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