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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