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HomeMy WebLinkAbout2336 HOSP WAY; 115; CB901840; Permitt 11/20/90 15:49 Page 1 of 1 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