HomeMy WebLinkAbout2336 HOSP WAY; 113; CB910092; Permit-· B lJ I L D I N G P E R M I T Permit No: CB910092
Project No: A9100112
Development J
01/17/91 12:18
Page 1 of 1
Job Address: 2336 HOSP WY
Permit Type: MISCELLANEOUS
Parcel No: 167-250-43-13
Valuation: o
Construction Type: NEW
Occupancy Group:
Str: Fl: Ste: I 13
Class Code:
Description: PLUM AND ELEC FOR LDRY/KITCH
Appl/Ownr : NEW DESIGN REMODELING & CONST
5928 PASCAL COURT #200
CARLSBAD, CA 92008
CONTRACTOR NEW DESIGN
5928 PASCAL
CARLSBAD, A
*** Fees Required
Fees:
Adjustments:
Total Fees :
Fee description
Miscellaneous Fee#
* M[SCELLANEOUS TO
619
0369 Cl/t7/9 O<.,
C~T
Status:
Applied:
Apr/Issue:
Validated By:
431-2800
., .
ISSUED
01/17/91
01/17/91
DC
619-431-2800
~d & Credits ***
.00
.00
30.00
Ext fee Data
30,00 PL/ELEC
30.00
~ZlPPROVAL .
INSP. _lZ: DATE .-/~1J,r
CLEARANCE -----;~ .... /a.. __ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION 11\ V
c;ty of Carlsbad Bu;1d;ng Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT, ___________ _
VALID. BY, ______________ _
1. PERMIT TYPE DATE ______________ _
A O COMMERCIAL TENMH IMPROVEMENT
B O INDUSTRIAL □NEW 0TENMH IMPROVEMENT
C □RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION
2.
□DUPLEX □DEMOLITION
0 MECHANICAL O POOL
□RELOCATION □MOBILE HOME QELECTRICAL □PLUMBING
OSPA □RETAINING WALL □SOLAR □OTHER--....._
PROJECT INFORMATION PLAN CHECK No.
Address 2336 Hosp Way, Carlsbad
Nearest Cross streets El Camino Real
Building or
113
LEGAL DESOllPTION lot No. Subdivision Name/Nunber Unit No. Phase No.
CHECK BELCM IF SUBfUTTEO:
3.
4.
5.
6.
7.
8.
q2 Energy Cales 02 Structural Cales 02 Soils Report
ASSESSOR'S PARCEL
01 Addressed Envelope
EXISTING USE PROPOSED USE
Plumbing and Electrical for laundry and kitchens.
BLDG. SQ. HG. # OF STORIES
CONTACT PERSON
Court, Suite 200 NAME
CITY
Keith Smith
Carlsbad STATE CA
A00RESS
ZIP CODE
5928 Pascal
92008 DAY TELEPHONE ( 619) 431-2800
SIGNATURE
APPLICANT 0 CONTRACTOR 0 AGENT FOR CONTRACTOR OowNER 0 AGENT FOR OWNER
NAME New Deisgn Remodeling & Const. ADDRESS 5928 Pascal Court, Suite 200
CITY Carlsbad STATE CA ZIP CODE92QQ8 DAY TELEPHONE (619) 431-2800
PROPERTY OWNER OWNER QLESSEE □TENANT
NAME Hosp Way Limited ADDRESS 1990 Westwood Blvd., Suite 300
CITY Los Angeles STATE CA ZIP CODE 90025 DAY TELEPHONE (213) 474-1720
CONTRACTOR NAME New Design Remodeling & Const. ADDRESS 5928 Pascal Court, Suite 200
CITY Carlsbad STATE CA ZIP CODE92QQ8 DAY TELEPHONE (619) 431-2800
STATE LIC. # 545075 LICENSE CLASS __ .,_ __ _ CITY BUsrnESS LIC. # 437954
SIGNATURE Tl TLE DATE
DESIGNER NAME
CITY
WORKERS' COMPENSATION
STATE
ADDRESS
ZIP CODE DAY TELEPHONE STATE LIC. #
Workers' C~nsation Declaration: hereby affirm that have a certificate of consent to self·insure issued by the Director of Industrial Relat1ons,
or a certificate of Workers' C~nsation Insurance by an admitted insurer, or an e)(act copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection 0epartment (Section 3800, lab. C).
73WC008402-00019 POLICY NO. INSURANCE ca,1PANY Nationwide Insurance EXPIRATION DATE 6/28/91
Certificate of EXefll)tion: I certify that in the performance of the .iork for which this permit is issued, I shall not efll)loy any person in any manner
so as to become subject to the Workers• COl!l)ensation La.is of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am e)(empt from the Contractor's License Law for the following reason:
0 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 irrproves 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.).
0 I, as owner of the property, am eJtclusively contracting i.ith licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor's License Lai. does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s)
t icensed pursuant to the Contractor's License Law).
D I am exempt under Section ___________ Business and Professions Code for this reason;
(Sec. 7031.5 Business and Professions Code: Any City or County i,;hich requires a permit to construct, alter, irrprove, 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, conmencing with Section 7000 of Division 3 of the Business ard Professions Code) or that he is eJteirpt therefrom,
and the basis for the alleged e)(emption. 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 [S500J ).
SIGNATURE DATE
COMPLETE THIS SECTION FOR HON-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 ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
0YES 0NO
Is the facility to be constructed .iithin 1,000 feet of the outer boundary of a school site?
□YES 0,0
IF ANY OF TIIE ANSWERS ARE YES, A FINA.l CERTIFICATE OF OCaJPANCY MAY NOT BE ISSUE0 AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS N:ETING THE REQUIREMENTS f THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL 0ISTRICT.
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).
~NDER'S NAME LENDER'S ADDRESS
APPLICANT'S SIGNATURE
,rtify that I have read the application and state that the above information is correct. I agree to comply i.ith all City ordinances and State laws relating
pUilding construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
\
E TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSSAD AGAINST ALL LIABILITIES, JlllGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY MAY ACCRUE AGAINST SAID
IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
ration. Every permit issued by the Building Official under the provisions of this Code shall e)(pire by limitation and become null and void if the building
Irk authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or i.ork authorized by such permit is suspended
tandoned at any time after the work is coomenced for a period of 180 days (Section 303(d) Uniform Building Code).
ACTOR 0 BY PHONE APPROVED BY: ______ _
DATE:
YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB910092 FOR 02/14/91
DESCRIPTION: PLUM AND ELEC FOR LORY/KITCH
TYPE: MISC
JOB ADDRESS: 2336 HOSP WY
APPLICANT: NEW DESIGN REMODELING & CONST
CONTRACTOR: NEW DESIGN
OWNER:
REMARKS: MH/KEITH/431-2800
SPECIAL INSTRUCT: UNIT #113
TOTAL TIME:
PHONE:
PHONE:
PHONE:
CD LVL DESCRIPTION ACT COMMENTS
INSPECTOR AREA PK
PLANCK# CB910092
OCC GRP
CONSTR. TYPE NEW
STE:
29 PL Final Plumbing /}// ______________ _
39 EL Final El;l trical 7 ~ -_ /U)l)4A--~ ~ -,~,"'u-+--~-.-'+--------~ =~~=~~1~======================
DATE
012391
012391
DESCRIPTION
Final Plumbing
Final Electrical
***** INSPECTION HISTORY*****
ACT INSP
NR PK
NR PK
COMMENTS
NO SUITE ADDRESS
NO SUITE ADDRESS