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