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HomeMy WebLinkAbout2342 HOSP WAY; 321; CB911636; PermitB L' I I. [1 I N G F t. R M 1 T P€'t'ffllt Nu: (~,½ 4 J rr1.•1ec-t No: L',OS/91 12:lJ Paqe 1 of 1 Jol, A,kiress: 2342 H'JSP WY ~ermit ~ypc: M!&CELI DPvelnrmoont-\!n: Pctrc-o,. N(': 1b7-25u-4 ),4'.}.'1 Valuation: ton::. tru(~t ion Type: NEW Uccupdr,<:y t,.roup: c.:..,s.:; Cude: D~scriptiot: PLUMB/ELEC FOR ~AUNDRY/KTTCH~N St1 : A le Fl: 5499 12/05/91 0001 01 C-PRHT 30-00 Appl/Uwnr : NEW DESIGN REMC,DELIN 5928 PA&CAL CT #200 f'ARLSBA~>, CA 92COH Statu.;: S::.E:.,J Ap[) ;_ i ed : 1 l c, Apr/:::;,SUP: 42./ ii:,/ i Validdted By: r C 619 4.:!1-280l F€'e•.:; Required -----~-------------- Fees: AdJustments: ' ">tc1l I: ee::;: F'<:-0 descr1.pt1on :30. *** 1 CtE"'cl & C'n•di t" ------~------------ 'o d1 red l s: wtal Paymen ~- Balanc bu Jnit~ 1--e tJh t • d C .uo 30.0d Ext fee ~11t i ------------- Miscellaneou~ f e C ---~-~----~ -----------~--~ ----------- * Mr SCELLANE:;O' IS '.'UTA.., > JO.OO Jt,.00 E:LfC,~1•1: J0 • QI) CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 • PERMIT APPLICATION ~ 'ii::, PLAN CHECK NO. City of carlsbad Building Departaent 2075 Las Paloma De •• C&dsbed, CA 92009 (619) 438-1161 EST.VAL,__ _________ _ PLAN CK DEPOSIT _______ _ VAIID. BY __________ _ I. PEkM1 I IYPE DAT!! A -U COmmerc1al U New Bu1ldmg LI I en ant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential □ Apartment D Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PRQJECT INFORMATION FOR OFFICE USE ONLY Address 2342 Hosp Way, Carlsbad BuUdmg or Suite No. Nearest Cross Street El Camino Real 321 LEGAL DESCRIJfl ION Lot No. Su&I1vis1on Name/Number Omt No. Phase No. CHECK BEIDW IF SOBMI 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROPQSED USE DESCRIPTION OF WORK Plumbing and Electrical for Laundry and Kitchens. SQ. FT. # OF STORIES 3. WN IACI PEJtSON (ff dnfereni from apphcanO NAME Richard Whitney ADDRESS 5928 Pascal Court, Ste. 200 CI1Y Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 4. APPUCANI □WNIMCIOR UAGENI FORWNJMCIOR uuwNtK UAGENI FOR OWNER NAME New Design Remodeling ADDRESS 5928 Pascal court, Ste. 200 CllY Carlsbad STATE CA ZIPCODE 92008 DAYTELEPHONE (619)431-2800 NAME CllY Hosp WAy Limited Los Angeles STATE CA ADDRESS 1990 Westwood Blvd., Ste 300 ZIPCODE 90025 DAYTELEPHONE (213)474-1720 NAME CllY New Design Remodeling Carlsbad STATE CA ADDRESS ZIP CODE 5928 Pascal Court, Ste. 200 92008 DAYTELEPHONE (619)431-2800 STATE UC.# 545075 LICENSE CIASS CllY BUSINESS UC.# 437954 CllY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. womams· WMPENSXIION Workers' Compensation Declaration: I hereby affirm that I have a cert1hcate of consent to self.insure 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 POLICY N0_73WCoo8402-~ilJnoN DAT!! 6/28/92 Certthcafe of £xempt10n: I certify that m the performance of the work for which this pernut 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. OWNEk-H0nnmt DP.l!OOtAliON 6wner-Bu1ider Declarat1on: I hereby affirm that I am exempt from the Contracto?s License Law for the foilowmg reason: D I, as owner of the property or my employees with wage.s 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 chat 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 chat 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 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 Code 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 chat 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 [$5001). SIGNATURE DAT!! COMPLf!I.E IHIS Sf:cllON FOR NON-R.ESIDEN IIAt BUILDING PERMII'S 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 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 □NO IF ANY OF nm ANSWERS ARE YES, A FINALCERlmCATE OFCXIlJPANCY MAYN<rr Bl!~ AFrERJULY 1, 198911NIJlSS nmAPPIJCANT HAS MET OR IS Ml!lmNG nm REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND nm AIR POil.lTTION CDNTROI. DISllllCT. 9. WNSIR0CIION LENDING AGENCY I hereby affirm that there 1s a construcnon lend mg agency ior the performance of the work for wfuch this permlC 1s issued (Sec 309/ llJ Civd Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllCAN I t!EkliFICAliuN I certify that I have read the apphcat1on and state that the abOve mformauon 1s correct. I agree to comply wnh 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 AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS nm QTY OF CARISBAD AGAINST AIL IJAIIIIJTIES, JUDGMENTS, CDSTS AND EXPENSES WIIlCII MAY IN ANY WAY ACDUJE AGAINST SAID CTIY IN CDNSEQIIENCE OF nm GRANTING OF 111IS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 storie.s 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 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). APPLICANrs SIGNATURE DATE: / 2 -5 -'i I PINK: Finance PERMIT# CB911636 DESCRIPTION: PLUMB/ELEC FOR TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 04/13/92 LAUNDRY/KITCHEN PHONE: INSPECTOR AREA PK PLANCK# CB911636 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 321 619 431-2800 JOB ADDRESS: 2342 HOSP WY APPLICANT: NEW DESIGN REMODELIN CONTRACTOR: OWNER: PHONE: PHONE: n REMARKS: RS/GENE/434-1494 SPECIAL INSTRUCT: TOTAL TIME: INSPECTOR -~tk--'----''---------- CD LVL DESCRIPTION ACT COMMENTS 29 39 PL Final Plumbing EL Final Electrical {JL_ ftrg~o _\~1>etr~ ------------------------------------------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 011792 Final Electrical NR PK DRYER VENT 011792 Final Plumbing NR PK NO TOILET 120691 Rough/Topout AP PK 120691 Rough Electric AP PK CB901648