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HomeMy WebLinkAbout2344 HOSP WAY; 228; CB910734; PermitB U I L D I N G P E R M I T Permit Project Development No: CB910734 No: A9100880 t\io: 05/il2/91 16:29 Page 1 of 1 Job Address: 2344 HOSP WY Permit Type: MISCELLA~ JS Parcel No: 167-250-4; a ➔ Valuation: Construction Type: NEW Occupancy Group: Class Code: Description: ELEC/PLMG FOR LDRY AND KITCH Appl/Ownr : HOSP WAY 1990 WESTWOOD COURT #300 LOS ANGELES, CA 900~ CONTRACTOR *** CARLSBAD, • Fees Required Fees: Adjustments: .., Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS TO Str: * * Fl: *** :s>: 2 Ltl 213 02 o. Applied: Apr/Issue: Validated By: 474-1720 ISSUED 05/02/91 05/02/91 DC 437954 619-431-2800 ,00 .00 30.00 *** Ext fee Data 30. 00 PLBG/ELI 30.00 IN L APPROVAL INSP.__,..... ____ DATE i~5 )f ~ CLEARANCE 12,c a'-i:um CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad CA 92009 (619) 438-1161 ~ERMIT APPLICATION • City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . • PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE . . DATE _______________ _ A -0 COMMERCIAL TENANT IMPROVEMENT B O INDUSTRIAL ONE\J □TENANT IMPROVEMENT C 0RESIOENTIAL □APARTMENT □CONDO □SINGLE FAMILY DIJELL!NG 0ADOITION/ALTERATION □DUPLEX □DEMOLITION □MECHANICAL □POOL □RELOCATION 0HOB1LE HOME □ELECTRICAL □PLUMBING □SPA QRETAIN!NG IJALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. F Address Bui ldi 2344 Hosp way Nearest Cross Streets El Camino REal LEGAL DESCRIPTION Lot No. sutx:1iv1sion Name/NU'l'ber Unit No. Phase No. CHECK 8ELC~ If SUBNITTEO: Q2 Energy Cales 02 Structural Cales Q2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE Plumbing and Electrical for laundry and kitchens. BLOG. SQ. FTG. # OF STORIES 3. CONTACT PERSON 4. NAME Cl TY Keith Smith Carlsbad SIGNATURE APPLICANT STATE CA ADDREss 5928 Pascal ZIP COOE 92008 Court, Suite 200 DAY TELEPHONE (619) 431-2800 NAME New Deisgn □CONTRACTOR □ AGENT FOR CONTRACTOR OmmER □AGENT FOR OWNER Remodeling & Const. ADDREss 5928 Pascal Court, Suite 200 CITY Carlsbad STATE CA ZIP cooe92008 DAY TELEPHONE (619) 431-2800 5. PROPERTY OWNER OWNER QLESSEE QTENANT NAME Hosp way Limited cnY Los Angeles STATE CA ADDRESS ZIP COOE 1990 Westwood Blvd., Suite 300 90025 DAY TELEPHONE ( 213) 4 74-1 720 6. CONTRACTOR 7. 8. NAME New Design Remodeling & Const, ADDRESS 5928 Pascal Court, Suite 200 CITY Carlsbad STATE CA Z!P C00f92QQ8 DAY TELEPHONE (619) 431-2800 STATE LIC. # 545075 LICENSE CLASS CI TY BUS I NESS LI C. # ~4"-'3L7~9=5~d..._ ___ _ SIGNATURE TITLE DATE DESIGNER NAME ADDRESS CITY STATE ZIP COOE DAY TELEPHQt,IE STATE LIC. # WORKERS' COMPENSATION Workers' COf11>E!nSat1on 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' C~nsation Insurance by an actnitted 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 PoL1Zv3Jg~OOS402 -00019 EXPIRATION DATE fi/28/9] Certificate of E1t~tion: I certify that in the performance of the work for which this permit is issued, I shall not ~Loy any person in any manner so as to become subject to the 1,,lork.ers' Coopensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: ! hereby affirm that I am e~empt from the Contractor's License Law for the following reason: 0 I as owner of the property or my e""4)loyees 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 irfl)roves thereon,, and who does such work himself or through his own employees, provided that such i""4)rovements are not intended or offered for sale. If, however, the building or improvement is sold 'oi\thin 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 o'olner of the property, am e1tclusive\y contracting .iith 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 'oiho builds or improves thereon, and contracts for such projects 'olith contractor(s) licensed pursuant to the Contractor's license Law). D I am e1t~t 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, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he fs 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 DATE COMPLETE THIS SECT!~ FOR NON·RESI0ENTIAL 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 tlazardous Substance Account Act' Ons ONO Js the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' □YES 0NO Is the facility to be constructed 'olithin 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 OCOJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT MAS MET OR IS MEETING THE REQUIRBl:IITS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(il Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE l certify that I have read the application and state that the above information is correct. I agree to comply with 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JIDQ4ENTS, COSTS AND EXPENSES \lff!CH MAY IN ANY \IAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. 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 author i zed by such per mi t is not cQ(llllenced within 180 days from the date of such permit or if the bu i l ding or work author i zed by such permit is susper,ded or abandoned at any time after the work is cormienced for a period of 180 days (Section 303(d) Uniform Building Code). APPL I CANT I S SI GNAT URE □BY PHONE APPROVED BY; _______ _ DATE: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910734 FOR 06/25/91 DESCRIPTION: ELEC/PLMG FOR LDRY AND KITCH TYPE: MISC JOB ADDRESS: 2344 HOSP WY APPLICANT: HOSP WAY CONTRACTOR: NEW DESIGN REMODELING OWNER: REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: 228 TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB910734 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 228 213 47 -1720 619-43 -800 CD LVL DESCRIPTION ACT COMMENTS 24 PL Rough/Topout ~ _____________ _ 34 EL Rough Electric l tf1_ -_.LG~~=""'---------M'------------ ------------------------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 051691 Rough/Topout AP PK 051691 Rough Electric AP PK 051491 Rough/Topout NR PK REPAIR SHEARWALL 051491 Rough Electric NR PK SECURE ELEC