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Home My WebLink About2340 HOSP WAY; 120; CB911312; Permit\.- B U I L D I N G P E R M I = Permit No: CB911J12 Pro:ect No: t91A•~~9 Development Ne 09/18/91 16:28 Page 1 of 1 Job Address: 2340 HOSP WY Permit Type: MISCELLA 3 Parcel No: 167-2~0-42 04 Valuation: Construction Type: NEW S tr : * * F 1 : Ste : L /v P :J. 3 '/ 1 4464 09110191 0001 0Y'<>2 C-PRHT 30°00 Occupnncy Group: Class Code: St-.ltus: ISSUED Applied: 09/18/~l Apr/Issue: 0~/18/91 Validated By: DC Descriptior.: ELEC LDRY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL CT #200 CARLSBAD, CA 92009 *** Fees Required *** <Ir.A --~ - Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * M[SCELLANEOUS TO 619 431-2800 Acted & Credits *** .00 .00 30.00 Ext fee Data 30.00 KI:'/LDRY 30.00 APPROVAL INSP._,_ __ DATE 1,.d,--v CLEARANCE caez;;;AA 1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION la \1:1 City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619J 438-1161 PLAN CK DEPOSIT, ___________ _ VALID. BY, ______________ _ 1. PERMIT TYPE DATE ______________ _ A B C • COMMERCIAL D INDUSTRIAL □RESIDENTIAL □APARTMENT □DUPLEX □DEMOLITION □MECHANICAL □POOL TENANT IMPROVEMENT □TENANT IMPROVEMENT □CONDO □SINGLE fAMILY 0"'1:LLING 0ADDITION/ALTERATION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING □SPA □RETAINING WALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. Bui I 1 ng or Suite No. 120 Nearest Cross Streets LEGAL DESCRIPTION EL OWm/!F,J Lot No, shv,s1on Name/NU'llber CHE BELO., IF SUBMITTED: Q2 Energy Cales Q2 Structural Cales ASSESSOR I S PARCEL BLDG. SQ. FTG. 02 Soils Report # OF STORIES D 1 Addressed Envelope EXISTING USE Um t No. Phase No. PROPOSED USE 3. CONTACT PERSON ""' ~th Sui.th CITY (arJ.sl:aj STATE CJ\. SIGNATURE ADDRESS ZIP COOE 5928 Rls::al a:., Ste. 200 92008 DAY TELEPHONE (619) 431-2800 4. APPLICANT _ JJ,oNTRAcro, NAME New Ces:ign ierccelin_:j & C:nst. 0 AGENT FOR CONTRACTOR □OWNER □AGENT FOR OIJNER 5928 Rls::al a:. , Ste. 200 ADDRESS CI TY CarJ.slm., STATE CA ZIP COOE 92000 DAY TELEPHONE (619) 431-2800 5. PROPERTY OWNER OWNER □LESSEE □TENANT NAME ~ W!y Limi.taj ADDRESS 1990 \~ ffi\ti., Ste. 300 CITY lral\rg=l.es STATE CA ZIP COOE 90025 DAY TELEPHONE (213) 474-1720 6. CONTRACTOR 7. 8. NAME New Ces:ign Rm:rlilin;J & CJ:nst. CITY QrrJ.sl:m STATE CA ADDRESS ZIP COOE 5928 Rls::al ct. , Ste. 200 92000 DAY TELEPHONE (619) 431-280() STATE LIC. # 545075 LICENSE CLASS -~B~--- T ITLE CITY BUSINESS LIC. # ~4~3u7<lc...54.,._ ____ _ SIGNATURE DESIGNER NAME CITY WORKERS' COMPENSATION STATE ADDRESS ZIP COOE DATE DAY TELEPHONE STATE LIC. # Workers' Coopensat1on Declaration: hereby atf1rm that I have a cert1fiCate of consent to self•insure issued by the Director of Industrial Relations, or a certificate of Workers' Corrpensat ion Insurance by an actni tted insurer, or an eKact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 380D, Lab. C). 73-IDJ3402-00019 POLICY NO. INSURANCE COMPANY EXPIRATION DATE 6/28/92 Certificate of h;emption: I certify that in the performance of the work for which this permit is issued, I shall not ~Loy any person in any manner so es to become subject to the Workers' COITJ)ensat ion laws of cal i forni a. 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: DJ as owner of the property or my errployees with wages as their sole coopensation, will do the work and the structure is not intended or offered tor sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or i~roves thereon,, and who does such work himself or through his own employees, provided that such i~rovements are not intended or offered for sale. If, however, the building or i~rovement is sold within one year of CO!l'pletion, the owner-builder will have the burden of proving that he did not build or i~rove tor 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 i~roves thereon, and contracts tor such projects with contractor(sl licensed pursuant to the contractor's License Law). D I am ex~t under section ___________ Business and Professions Code tor this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, i~rove, demolish, or repair any structure, prior to its issuance, al so requires the applicant for such permit to f i le a signed statement that he is I i censed pursuant to the provisions of the Contractor's License Law (Chapter 9, corrmencing 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 s!.bjects the applicant to a civil penalty of not more than five hundred dollars [$500] ). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ()tjLY: Is the applicant or future building occupant required to sub:nit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Substance Account Act? □YES □No Is the applicant or future building occupant reqJired to obtain a permit from the air pollution control district or air quality management district? □YES 0NO Is the facit ity to be constructed within 1,000 feet of the outer boundary of a school site? □YES D•o IF ANY OF THE ANSWERS ARE TES, A FINAL CUTIFICATE OF OCCl.PANCY NAT NOT BE ISSUEO AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF ENERGENCT SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction tending agency for the performance of the work tor which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE J certify that I have read the application and state that the above information 1s correct. I agree to cooply 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 SAYE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll>QIENTS, COSTS ANO EXPENSfS WHICH NAY IN ANY WAT ACCRUE AGAINST SAID CITT IN CONSfQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issue'd by the Building Official under the provisions of this Code shatl expire 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 coomenced tor a period of 180 days (Section 303Cd) Uniform Building Code). OWHER OcoNTRACTOR 0BY PHONE WHITE: File YELLOW: Applicant PINK: Finance APPROVED BY; DATE: PERMIT# CB911312 DESCRIPTION: ELEC LORY AND TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 10/29/91 KITCHEN INSPECTOR AREA PK PLANCK# CB911312 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2340 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: STR:** FL:**** PHONE: 619 431-2800 STE: 120 OWNER: REMARKS: MH/RICHARD/434-1494 SPECIAL INSTRUCT: TOTAL TIME: CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical PHONE: l PHONE: / INSPECTOR~'"------------ ACT COMMENTS ff--- ------------------ ------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 102891 Final Electrical NR PK 102891 Final Plumbing NR PK 100891 Rough Electric AP PK 100891 Rough/Topout AP PK 093091 Underground/Under Floor AP PK