The URL can be used to link to this page

Home My WebLink About2340 HOSP WAY; 117; CB901502; Permit., B U I L D I N G P E R M I T Permit No: CB901502 Project No: A9001677 09/14/90 16:02 Page 1 of 1 Job Address: 2340 HOSP WY Permit Type : MISCELLANEOUS Parcel No: 167-250-42-01 Valuation : O Construction Type: NEW Occupancy Group : Class Code : Description: PLUMBING & : AND KITCHE ELECTRICAL FOR LDRY OWNER CONTRACTOR s~ HOSP WAY LIMITED NEW DESIGN REMODELING~ GGNS 5928 PASCAL CT CARLSBAD, CA 92 08 *** Fees Required **t Fees : Adjustments: Total Fees: Fee description 30,00 ,00 30.00 Str: Development No: Fl: Ste: 810'i 00114;90 0001 l -r.:11T fJ?-1'-lil 5 ~ 1. ;us: Applied : Apr/Issue: Validated By: ISSUED 09/14/90 09/14/90 DC Lie. OWNER Lie. C 437954 619-431-2800 .00 .00 30.00 *** Ext fee Data -------------------------r~-----~-----------------------------------------Miscellaneous Fee t 1 30.00 PL/EL/K/ * MISCELLANEOUS TOTAL 30.00 APPROVAL INSP. ----~-DATE ~~Yf"-?O CLEARANCE._.._ ___ -' CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION & • City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN a: DEPOSIT. ___________ _ VALID. BY _____________ _ 1. PERMIT TYPE DATE _______________ _ A • COMMERCIAL TENANT IMPROVEMENT 0 TENANT IMPROVEMENT B O INDUSTRIAL C O RESIDENTIAL □APARTMENT ~CONDO □SINGLE FAMILY DWELLING Ii] ADO IT JON/AL TE RAT JON □DUPLEX QOEMOLITION □MECHANICAL □POOL □RELOCATION □MOBILE HOME tf)ELECTRICAL (i:PLUMBING □SPA □RETAINING WALL OsoLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK Address 2 340 Hosp Way; Carlsbad, CA Nearest Cross Streets E] cami no Re<tl LEGAL DESCRIPTION Lot No. Subd1v1s1on Name/Nl.lli:>er un,t No. Phase No, CHECK BELOW If SUBNITTED: Q2 Energy Cales 02 Structural Cates '7'$SESS0R'S PARCEL pz Soils Report D 1 Addressed Envelope EXISTING USE Install Plumbing & electrical for Laundry hook-ups for units. BLDG. SQ. FTG. # OF STORIES PROPOSED USE 3. CONTACT PERSON , .. , Keith Smith ADDRESS 5928 Pascal Court; Suite 200 (619) 431-2800 4. 5. 6. carlsbad CITY SIGNATURE APPLICANT NAME CITY New Design carlsbad PROPERTY OWNER ~CONTRACTOR Remodeling & STATE CA ZIP CODE 0 AGENT FOR CONTRACTOR ConstrucdijJis STATE CA ZIP CODE ()',jNER 92008 DAY TELEPHONE 0()1,jNER 0 AGENT FOR ()',jNER 5928 Pascal Court 92008 DAY TELEPHONE 1619) 431-2800 □LESSEE □TENANT NAME Hosp Way Limited Los Angeles ADDRESS 1990 Westwood Blvd., Suite 300 CITY CONTRACTOR NAME CITY New Design carlsbad SIGNATURE DESIGNER NAME CITY Remodeling & STATE CA ZIP CODE 92025 Construcdij~' 5928 Pascal STATE CA ZIP COOE 92008 STATE LIC. # 545075 LICENSE CLASS ---~Be__ TITLE ADDRESS STATE ZIP COOE DAY TELEPHONE (213) 474-1720 court; suite 200 DAY TELEPHONE ( 619) 431-2800 CITY BUSINESS LIC. # 1116900 DATE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION 8. Workers• Compensat1on Declaration: hereby affirm that I have a cert1f1cate of consent to self-insure issued by the D1rector of Industrial Relations, or a certificate of Workers' Compensation I nsuranc:e by an aani tted insurer, or an e11act copy or dupl i cate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 380.9_, Lab. C). ,3 WC INSURANCE COMPANY Rationwide Mutua1 POLICY NO. 008402 0001 E)(PIRATION 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 eq:,loy any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner·Bu1lder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I as owner of the property or my errployees 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 in,:,roves thereon,. and who does such work himself or through his own eq:,loyees, provided that such in,:,rovements are not intended or offered for sale. If, however, the building or in,:,rovement is sold within one year of cOll'f)letion, the owner-builder will have the burden of proving that he did not build or in,:,rove for the purpose of sale.). D I, as owner of the property, am e11clusively 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 in,:,roves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exerrpt 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, in,:,rove, demolish, or repair any structure, prior to its issuance, al so requires the appl i cant for such permit to f i le 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 and Professions Code) or that he is exerrpt therefrom, and the basis for the alleged exen,:,tion. 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 [$500] ). SIGNATURE DATE COMPLETE THIS SECTION fOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the appl i cant or future bui ldi ng occupant required to submit a business pl an, acutely hazardous materials reg i strati on 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 □,o Js the facility to be constructed within 1,000 feet of the outer bo!Sldary of a school site? □YES 0,0 IF ANY Of TIE ANSl.l:RS ARE YES, A FINAL CERTIFICATE Of OCQJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS tl:T OR IS tl:ETIIIG TIE REQUIRENEIITS Of Tit£ OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION COIITROL 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(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to COll'f)lY 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 INDEMIIIFY AID KEEP KARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JWGENTS, COSTS AID EXPENSES ~HICH MY IN ANY WAY ACCRUE AGAINST S,\ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 permit is not conrnenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is conmenced for a period of 180 days (Section 303(d) Uniform Buildin9 Code). D OWNER tJ CONTRACTOR □BY PHONE APfl'ROYED SY: ______ _ DATE: _________ _ WHITE: File YELLOW: Applicant PINK: Finance ' , ., CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB901502 FOR 10/30/90 DESCRIPTION: PLUMBING & ELECTRICAL FOR LDRY AND KITCHENS #117 TYPE: MISC JOB ADDRESS: 2340 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: NEW DESIGN REMODELING & CONS OWNER: HOSP WAY LIMITED PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB901502 OCC GRP CONSTR. TYPE NEW STR: ~L: STE: 619 431-2800 619-431-280/0 REMARKS: T2/RS/KEITH/431-2800 SPECIAL INSTRUCT: Ta' INSPECTOR BA TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE CB901507 MISC CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical STATUS ISSUED ACT COMMENTS ------------ £'----, ***** INSPECTION HISTORY***** DATE 100390 100390 DESCRIPTION Rough/Topout Rough Electric ACT INSP AP PK AP PK COMMENTS