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HomeMy WebLinkAbout2344 HOSP WAY; 325; CB911313; PermitB U I L D I N G P E R M I T Permit No: CB91131J Project No: ""11 "•fi7l DevP.looment No· 09/18/91 16:29 Page 1 of 1 Job Address: 2344 HOSP WY Permit Type: MISCELLAtl -. ·- Parcel No: 167-250-42-15 Valuation: Construction Type: NEW Str: ** Fl: Ste: 32 /V P :J'31..1,1 4464 09/18/91 0001 or1'---o2"-I C-PRMT 30-00 Occupancy Group: Class Code: Status: ISSUED Applied: 09/18/91 Apr/Issue: 09/18/'11 Validated By: DC Description: PLUM/ELEC LORY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL CT #200 CARLSBAD, CA 92009 *** Fees Required *** ------------------------~ Fees: Adjustments : Total Fees: Fee description Miscellaneous Fee~ ~ MISCELLANEOUS TOt 619 431-2800 .00 .00 30.00 *** Ext fee Data 30.00 KIT/LDRY 30.00 IINAL APPROVAL fNSP. IL DATE li-50 El CLEARANCE P-1 ✓ ----------· CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION ~ V City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 43s-11s1 PLAN CK DEPOSIT ___________ _ VALID. BY. ______________ _ 1. PERMIT TYPE DATE ______________ _ A COMMERCIAL TENANT IMPROVEMENT B O INDUSTRIAL D RESIDENTIAL □NEW □TENANT IMPROVEMENT □APARTMENT OcoND0 □SINGLE FAMILY DWELLING 0ADOITl()ij/AL TERAT ION □DUPLEX □DEMOLITION □MECHANICAL □POOL □RELOCATION □MOBILE HOME □ELECTRICAL □SPA □RETAINING WALL □SOLAR □PLUMBING 2. PROJECT INFORMATION PLAN CHECK No. F A cm _, i,.,c.,., r,bn Qrrlsl:a:I ;;1..?,L/ 'i -. ....,,,, •~.1 , • Nearest Cross Streets EL Ca;rri.rp lffil LEGAL DESCRIPTION lot No. Subdivision Name/Nunber un,t No. Phase No. CHECK BfLCM IF SUBNITTEO: Q2 Energy Cales 02 Structural Cales 0 2 Soi ls Repart 0 1 Addressed Envelope BLDG. SQ. fTG. 3. CONTACT PERSON NAME ful.th Snith cm Qrrlsl:a:I SIGNATURE 4. APPLICANT _ . o,cONTRACTOR NAME 1Ja.r IEs:i.gn JEnO:eW'XJ & G:rEt. c Irr Grr-J..s::ai 5. PROPERTY OWNER NAME lbp Wly Limi_te:l CITY Ics~ 6. CONTRACTOR NAME 1Ja.r D2si.gn R3:ToElinJ & Q:ret. CITY (arJ.Ehrl # OF STORIES STATE CA 0 AGENT FOR STATE CJ\ 0\./NER STATE CA. STATE CJ\. STATE LIC. # 545075 SIGNATURE DESIGNER NAME CITY 7. WORKERS' COMPENSATION STATE EXISTING USE PROPOSED USE ADDRESS 5928 Rls:al ct. , ste. 200 ZIP CODE 92()00 DAY TELEPHONE (619) 431-280() CONTRACTOR 9-□0'wNER ADDRESS 5 ~ Rls:al ~'.:' ~°:'':bl ZIP CODE 92008 DAY TELEPHONE (619) 431-2800 ADDRESS ZIP COOE ADDRESS ZIP CODE 0 LESSEE lJ.IENANT 1990 WestJ...a:d BI.i.d. , ste. JUU 'XXJ25 OAY TELEPHONE (213) 474-1720 5928 Rls:al ct. , ste. 200 92008 DAY TELEPHONE (619) 431-2800 LICENSE CLASS __ B ___ _ CITY BUSINESS LIC. # 437954 Tl TLE ADDRESS ZIP CODE DATE DAY TELEPHONE STATE LIC. # lJorkers' Corrpensat,on Declarat1on: hereby affirm that I have a certificate ot consent to self·insure issued by the Director of Industrial Relations, or a certificate of Workers' Corrpensat ion Insurance by an acini tted insurer, or an exact copy or duplicate thereof cert if i eel by the Di rector of the insurer thereof ~iled ~ith the Building Inspection Department (Section ,~()2--CXX)lg INSURANCE COMPANY ~ ln3ut:an:e POLICY NO. EXPIRATION OATE 6/28/92 Certificate of EKemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers• Con-pensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER DECLARATION Owner-Builder Oecleration: I 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 eirployees with wages as their sole corrpensation, 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 will have the burden of proving that 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). D I am exerrpt 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, iirprove, 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, conrnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exeirpt therefrom, and the basis for the alleged e><emption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars [S:500]). SIGNATURE OATE COMPLETE THIS SECTION FOR NON·RESIDENTJAL 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? QYES 0NO Is the applicant or future building occl.4)ant required to obtain a permit from the air pollution control district or air quality management district? □YES □No Is the fee i l i ty to be constructed within 1,000 feet of the outer boundary of a school site? □YES □No IF ANY Of THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCl.PANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT MAS NET OR IS NEETING TIIE REQIJIREtl:IITS OF THE OFFICE OF ENERGElfCY SERVICES All> 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(i) Civil Code). LENDER'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. 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, JOOGMENTS, COSTS ANO EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. EKpiration. Every permit issued by the Building Official under the provisions of this Code shall eKpire by limitation and become null and void if the building or work authorized by such permit is not conroenced within 180 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 coornenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE CONTRACTOR OBY PHONE APPROVED BY: DATE: WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911313 FOR 11/04/91 DESCRIPTION: PLUM/ELEC LORY AND KITCHEN TYPE: MISC JOB ADDRESS: 2344 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB911313 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 325 619 431-2800 REMARKS: MH/GENE/434-1494 SPECIAL INSTRUCT: ~.·.· INSPECTOR ---i-~~---------- TOTAL TIME: CD 29 39 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing EL Final Electrical ------------------------------------------------------ ***** INSPECTION DATE DESCRIPTION ACT 102991 Final Plumbing NR 102991 Final Electrical NR 102891 Final Plumbing NR 102891 Final Electrical NR 092091 Rough/Topout AP 092091 Rough Electric AP HISTORY ***** INSP COMMENTS PK NO CIRC. PK NO CIRC. PK PK PK PK BREAKER BREAKER