHECK BELOW IF SUBMITTED: 02 Energy Cales 02 Structural Cales
ASSESSOR I S PARCEL
02 Soils Report D 1 Addressed Envelope
EXISTING USE
Plumbing and Electrical for laundry and kitchens.
BLDG. SQ. FTG, # Of STORIES
PROPOSED USE
3. CONTACT PERSON
NAME Keith Smith
c1 rr Car 1 sbad
SIGNATURE
STATE CA
ADDRESS 5928 Pascal
ZIP COOE 92008
Court, Suite 200
DAY TELEPHONE (619) 431-2800
4.
5.
6.
7.
8.
APPLICANT ~CONTRACTOR 0 AGENT FOR CONTRACTOR □OWNER 0 AGENT FOR OWNER
NAME New Design Remo eling & Const. ADDRESS 5928 Pascal Court, Suite 200
ciTY Carlsbad STATE CA ZIP COOE 92008 0AY TELEPHONE (619) 431-2800
PROPERTY OWNER OWNER □LESSEE □TENANT
NAME Hosp Way Limited ADDREss172O Westwood Blvd., Suite 300
cnyLOs Angeles STATE CA ZIP CODE 9002 5 DAY TELEPHONE ( 213) 4 74-1720
CONTRACTOR
NAME New Design Remodeling & Const. ADDRESS
5928 Pascal Court, suite 200
CITY Car 1 sbad STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800
LICHISE CLASS Cl TY BUSINESS LIC. # 432954
SIGNATURE TITLE II ~o 4
Cl TY STATE ZIP CODE DAY TELEPHONE STATE LIC, #
WORKERS' COMPENSATIO
lolorkers• CO!ll)E!nsat1on Dec aration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of lolorkers' Coq,ensatioo Insurance by an aa!litted insurer, or an e11act copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
73WC008402-00019 POLICY NO. INSURANCE COMPANY Nationwide Insurance EXPIRATION DATE 6/28/91
Certificate of Ex~tion: I certify that in the performance of the work for which this permit is issued, I shall not ~loy any person in any manner
so as to become subject to the lolorkers' Coq>ensation laws of Catifornia.
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am e11empt from the Contractor's license Law for the following reason:
DI as owner of the property or my errployees with wages as their sole c~nsation, i..ill do the i..ork 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 i..ho
does such work himself or through his own errployees, pro..,ided that such improvements are not intended or offered for sale. If, hoi..ever, the building
or improvement is sold within one year of completion, the oi..ner·builder will have the burden of pro..,ing 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 oi..ner of property who builds or impro..,es thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
D I am ex~t 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 license law (Chapter 9, c011mencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom,
and the basis for the alleged exerrption. 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 [$5001).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 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 0NO
Js the facility to be constructed within 1,000 feet of the outer boundary of a school site'
□YES
If ANY OF TIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCaJPAIICY NAY NOT BE ISSUED AFTER JULY 1, 1989 l.lilLESS THE APf'LICANT HAS NET OR IS MEETING THE REQUIREMENTS
Of THE OfFICE OF EMERGENCY SERVICES MID THE AIR POLLUTJC. 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
10. APPLICANT'S SIGNATURE
I certify that I ha"e read the application information is 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. I ALSO
AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JWGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT.
E11piration. Every permit issued by the Building Official under the provisions of this Code shall e11pire by limitation and become null and void if the building
or i..ork authori ze,d by such permit is not coomenced with in 180 days from the date of such permit or if the building or i..ork authorized by such permit is suspended
or abandoned at any time after the work is corrmenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE D O'.o'NER HcoNTRACTDR □BY PHONE APPRO'o'ED BY: _______ _
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
'
PERMIT# CB901840
DESCRIPTION: PLUMBING
KITCHENS
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/21/91
& ELEC FOR LDRY AND
TYPE: MISC
JOB ADDRESS: 2336 HOSP WY
APPLICANT: NEW DESIGN
CONTRACTOR: NEW DESIGN
OWNER: HOSP WY LIMITED
REMARKS: MH/KEITH/431-2800
SPECIAL INSTRUCT:
TOTAL TIME:
CD
29
39
LVL DESCRIPTION
PL Final Plumbing
EL Final Electrical
------------------------------------------------------
PHONE:
PHONE:
PHONE:
619-4
***** INSPECTION HISTORY*****
DATE
112890
112890
DESCRIPTION
Rough/Topout
Rough Electric
ACT INSP
AP PK
AP PK
COMMENTS
INSPECTOR AREA PK
PLANCK# CB901840
ace GRP
CONSTR. TYPE NEW
STE: 115