HomeMy WebLinkAbout2340 HOSP WAY; 217; CB901839; Permit,.
11/20/90 15:45
Page 1 of 1
B U I L D I N G
Job Address: 2340 HOSP WY
Permit Type: MISCELLArFOLS
Parcel No: 167-250-42-b~
Valuation: (
P E R M I T
Str: * *
Permit No: CB901839
Project No: A9002098
Development No:
Fl: **** Ste: 217
9483 11/20/90 0001 01 02
I
cJet5?7 Construction Type: NEW
Occupancy Group:
Description: PLUMBING
: KITCHENS
Class Code:
& ELEC FOR LDRY AND
::.t-atu..,:
Applied:
~.:>~Ut:U
11/20/90
11/20/90
KZH
Appl/Ownr: NEW DESIGN
OWNER
CONTRACTOR
5928 PASCAL CT STE 200
CARLSBAD, CA 92008
HOSP WY LIMITED
NEW DESIGN
5928 PASCA rT
CARLSBAD, CA 92008
·J<*"' Fees Required * *
Fees:
Adjustments:
Total Fees:
Fee description ------------------~------------4L
Miscellaneous Fee 1
* MISCELLANEOUS TOTAL
Apr/Issue:
Validated By:
619-431-2800
OWNER
C 437954 619-431-2800
.00
.00
30.00
***
Ext fee Data --------r-----------------
FINAL APPROVAL
30.00 PL/EL/I'
30.00
INSP. / "'--. DATE _.1_· .:?_! ._11_1 CLEARANCE...,._~,, .• £ .... ..._ ___ _.
CITY OF CARLSBAD
2075 Las Palinas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION ~ V
City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
1.
A
C
PERMIT TYPE
COMMERCIAL
0 INDUSTRIAL
0 RESIDENT JAL O APARTMENT
□DUPLEX □DEMOLITION
□MECHANICAL D POOL
PLAN CIC DEPOSIT, ___________ _
VALID. BY ______________ _
DATE _______________ _
TENANT IMPROVEMENT
0 TENMH IMPROVEMENT
□CONDO □SINGLE fAMILY DWELLING □ADDITION/ALTERATION
□RELOCATION □MOBILE HOME □ELECTRICAL OPLUMBHJG
OSPA □RETAINING WALL □SOLAR
2. PROJECT INFORMATION PLAN CHECK No.
Address 2340 Hosp Way, Carlsbad 217
Nearest Cross Streets El Cami DO Real
LEGAL OESC11:IPTION Lot No. Subdivision Name/NI.Mf'ber Unit No. Phase No.
CHECIC BflCM IF SUBMITTED:
Q2 Energy Cales 02 Structural Cales 02 Soils Report 01 Addressed Envelope
EXISTING USE
Plumbing and Electrical for, lanndry and kitchens. BLOG. SQ. FTG. ,..01 s'rORrFS"
PROPOSED USE
3. CONTACT PERSON
NAME Keith Srni th
c1rY Carlsbad
SIGNATURE
STATE CA
ADDRESS
ZIP COOE
5928 Pascal Court, Suite 200
92008 DAY TELEPHONE (619) 431-2800
4.
5.
6.
7.
8.
APPLICANT J.ficoNTRACTOR □ AGENT FOR CONTRACTOR
NAME New Design Remodeling & Const ADDREss
O0IJNER
5928 Pascal
c1n Carlsbad STATE CA ZIP COOE 92008
0 AGENT FOR OWNER
Court, Suite 200
DAY TELEPHONE (6]9) 43]
PROPERTY OWNER OIJNER □LESSEE □TENANT
NAME Hosp Way Limited ADDRESS
2800
cinLos Angeles STATE CA 1990 Westwood Blvd, Suite 300
Z!P COOE 90025 DAY TELEPHONE ( 213} 474-1720
CONTRACTOR
NAMENew Design Remodeling & Const. ADDREss 5928 Pascal Court, Suite 200
cnyCarlsbad STATE CA ZIP coo,92008 DAY TELEPHONE (619) 431-2800
545075 LICENSE CLASS __ B~---CITY BUSINESS
SIGNATURE TIT LE P;o;,_ . 1" l<M ~ATE
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION
Workers• Corrpensation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of \ilorkers' Corrpensation Insurance by an achitted 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).
INSURANCE COMPANY Nationwide n ,iMv@.08402-00019 EXPIRATION DATE
Certificate of Ex~tion: I certify that in the performance of the work for which
so es to become subject to the Workers' c~nsation Laws of California.
this permit ls issued, I shall not
SIGNATURE DATE
OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am e11empt from the Contractor's License Law for the folloi.ing reason:
D I as owner of the property or my errp\oyees with wages as their sole c001pensation, 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 bui Ids or improves thereon,. and who
does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. !f, however, the building
or improvement is sold within one year of completion, the owner-builder wilt have the burden of proYing that he did not build or improve for the purpose
of sale.).
DI, 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 improYes thereon, and contracts for such projects with contractor(sl
licensed pursuant to the Contractor's License Lai.).
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, i"l)rove, 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, coomencing with section 7000 of Division 3 of the Business and Professions Code) or that he is e11~t therefrom,
and the basis for the alleged exelll,ltion. 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 do l l ars [$500] ) •
SIGNATURE DATE
COMPLETE THIS SECTION FOR N0M-RES!DENTIAL 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?
□YES 0NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIRBl:NTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION 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(il Civil Code).
LENDER IS NAME
10. APPLICANT'S SIGNATURE
J certify that I have read the application the above information is corre t. I agree to comply with all C1ty 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. ALSO
AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY Of CARLSBAD AGAINST All LIABILITIES, JLOGMENTS, COSTS AND EKPENSES WfflCH MAY IN ANY WAY ACCRUE AGAINST SAIO
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 work authorized by such permit is not coomenced 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 corrmenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE 0 OWNER ac□NTRACTOR QBY PHONE APPROVED SY: _______ _
DATE: __________ _
WHITE: File YELLOW: Applicant PINK: Finance
.,
• CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/21/91 PERMIT# CB901839
DESCRIPTION: PLUMBING
KITCHENS
& ELEC FOR LDRY AND
TYPE: MISC
JOB ADDRESS: 2340 HOSP WY
APPLICANT: NEW DESIGN
CONTRACTOR: NEW DESIGN
OWNER: HOSP WY LIMITED
REMARKS: MH/KEITH/431-2800
SPECIAL INSTRUCT:
TOTAL TIME:
LVL DESCRIPTION
PHONE:
PHONE:
PHONE:
STR:**
619-431-
619-431 2
ACT COMMENTS
INSPECTOR AREA PK
PLANCK# CB901839 ace GRP
CONSTR. TYPE NEW
STE: 217
CD
29
39
PL Final Plumbing
EL Final Electrical
~ g,, r);fU) 1D Sf tµ}
------------------------------------------------------
***** INSPECTION HISTORY*****
DATE
112890
112890
DESCRIPTION
Rough/Topout
Rough Electric
\
.?
ACT INSP
AP PK
AP PK
COMMENTS