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HomeMy WebLinkAbout2340 HOSP WAY; 318; CB910094; Permit,.. B U I L D I N G P E R M I T Perri o: CB9!G094 Project Nn· A9100114 Development 01/17/91 12::> Page 1 of ~3'-/D Job Address: ~ HOSP WY Permit Type: I.. P.I -l I l Parcel No: 167-250-:1-~~ Valuation: ) Construction Type: NEW Str: Fl: Ste: ~318' 0368 01/17/91 000. c-~f"T Occupancy Group: Class Code: Status: ISSUED 01/17/91 01/17/91 DC Description: ELEC/PLMG FOR LDRY AND KITCH Appl/Ownr : HOSP WAY CONTRACTOR 1990 WESTWOOD COURT #300 LOS ANGELES, CA 90025 CARLSBAD, *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T 213 Applied: Apr/Issue: Validated By: 474-1720 l . C 437954 619-431-2.800 .00 .00 30.00 Ext fee Data APPROVAL 30. 00 PLBG/EJ 30.00 INSP. _,,,___ DATE Jw~ - CLEARANCE_/1/_._~_w ___ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department ~ V 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL ______________ _ PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE _______________ _ A COMMERCIAL TENMH IMPROVEMENT B D INDUSTRIAL QNEW QTENANT IMPROVEMENT C 0 RESJOENT !AL 0 APARTMENT Qcmmo QSINGLE FAMILY DWELLING OADDITION/ALTERATJON QDUPLEX □DEMOLITION QREL0CATI0N QM0BILE HOME □ELECTRICAL QPLUMBING □MECHANICAL QPOOL QSPA □RETAINING '.IALL QSOLAR QOTHER 2. PROJECT INFORMATION PLAN CHECK No. F LEGAL 0&111PTJON Lot No. Subdivision Name/Nu:rber ,. CHECK BELOW IF SUBMITTED: 2 Energy Cales ASSESSOR I S PARCEL 2 Structural Cales 1 Addressed Envelo EXISTING USE Plumbing and Electrical for laundry and kitchens. BLOG. S0, FTG. # OF STORIES Unit No. Phase No. PROPOSED USE 3. CONTACT PERSON NAME CITY Keith Smith Carlsbad SIGNATURE STATE CA AooRess 5928 Pascal ZIP COOE 92008 Court, suite 200 (619) 431-2800 DAY TELEPHONE 4. APPi TrANT. 1<1AME "'N~·neisgn □ AGENTtFOR CONTRACTOR 592 nQWNER l C n AO,NT FDi OWNER 2 cmrt, suite 00 eons • AooRess a---.Pasca Carlsbad CITY STATE CA ZIP C(X)E92ooa DAY TELEPHONE ( 619 ) 431-2800 5. PROPERTY OWNER OWNER □LESSEE 1990 Westwood Blvd., □TENANT Suite 300 NAME Hosp Way Limited CITY Los Angeles STATE CA ADDRESS ZIP COOE 90025 DAY TELEPHONE ( 213) 4 74-1720 6. CONTRACTOR 7. 8. NAME New Design Remodeling & Const. CITY Carlsbad STATE CA SIGNATURE ~ 545075 DESIGNER NAME Cl TY STATE WORKERS' COMPENSATION AooRess 5928 Pascal ZIP C0092008 LICENSE CLASS _ _,,_ __ _ TITLE ADDRESS ZIP CODE )1n ,,, Court, Suite 200 DAY TELEPHONE (619) 431-2800 CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # Workers• Compensation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers• Compensation Insurance by an achitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE cCNPANY Nationwide Insurance Poulv3N~~OOB402-00019 EXPIRATION DATE 6 /28/9] Certificate of Ex~tion: I certify that in the performance of the work for which this permit is issued, I shall not e,rploy any person in any manner so as to become subject to the 'workers' C~nsation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D ! as owner of the property or my employees with wages as their sole compensation, will do the wor~ 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 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 will have the burden of proving 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 owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section __________ _ Business and Professions Code for this reason: (Sec. 7031.S 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, COllfllencing with Section 7000 of Division 3 of the Business and Professions Code> or that he is exe,rpt therefrom, and the basis for the alleged exe,rption. 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 [S500]). SIGNATURE DATE COIIPLETE 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' 0 VES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES If ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JUlY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS fEETING THE REQUIREMENTS 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 wor~ for which this permit is issued (Sec 3097(i) 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 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JLOGMENTS, COSTS ANO EICPENSES WHICH MAY IN ANY WAY ACCltUE AGAINST SAID 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 conmenced 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 COllfllenced for a period of 180 days (Section 303(d) Uniform Building Code). □ BY PHONE APPROVED BY; _______ _ DA!E: __________ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910094 FOR 03/26/91 DESCRIPTION: ELEC/PLMG FOR LDRY AND KITCH TYPE: MISC HOSP WY INSPECTOR AREA PK PLANCK# CB910094 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 113 JOB ADDRESS: 2336 APPLICANT: HOSP WAY CONTRACTOR: NEW DESIGN REMODELING OWNER: REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: #303 PHONE: 213 474-1720 PHONE: 619-431;z2 PHONE: V__ ,/ INSPECTOR -~(.c...:.;~::,;::_ _______ _ TOTAL TIME: CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical ------------------------------------------------------ ACT COMMENTS ***** INSPECTION HISTORY***** DATE 012391 012391 DESCRIPTION Final Electrical Final Plumbing ACT INSP NR PK NR PK COMMENTS NO SUITE ADDRESS NO SUITE ADDRESS