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Home My WebLink About2342 HOSP WAY; 223; CB910456; Permit_____ .. _.._...,iiiiiiii'iiiiiliiiiiil __ ._ ___________________ --------~ ' .. 03/14/91 15:49 Page 1 of 1 B U I L D I N G Job Address: 2342 HOSP WY Permit Type: MISCELLAt'""'"''""" Parcel No: 167-250-42-vq Valuation: P E R M I T Str: * * Permit Project Development Fl: **** Ste-: No: CB910456 No: A91005"-1 No: 223 1386 03/14/91 0001 0 1T Construction Type: NEW Occupancy Group: Class Code: L ~ • JED 03/14/91 01/14/91. DC Description: PLUMBING/HEATING LOY/KITCHEN App.Lled: Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT #200 CARLSBAD, CA 92008 *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS TO 619 (\ Apr/Issue: Validated By: 431-2800 t .00 .00 30.00 *** Ext fee Data ~----------------- 30. 00 PLMB/ELI 30.00 I F~~AL APPROVAL ✓ INSP. ~/ DATE .,,, 1(1 CLEARANCE ~.IL. CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 --·~-,_.,. __ ~--PERMIT APPLICATION 11\ V City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN ct:: DEPOSIT, ___________ _ VALID. BY, ______________ _ 1. PERMIT TYPE DATE _______________ _ A B C COMMERCIAL 0 H,IOUSTRIAL □RESIDENTIAL □APARTMENT □DUPLE)( □DEMOLITION □MECHANICAL □POOL TENANT IMPROVEMENT □TENANT IMPROVEMENT □CONDO □SINGLE FAMILY DIJELLING □ADDITION/ALTERATION □RELOCATION OM081LE HOME □ELECTRICAL □PLUMBING □SPA □RETAINING WALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. F Address 2342 Hosp way, Carlsbad 223 Nearest Cross Streets El Camino Real LEGAL DESCRIPTION Lot No. Sutxli v1 s ion Narne/Nunber Unit No. Phase No. CHECX BELO., If SUBMITTED: 3. 4. 5. 6. 7. 8. Q2 Energy Cales Q2 Structural Cales 02 Soits Report 0 t Addressed Envelope ASSESSOR'S PARCEL El<ISTING USE PROPOSED USE Plumbing and Electrical for laundry and kitchens. BLOG. SQ. FlG. CONTACT PERSON NAME Keith Smith CITY Carlsbad SIGNATURE APPLICANT NAME New Dei sgn CITY Carlsbad PROPERTY OWNER Ul'o,rn,i:r.o, Rdlllocte.1ing & NAME Hosp Way Limited # OF STORIES STATE CA n AGENT FOR Const. STATE CA OWNER ADDREss592a Pascal Court, Suite 200 ZIP coo,92008 DAY TELEPHONE (619) 431-2800 CONTRACTOR O OWNER ADDREss5928 Pascal ZIP C~2008 0 AGD/T FOR OIJNER Court, Suite 200 DAY TELEPHONE ( 619) 431-2800 □LESSEE Westwood Blvd., qTENANT Suite 300 CITY Los Angeles STATE CA ADDRESS 1990 zip cooE90025 DAY TELEPHONE ( 213) 474-1720 CONTRACTOR NAME New Design Remodeling & Const. ADDREs~928 Pascal ZIP c~2008 Court, Suite 200 c1TY Carlsbad STATE CA DAY TELEPHONE { 619) 431-2800 CITY STATE LICENSE CLASS -~8~--- T ! TLE ADDRESS ZIP CODE CITY BUSINESS LIC. # 04~3~7~9~5~4~---- DATE DAV TELEPHONE STATE LJC. # WORKERS' COMPENSATION Workers' Compensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of workers• Compensation Insurance by an adnitted insurer, or an e1rnct copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). 73WC008402-00019 INSURANCE COMPANY Nationwide Insurance POLICY NO. EXPIRATION DATE 6/28/91 Certificate of E1temption: 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 Callfornia. 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: DI as owner of the property or my eirployees 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 irrproves thereon,, and who does such work himself or through his own eirployees, 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 i,rprove for the purpose of sale.). DI, as owner of the property, am e1tclusively 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,rproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License law). 0 I am e1tempt 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, irrprove, 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 e1tempt therefrom, and the basis for the alleged e1temption. 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 [S500J). SIGNATURE DATE COMPLETE THIS SECTION FOR '-'ON·RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to sutxnit 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? QYES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? QYES QNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Ores □,o IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCWPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REWIRENENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTJCII 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 3097Ci) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE [ certify that! 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 HARfl!LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlllQICENTS, COSTS ANO EXPENSES MHICH MAY IN ANY MAY ACCRUE AGAINST SAID CITY IN CONSECIUENCE 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 1oork authorized by such permit is not conmenced within 180 days from the date of such permit or if the building or ..,ork authorized by such permit is suspended or abandoned at any time after the work is conmenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE D OWNER 'fJ CONTRACTOR D EH PHONE APPROVED BY: _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance DING ON DATE INSPECTOR _...;$.===-::aa.s:::~=;;.;;.._-- PLAN CHECK# _____ _ PERMIT# ----- JOB ADDRESS ____ c:2_~...k-.;;.:.2 _ _.::;_/..:..k;;;.;j;,.tZ::....::.4./,::..ry~-.:..#c~('-'e?:~2~----- DESCRIPTION _____________________ _ TIME ARRIVE: ____ _ TIME ____ _ CODE DESCRIPTION ACT COMMENTS A