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HomeMy WebLinkAbout2342 HOSP WAY; 324; CB901503; PermitB U I L D I N G +19/14/90 15:47 P E R M I T Permit No: CB901503 Project No: A9001678 Development No: Page 1 of 1 Job Address: 2342 HOSP WY Permit Type: MISCELLANEOUS Parcel No : 167-250-42-3& Valuation: 0 Construction Type: NEW Occupancy Group: Class Description: PLUMBING & ELECTRICA~/'OR : AND KITCHENS ~~~ HOSP WAY LIMITED Code : LDRY OWNER CONTRACTOR NEW DESIGN REMODELING 5928 PASCAL CT CARLSBAD , CA 92008 & CONS *** Fees Required *** Fees: Adjustments: Total Fees: Str : Fl: Ste: 8105 09/14/90 0001 01 02 ,. ~ ~0-C {Je li~~us: Applied: Apr/Issue: Validated By: ISSUED 09/14/90 09/15/90 DC Lie. OWNER Lie. C 437954 619-431-2800 .00 .00 FtN~ APPROVAL INSP. -L=:::::.__ DATE /0 ·31'-f. *** CLEARANCE _____ 1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION A ., City of Carlsbad Building Department EST. VAL. _____________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) <38-1161 PLAN CK DEPOSIT ___________ _ VALID. BY, ______________ _ l. PERMIT TYPE DATE ______________ _ A -COMMERCIAL 0 INDUSTRIAL TENANT IMPROVEMENT B □TENANT IMPROVEMENT C -0 RESIDENTIAL O APARTMENT □DUPLEX QOEMOLITION □MECHANICAL □POOL .g]CONDO □SINGLE FAMILY OIJELLING K]ADOITION/ALTERATION □RELOCATION □MOBILE HQ,IE litlELECTRICAL !ilPLUMBING □SPA □RETAINING WALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK Address 2342 Hosp Way; Car1sbad, CA Nearest cross Streets E1 Candno Real LEGAL DESCRIPTION Lot No, Subdivision Name/Nl.ffl>er CKEDC BELCII IF SUBMITTED: 3. 4. 5. 6. qz Energy Cales 02 Structural Cales 02 Soils Report D 1 Addressed Envelope E)(JSTING USE PROPOSED USE Install Plumbing & electrical for Laundry hook-ups for units. BLDG. SQ. FTG. CONTACT PERSON ""' Keith Smith carlsbad CITY SIGNATURE APPLICANT NAME 29 CONTRACTOR & # OF STORIES STATE CA ADDRESS ZIP CODE 0 AGENT FOR CONTRACTOR Constructi°~~ss 5928 Pascal Court; Suite 200 (619) 431-2800 92008 DAY TELEPHONE 00\.INER □AGENT FOR OWNER 5928 Pascal New Design Remodeling Court; Suire 2yo CITY carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE 619 431-2800 PROPERTY OWNER O\.INER □LESSEE □TENANT NAME Hosp Way Limited ADDRESS 1990 Westwood Blvd., Suite 300 CITY Los Angeles STATE CA ZIP COOE 92025 DAY TELEPHONE ( 213) 474-1720 CONTRACTOR NAME New Design Remodeling & Constructi!ffl" 5928 Pascal Court; Suite 200 CITY carlsbad SIGNATURE DESIGNER NAME CITY STATE CA STATE LIC. # 545075 STATE ZIPCOOE92008 LICENSE CLASS Tl TLE ADDRESS ZIP COOE B DAY TELEPHONE ( 619) 431-2800 CITY BUSINESS LIC. # ] ] ]6QQQ DATE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers• Compensation Declaration: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' COll'pensat; on Insurance by an actnit ted insurer, or an exact copy or clupl i cate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab, C). 8. 73 we;· INSURANCE COMPANY Nationwide Mutua1 POLICY NO. 008402 0001 EXPIRATION DATE 6-28-91 Certificate of El!:emption: I certify that in the performance of the work for which this permit is issued, I shall not employ 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 ellempt from the contractor's License Law for the following reason: DI 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.). 0 I, as owner of the property, am ellclusively 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). 0 I am ex~t under Section ___________ Business and Professions Code for this reason: (Sec. 7031.5 Business and ProfessiOfls 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, conmencing 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 COMPLETE 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? □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 □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □,o If ANT Of TIIE ANSWERS ARE TES, A FINAL CERTIFICATE Of OCOJPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQIJIRBENTS OF THE OfflCE Of EMERGENCY SERVICES ME 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(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. [ 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 A1r1> KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jll>ll4ENTS, COSTS All) EXPENSES VIIICH MAY IN ANY MAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERHIT- Ellpiration. Every permit issued by the !Juilding 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 conroenced for a period of 180 days (Section 303(d) Uniform Building Code). DOWNER Iii CONTRACTOR OBY PHONE WHITE: File YELLOW: Applicant PINK: Finance APPROV£D BY; DATE: ~r CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB901503 FOR 10/30/90 DESCRIPTION: PLUMBING & ELECTRICAL FOR LORY AND KITCHENS UNIT #324 TYPE: MISC JOB ADDRESS: 2342 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: NEW DESIGN REMODELING & CONS OWNER: HOSP WAY LIMITED PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB901503 OCC GRP CONSTR. TYPE NEW ST~ FL: STE: 619 431 2800 619-431-800 REMARKS: T2/RS/KEITH/431-2800 SPECIAL INSTRUCT: Ta' INSPECTOR ~ ---+-v----------- BA TOTAL TIME: CD LVL DESCRIPTION 29 PL Final Plumbing 39 EL Final Electrical DATE 092890 092890 DESCRIPTION Rough Electric Rough/Topout ACT COMMENTS ***** INSPECTION HISTORY***** ACT INSP AP PK AP PK COMMENTS