The URL can be used to link to this page

Home My WebLink About2342 HOSP WAY; 221; CB920342; PermitPERMIT APPLICATION ~ V PLAN CHECK NO. City of carlsbed Building Departaent 2075 Las Pal..,. Or., Carlsbad, CA 92009 (619) 438-1161 PIAN CK DEPOSIT _______ _ I HST. VAL VAIID. BY __________ _ I. PF.kMi i IYPR A -Li COmmerc1al Li New Bu1ldmg Li I en ant Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Mechanical □ Pool □ Relocation □ Mobile Home □ Electrical D Plumbing D Spa D Retaining Wall □ Solar □ Other DATE 2. PRWECT INFORMATION FOR OFFICE USE ONLY Address BuUdmg or Suite No. 221 2342 Hosp Nearest Cross Stree Way ll:GAL DESCRIP'i ION SufxhVIsmn Name/Number 0mt No. Phase No. CHECK BEWW IF SOBMI 11 ill: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PBOPOSED USE DESCRIPTION OF WORK Plumbing and Electrical for Kitchens. SQ. FT. # OF STIJRIES 3. WN IACI PFJtSON (tf dlHerenf from applicant) NAME Richard Whitney ADDRESS 5928 Pascal Court, Suite 200 CITY carlsbad STATECA ZIP CODJ92008 DAY TELEPHONE ( 619 I 431-2800 4. APPIJCANI UWNIRACIOR □AGENI FORWNIRACIOR uuwNtK UAGENI FUR OWNER NAME • ADDRESS t S • t 200 New Design Remodeling & Const. 5928 Pascal Cour, ui e CITYfiiRfJ.. STATE CA ZIP CODE 92008 DAYTELEPHONE (619)431-2800 5. J'KU NAME Hosp Way limited ADDRESS1990 Westwood Blvd., Suite 300 CI1Y tM!R paeies 6. WNIU NAME STATE CA ZIP CODE 90025 DAY TELEPHONE (310)474-1720 ADDRESS New Design Cl1Y carlsbad Remodeling & Const. 5928 Pascal court, suite 200 STATE CA ZIPCODE 92008 DAYTELEPHONE (619)431-2800 STATE UC.# 545075 LICENSE CLASS B CI1Y BUSINESS UC. #437954 CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WukkRRS' WMPF!NSXIION Workers1 Compensation Declaration: I hereby afhrm that I have a ceruftcate of consent to seli-msure t~ued by the b1rectorof lndustnal Relations, or a cenificate of Workers• Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified by the Director of the insurer thereof filed with the Building Inspection Depanment (Section 3800, Lab. C). INSURANCE COMPANY Truck Exchange POLICY No.N20077301 EXPIRATION DATE 4-20-92 Ceruhcate of Exemption: I cerufy that m the performance of the work for which this permit 1s 1~ued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATIJRE DATE 8. OWNmt-BOIIDRll OFi!LARAliON bwner-Bu1ider Declarauon: I hereby afhrm that I am exempt from the Contracto?s Llcense Law for the following 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 Ccxle: 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 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 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 Llcense Law). □ I am exempt under Section ________ Business and Professions Ccxle for this reason: (Sec. 7031.5 Business and Professions Ccxle: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its i~uance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Llcense 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 [$5001). SIGNATIJRE DATE CUMPLEIE !HIS SECIIUN FUR NUN-RESIDENIIAL BDIIDING PERMll'§UNLY: Is the applicant or future building occupant required to submit a busineM 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 □ 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 /IN'i OF nm ANSWERS ARE YF.S, /\ FINAL CERTIFICATE OF oa:IJPANCY MAY Nill BE IS.5Ul!D AFTl!R JULY 1. 1989 IJNIJlSS THE APPLICANT HAS MET OR IS MElmNG THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POU.UTION CJON11IOL DISllUCT. 9. UJNSIRUCIION mNDING xcmcv I hereby afhrm that there 1s a construction lend mg agency for the performance of the work for which this permit 1s IMUed (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS lo. APPllCAN 1 CtklOICAilUN I cerufy that I have read the apphcatton 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 ALSO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS THE Cl"IY OF CARlSBAD AGAINST AU. IJ/\BIU11ES, JllllGMENTS, CDSTS AND EXPENSES WIDCH MAY IN /IN'i WAY NDUJE AGAINST SAID Cl"IY IN CJONSEQUENCE OF THE GRANTING OF 11DS 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 permit i~ued 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) Unifonn Building Code). APPLICANTS SIGNATIJRE DATE: _____ _ WIBTE: File YELl.OW: Applicant PINK: Fmance ' ,,/_ llll<MOULllP INOfECTIOII ~ DATE __ ~-;~r::?1--~---=z__=---INSPECTOR_~~~--------- PERMIT #...,....______ PLANCK# _____ _ JOB ADDRESSi __ _.;2~3~~~~..,,t.-~tfx~• iS,?~42-_.:-iE?~'LI _____ _ TIME ARRIVE: _____ TIME LEAVE: _____ _ CO LVL PERMITS 6/15/89 DESCRIPTION ,c;,,,.,,. ,o,c., ACT COMMENTS #--