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Home My WebLink About2342 HOSP WAY; 122; CB911103; Permitck .2, <t~ B U I L D I N G P E R M [ T P~rn 3 Project No: A910137J Development No: 07/31/9~ 15:40 Page 1 of 1 Job Address: 2342 HOSP WY Permit Type: MISCELLANEOUS Parcel No: 167-250-42-06 Valuation: 0 Construction Type: NEW Str: .,,, * Fl: **** Ste: 12 > Occupancy Group: Class Code: Description: PLMB/ELEC FOR LORY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT #200 CARLSBAD, CA 92008 *** Fees Required **~ ** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T --~--._..._..- > CITY OF CARLSBAD 619 3766 07/31/91 0001 01 02 C-PRHT 30-00 Status: Applied: Apr/Issue: ISSUED 07/31/91 07/31/91 DC Validated By: 431-2800 lected & Credits t .00 .oo 30.00 Ext fee Data 30. 00 PLBG/ELE 30.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departlllellt 2075 Las PallllllS Dr., Carlsbad, CA 92009 (619) 438-1161 FSf.VAL. ___________ _ PLAN CK DEPOSIT ________ _ VAIJD.BY, __________ _ i. PRilMII hPR DATI! A-UCOmmerc1al □New Buildmg U tenant Improvement B -D Industrial U New Building D Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex U Demolition □ Relocation U Mobile Home □ Electrical □ Plumbing □ Mechanical D Pool □ Spa □ Retaining Wall □ Solar U Other 2. PROJF.C'f INFORMATION FOR OFFICE USE ONLY Address 2342 Hosp WAy, CArlsbad Butidmg or Suite No. 122 Nearest Cross Street El Camino Real LEGAL DEsCRJJfi loN Lot No. Subd1vts1on Name/Number Ontt No. Phase No. CHECK BEWW IF SOBMl 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOR'S PARCEi, EXISTING USE PROPOSED USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and Kitchens. SQ. FT. # OF STORIES 3. WN IACI PERSON (ff dlHerenf from applicant) NAME Keith Smith ADDRESS 5928 Pascal Court, Suite 200 Cl1Y Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 -4. APPIJCXNI UWNIRACIOK UAUtNJ l'UHUJNlHACIUK UUWNEH DAGEN I FOR OWNER NAME New Design Remodeling & ADDRESS 5928 Pascal Court, Suite 200 Cl1Y ~~, ffflR d 5. PkOPkkl NAME STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800 Hosp WAy Limited 1990 Westwood Boulevard, Suite 300 CJ1Y Los Angeles STATE ADDRESS CA ZIP CODE 90025 DAYTELEPHONE (213) 474-1720 NAME Cl1Y New Design Remodeling Carlsbad STATE CA ADDRESS ZIP CODE 5928 Pascal Court, 92008 DAY TELEPHONE Suite 200 (619) 431-2800 STATE UC.# 545075 UCENSE CLASS B Cl1Y BUSINESS UC. # 43 7954 CJ1Y SfATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WURkRRS' WMPF.NSA:IION Workers' Compensation Oedarat1on: I hereby afhrm that I have a certificate of consent to self-msure issued by the 01rectorof Industnal 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 tiled with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY Nationwide Insuranceroucl~&'.c008402-000:i&>mATION DATE 6/28/92 Cert1hcace of Exempt10n: I certify that m the performance of the work for which this permit 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. UWNl!k-BOrmmt D£ClARAliuN Owner-Builder Oeciarauon: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the foilowmg 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.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Ccxle: 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 Ccxle 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 9, 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 DATI! COMPLE'IE t'HIS SECIION FOR NON.RESIOEN IIAL BUILDING PERMIJS ONLY: Is the applicant or future building occupanc required to submit a business plan, acutely ha1.ardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley• Tanner Ha1.ardous 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? CYES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES ONO IF ANY OF 111E ANSWERS ARE YES, A FINAL CER11FICA11! OF <XDWANcY MAY NOf Bl! ISSUED AFl1!R JULY I, 1989 IINIJlSS l1IE APPIJCANT HAS M1!T OR IS MEETING l1IE REQUIREMENTS OF TIIE OFFICE OF EMERGENcY SERVICES AND l1IE AIR POil.lJ11ON <DNTROL D1SllUCT. 9. OONSIR0CIIUN IP.NUING AGENCY I hereby afhrm that iliere 1s a consrrucnon iendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CivU Code). LENDER'S NAME LENDER'S ADDRESS IO. APPIJCANI CFltliFICA:iiON I certify that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply wuh all City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Garlsbad to enter upon the above mentioned property for inspection purposes. I AI.50 AGREE TO SAVE INDEMNIFY AND KEEP IIARMIESS l1IE CTIY OF CARISBAD AGAINSf ALL LIABillT11!S, JUDGMENTS, <DSfS AND EXPENSES WIIlCII MAY IN ANY WAY MilUJE AGAINSf SAID CTIY IN <DNSF.QUENCE OF TIIE 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). APPUCANTS SIGNATURE DATE: ______ _ WHITE: File YELLOW: Applicant PINK: Finance / CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911103 FOR 09/10/91 DESCRIPTION: PLMB/ELEC FOR LDRY AND KITCHEN TYPE: MISC JOB ADDRESS: 2342 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: PHONE: PHONE: PHONE: STR:* 619 431- REMARKS: RS/RICHARD/434-1494 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: INSPECTOR AREA PK PLANCK# CB911103 OCC GRP CONSTR. CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical ~ -C-OMM--EN_T_S __________ _ DATE 080891 080891 DESCRIPTION Rough/Topout Rough Electric ***** INSPECTION HISTORY***** ACT AP AP INSP PD PD COMMENTS