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Home My WebLink About2340 HOSP WAY; 219; CB911043; Permit-. 07/17/91 13:06 Page 1 of 1 B U I L D I N G Job Address: 2340 HOSP WY Permit Type: MISCELLA~-)u- Parcel No: 167-250-42· U~ Valuation: P E R M I T Str: Permit No: CB91104J Project No: A9101280 Developmenr Fl: Ste· ,P1'f 3515 07/17/91 0001 01 02 C-PRMT 30-00 Construction Type: NEW Occupancy Group: Class Code: 1 t 4 : ~~~UED 07/17/91 07/17/'11 DC Description: PLG/ELEC FOR LDRY AND KITCHEN Applied: Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL CT #200 CARLSBAD ,CA 92008 *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee #1 * MISCELLANEOUS T 619 Apr/Issue: Validated By: 431-2800 *** -~---------------------- .00 .00 30.00 Ext fee Data 30. CO PLBG/ELE1 30.00 FIN L PPROVAL INSP._....., __ DATi: q✓Jt>zll CLEARANCE @ , f?<@w&re:e CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. q/-/tJC/3 City of cartsbad Building Department 2075 Las Pal•• Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL~----------PLAN CK DEPOSIT ________ _ VAUD.BY __________ _ I. PRkM1 I hPE DAIB A-UCommerc1al □New Butldmg U tenant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PROJECr INFORMATION FOR OFFICE USE ONLY Address BuUdmg or Suue No. 2340 Hosp Way, CArlsbad 219 Nearest Cross Street El Camino Real l.EGAC DESCR!vt [ON Lot No. Su6d1VJs1on Name/Number Linn No. Phase No. CHECK BEWW IF SOBMI 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROPQSEP USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and Kitchens. SQ. FT. # OF STORIES 3. WN JACI PERYJN (II dulerent from appJlcani) NAME Keith Smith ADDRESS 5928 Pascal Court, Suite 200 Cl1Y Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 4. APPUCANI □WNiRACIOR DAGEN I FURWNIRACIUR DOWNER □AGENI FOR OWNER NAME New Design Remodeling & ADDRESS 5928 Pascal Court, Suite 200 s. ;\JJ~6M&ftd STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800 NAME Hosp WAy Limited ADDRESS 1990 Westwood Boulevard, Suite 300 CI1Y Los Angeles STATE CA ZIP CODE 90025 DAY TELEPHONE ( 213) 474-1720 NAME New Design Remodeling ADDRESS 5928 Pascal Court, Suite 200 CI1Y Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800 STATE UC.# 545075 LICENSE CLASS B CI1Y BUSINESS UC.# 437954 CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOllRMS' WMPENSAJION Workers, t.Zmpensauon Oedarat1on: I hereby aflirm that I have a certU1cate of consent to seli-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted 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 COMPANY Nationwide Insurance rouJvl/!S.008402 -000l txl'IRATION DATE 6/28/92 Cerollcate of Exemption: i certify that m the performance of the work for which this penmt 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. UWNEK-BOliDEk DP.CLARXIKJN bwner-Bu1lder Declarauon: I hereby affirm that I am exempt from the t.Zntracto?s Lcense Law for the foliowmg reason: □ 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 improves 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.). □ 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). □ I am exempt 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, 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 91 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. 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 COMPIBIE IRIS SECIIUN FOR NUN-RESIDEN IIAL BOIWING PERMll's 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 255051 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □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 C NO Is the facility co be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF 11IEANSWERS ARE YES, A FINALCER11FICATH OFoa:uJ>ANCY MAYNar BEl5.5Ul!I) AFIBRJULY 1, 1989 UNIBSS 11IEAPPUCANT HAS MET OR IS MEIITING 11IE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 11IE AIR l'OWJ"J10N WN"IllOL DISllllCT. 9. WNSIR0ClluN UNDING AGENCY I hereby afhrm that there 1s a constructmn lending agency for the performance of the work ior which this permit 1s issued (Sec 3097(1) Uvl\ Code}. LENDER'S NAME LENDER'S ADDRESS JO. APPllCAN I cmtJMCX:I ION I certify that L have read the apPhcauon and state that the aOOve miormat1on 1s correct. l agree to comply with all City ordmances 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 AND KEEP HARMLF.'iS 11IE Cl"IY OF CARISBAD AGAINST AIL lJABIIII1ES, JUDGMENTS, <DSTS AND EXPENSES wtilCH MAY IN ANY WAY ACCRUE AGAINST SAID Cl"IY IN WNSEQUENCE OF 11m GRANTING OF nus PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 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 commenced within 365 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 commenced for a period of 180 days {Section 303{d) Uniform Building Code). DATE: _____ _ WHITE: File ) YELLOW: Applicant PINK: Finance PERMIT# CB911043 DESCRIPTION: PLG/ELEC FOR LORY TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/10/91 AND KITCHEN JOB ADDRESS: 2340 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: PHONE: PHONE: OWNER: REMARKS: RS/RICHARD/434-1494 SPECIAL INSTRUCT: TOTAL TIME: PHONE: STR: 619 431 LVL DESCRIPTION ACT COMMENTS INSPECTOR AREA PK PLANCK# CB911043 OCC GRP CONSTR. FL: 00 TY~ ST0 CD 29 39 PL Final Plumbing EL Final Electrical &£ _ _,S"""'-=-u1'-',-'£_::::......_,.2='.Lz ____ _ ------------------ ------------------------------------ ***** INSPECTION HISTORY***** DATE 073191 073191 DESCRIPTION Rough/Topout Rough Electric ACT INSP AP PK AP PK COMMENTS