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Home My WebLink About2342 HOSP WAY; 121; CB911105; Permit07/31/91 15:46 Page 1 of 1 B U I L D I N G Job Address: 2342 HOSP WY Permit Type: MISCELLA~ 1 Paree: No: 167-250-42-6 Vdluation: Construction Type: NEW P E R M I T Pei.111.11. No: .._.....,.., .. 1105 Project No: A91013'l~ Development No: Str: J<.f<. Fl:**** Ste: 121 3766 07/31/91 0001 01 02 C-PRMT 30-00 Occupancy Group: Class Code: Status: ISSUED Applied: 07/31/q1 Apr/Issue: 07/31/91 Validated By: DC 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 -r-- ----..... ~--- ) 619 431-2800 .co .co 30.00 *** Ext fee !:>ata 30.00 PLBG/ELE 30.00 APPROVAL INSP.-'-__ DATE lo ._;Jj,f 1 CLEARANCE .wd"' (fff I CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. q I' I /0 s City of carlsbad Building Departaent 2075 Las PallllllS Os., Caelsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT, _______ _ I EST. VAL VAUD. BY __________ _ I. PFJtMi I I YPH DATE A • U COmmerc1al LI New Buildmg U I enant Improvement B • □ Industrial □ New Building D Tenant Improvement C • □ Residential □ Apartment D Condo U Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other 2. PROJl!CT INFORMATION FOR OFFICE USE ONLY Address BuiJdmg or Suite No. 2342 Hosp WAy, CArlsbad 121 Nearest Cross Street El Camino Real LEGAL DESCklM ION lot No. SufXhVIston Name/Number Omt No. Phase No. CHECK BEWW IF SOBMI 11 ill: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Add~ Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and Kitchens. SQ. Ff. # OF STORIES 3. WN JACI PERSON (If dnlerenl irom apphcani) NAME Keith Smith ADDRESS 5928 Pascal Court, Suite 200 CITY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ~619) 431-2800 4. APPIJCXNI UWNiRACIOk UAGENI FORCONIRACIOR DOWNER UAGENI FOROWER NAME New Design Remodeling & ADDRESS 5928 Pascal Court, Suite 200 CITY ~ar 1 shad STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-?BQQ 5. PROPFJU OWNF.k NAME Hosp WAy Limited ADDRESS 1990 Westwood Boulevard, Suite 300 CITY Los Angeles STATE CA ZIP CODE 90025 DAY TELEPHONE ( 213) 474-1720 NAME New Design Remodeling ADDRESS 5928 Pascal Court, Suite 200 CITY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800 STATE LIC. # 545Q75 LICENSE CLASS CI1Y BUSINESS IJC. # 4 3 7 9 5 4 CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WOR.kERS WMPENSA:IIUN Workers' Compensation Declarat1on: I hereby affirm that I have a certificate of consent to self-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 POLI~008402 -0001ilxP1RATION DATE SIGNATURE DATE 8. oWNkk-BOIWkk Dfi!LARAJlUN OWner-Huilder Deciarauon: I hereby afhnn that I am exempt from the Contracto?s Llcense Law for the followmg reason: D 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 Llcense 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 Code: The Contractor's Llcense 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLE'IE IRIS SECI ION FOR NON-RESIDEN 1 IAL BUILDING PERMI IS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley*Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a pennit 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 □NO IF ANY OF TI!E ANSWERS ARI! YES, A FINAL CERTIFICATE OF OCDJPANCY MAV Naf Bl! ISSUED AFTER JULY 1, 1989 UNIJlSS TilE APPUCANT HAS MET OR JS MEIITING TIIE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TilE AIR POILITl10N aJNTII.OL DJSfRICT. 9. WNS'lk0CIIUN 1£NOING AGENCY I hereby afhnn that there 1s a construction lend mg agency for the performance of lfie work for which this pennlt 1s issued (Sec 309/ OJ C1VJI Code). LENDER'S NAME LENDER'S ADDRESS JO. APPUCANI Ct:RIMCAIION I certify that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply wlUi ail City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of C-arlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP IIARMIJlSS TilE crIY OF CARISBAD AGAINST ALL IJABILITIES, JUDGMENTS, CDSTS AND EXPENSF.S WHICH MAY IN ANY WAY NDUJE AGAINST SAID crIY IN aJNSEQlIENCE OF TIIE GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit 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 pennit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLICANT'S SIGNATURE DATE: _____ _ WHITE: File YEU.OW: Applicant PINK: Finance , CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911105 FOR 10/29/91 DESCRIPTION: PLMB/ELEC FOR LORY AND KITCHEN TYPE: MISC INSPECTOR AREA f /c... PLANCK# CB911105 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2342 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: STR:** FL:**** STE: 121 PHONE: 619 431-2800 OWNER: REMARKS: MH/RICHARD/434-1494 SPECIAL INSTRUCT: TOTAL TIME: CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical ------------------ ------------------ ------------------ PHONE: ~ PHONE: INSPECTOR-~'---------- ACT COMMENTS ~ J)a ~ ~ 1u ,.13puh,.-s ,;J {1L,(frzl) ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS