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