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Home My WebLink About2344 HOSP WAY; 225; CB910457; PermitB U I L D I N G P E R M I T Permit Project Development No: CB910457 No: A9100552 \ : 03/14/91 15:38 Page 1 of 1 Job Address: 2344 HOSP WY Permit Type : MISCELLANE s Parcel No: 167-250-42-~.21 Valuation : O Construction Type: NEW Occupancy Group: Class Code : Description: PLMB/ELEC FOR LORY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT 3200 CARLSBAD, CA 92008 *** Fees Required Fees : Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T *** Str: 619 - Fl: e: :l'J 5' 1386 m, o ... T 02 :; : ISSUED Applied: Apr/Issue: Validated By: 431-2800 03/14/91 03/14/91 DC llected & Credits *** t .00 .00 30.00 Ext fee Data ~----------------- 3 0. 0 0 PLMB/ELI 30.00 PeROVAL 4 INSP. ~ATE ~ /& ~ 't CLEARANCE ~. ,v CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION l!A V City of Carlsbad Building Department ------EST. VAL. ________ -,,.-""':::_ __ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT __ -::;,...~::::.___,,,, ______ _ VALID. BT __ -,,.-"__,,,,:._ _________ _ 1. PERMIT TYPE DATE -~-""----/ __________ _ / A O COMMERCIAL TENANT IMPROVEMENT 0 INDUSTRIAL □NEW □TENANT IMPROVEMENT C □RESIDENTIAL □APARTMENT □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION QOUPLEX QOEMOLITION □MECHANICAL □POOL □RELOCATION OH0BILE HOME □ELECTRICAL □SPA □RETAINING WALL □SOLAR □PLUMBING 2. PROJECT INFORMATION PLAN CHECK No. F Address 2344 Hosp Way, Carlsbad 225 Nearest Cross Streets El LEGAL DESCRIPTION Lot No. Unit No. Phase No. CHECK BELCM IF SUBMITTED: Q2 Energy Cales 02 Structural Cales 02 Soi ts Report D 1 Addressed Envelope EXISTING USE Plumbing and Electrical for laundry and kitchens. BLOG. SQ .. fTG. # OF STORIES PROPOSED USE 3. CONTACT PERSON NAME Keith Smith c1TY Carlsbad STATE CA ADDREs55928 Pascal Court, Suite 200 ZIP coo,92008 DAY TELEPHONE ( 619) 431-2800 4. 5. 6. SIGNATURE APPLICANT NAME New Dei sgn ~ONTRACTOR O AGENT FOR Re'illodeling & Const. Cl TY Carlsbad STATE CA PROPERTY OWNER OWNER NAME Hosp Way Limited Cl TY Los Angeles CONTRACTOR NAME CITY CITY New Design Carlsbad STATE CA Remodeling & Const. STATE CA STATE CONTRACTOR O OWNER AODREs!f5928 Pascal ZIP c~2008 □ AGENT fOR mmER Court, Suite 200 DAY TELEPHONE ( 619) 431-2800 ADDRESS 1990 ZIP cooE9OO25 □LESSEE Westwood Blvd., □TENANT Suite 300 ADOREs5928 Pascal ZIP COOJ2008 LICENSE TITLE ADDRESS ZIP COOE DAY TElEPHONE (213) 474-1720 Court, Suite 200 DAY TELEPHONE (619} 431-2800 CITY BUSINESS LIC. # s4~3~7'-"9~5i4~----- DATE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION Workers• Coo-pensation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of industrial Relations, or a certificate of Workers• Coo-pensatiOf"I Insurance by an achitted insurer, or an e,;act copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). 8. 73WC008402-00019 INSURANCE COMPANYNationwide Insurance POLICY NO. E)(PIRATI0N DATE 6/28/91 Certificate of E11emption: I certify that in the performance of the work for whicn this permit is issued, I shall not employ any perSOf"I in any manner so as to become subject to the Workers' Coo-pensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION 0wner·Builder Declaration: I hereby affirm that I am e11empt from the Contractor's License Law for the following reason: 0 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 1o1ill have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am e11clusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The COf"ltractor's License Law does not apply to an owner of property who bui Ids or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 J am e,;empt 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, ifll)rove, 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 (Crlapter 9, comnencing with section 7000 of Division 3 of the Business and Professions Code) or that he is e11empt therefrom, and the basis for the alleged e11emption. 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 DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit 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? Ores □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 ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' □YES 0,0 If ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCClJPAHCY MAY NOT BE ISSUED AFTER JULT 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENaING AGENCY hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENO ER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. J agree to comply 1o1ith 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. ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST All LIABILITIES, JOOGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COMSEQUENCE OF THE GRANTING OF THIS PERMIT. E11piration. Every permit issued by the Building Official under the provisions of this Code shall e11pire by limitation and become null and void if the building or work authorized by such permit IS not conmenced within 180 days from the date of such permit or if the building or 1o1ork authorized by such permit is susperided or abandoned at any time after the work is coornenced for a period of 180 days (Section 3D3(d) Uniform Building Code). APPLICANT'S SIGNATURE □ Ol.'NER ,CONTRACTOR Dev PHONE APPROVED BY; _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED INSPECTION 11 DATE_...;;::s--::::___.._,_/i_0_-_;1'--'-/__ INSPECTOR /-~ PERMIT# ______ _ PLANCK# _____ _ TIME ARRIVE : _____ TIME LEAVE: _____ _ CD LVL DESCRIPTION ACT COMMENTS Mc.:Jt. ,ul"':;J -,,-11, ..?.310 -/S 7 /lP /lo 11 1.. d~c.. -~33 --1 -~~ >l'<fJ - .;,a 3'--t/<-_ <t/-73~ A p ,~,,f-~ ;-}DD fie :::,5 U,f)z_ cp -7 33 .;;i 3 /() ~=--P 1<;7 ~~ ,;J3:3<f r1~P 310 ~<f 31 I 3"( ,;; 33 <.,, A I / I (., $ 'I I --y2,o ,3<-f "1 l -7 3c./ :;a#II I( .,?,,PS ,;;cl 3e{ q I -"5"S c?':¥10 ., 317 3") ~--------, 87 91-'Y v M .,?34q ,, s~~ A-P ,<\' p AP Ap Af ,0,J