The URL can be used to link to this page

Home My WebLink About2344 HOSP WAY; 227; CB911314; Permit.. 09/18/91 16:30 Page 1 of 1 B U I L D I N G Job Address: 2344 HOSP WY Permit Type: MISCELLAN ~-- Parcel No: 167 250-42-.0.S Valuation: Construction Type: NEW P E R M I T Str: * * Permit No: rRq11314 PIOJeCt No ) Development N< .,.V) "1 3 a? Fl: **** Ste: 2~ ~ o(_ T 4464 09/18/91 0001 01 02 C-PRliT 30-00 Occupancy Group: C!ass Code: Status: Applied: ISSUED 09/18/91 09/18/91 DC Description: PLUM/ELEC LDRY 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 TO ------- 619 Apr/Issue: Validated By: 431-2800 .00 .00 30.00 *** t Ext fee Data ~----------------30.00 KI':'/LDRY 30.00 N LAPPROVAL L\!SP. ~ DATE CJ ?2 ,1/ CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. qf;J1 ✓ City of Csrlsbad Building Departaent 2075 Las Pat .... Dr., Carlsbad, CA 92009 (619) 438-1161 PIAN CIC DEPOSIT _______ _ I ESf. VAL VAIJD. BY. ___________ _ I. PEkMII hPE DA11! A -U Commercial U New Bu1ldmg D tenant Improvement B -□ Industrial D New Building D Tenant Improvement C -□ Residential D Apartment D Condo □ Single Family Dwelling D Addition/A1teration □ Duplex O Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical D Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PROJECT INFORMATION FOR OFFICE USE ONLY Addres:_ .& £ .ij;Ep (\By, c'..arlsta:f Bmldmg or Suite No. Nearest~~ ~~eer El Camino Real 22 7 il'.GAL DESCRIPI ION Lot No. Su6d1vis1on Name/Number OmtNo. Phase No. CHECK BEWW lF SUBMl 11 ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOB'S PARCEi, EXISTING USE PBOP9SED USE DESCRIPTION OF WORK Plumbing and Electric for laundrv SQ. IT. # OF STORIES and kitchen 3. WN IACI PEASON (II dll[erent from apphcani) NAME Keith Smith 5928 Pascal Ct., Ste. 200 CllY Carlsbad STATE CA ADDRESS ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 4. APPlll!ANI UWNIRACIOR UAGENI FORCONiRACIOR DOWNER □AGENI FOR OWNER NAME New Design Remodeling ADDRESS 5928 Pascal Ct., Ste. 200 CITY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE 961 9) 431-2800 NAME Hosp Way Limited ADDRESS 1990 Westwood Blvd., Ste. 300 CITY Los Angeles STATE CA ZIPCODE 90025 DAYTELEPHONE (213) 474-1720 6· ~~"'\!i~WDesign Remodeling ADDRESS 5928 Pascal Ct., Ste. 200 CllY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 STATE IJC. # 545075 IJCENSE CLASS B CITY BUSINESS IJC. # 437954 CllY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WultkFJtS' WUPENSAIION Workers' Compensation Oeclarat1on: I hereby afhrm that I have a cert1hcate of consent to self.insure issued by the b1rector of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Ins~tion Department (Section 3800, Lab. C). ,~, __ 0 .,,__ T--7.Jlru:8402--00019 6ho/a2 INSURANCE COMPANY '"'-WU"'"'--"' .u=u.at<.<e POIJCY NO. EXPIRATION DATE V =t" I Ceruhcate of Exempnon: I cerufy that m the performance of the work for which this perrmt 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNl!k-BOllDE:k DP.i!LARX'IIDN Owner-Builder Oedarat1on: I hereby afhrm that I am exempt from the Contracto?s Llcense Law for the followmg reason: □ I, as owner of the property or my employe:e:s with wage:s 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 employe:e:s, 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.). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: 11ie 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). □ I am exempt 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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is 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 DA11! CUMPLEIE IHIS SECIION FOK NON-RESIDEN llAL BUILDING PERMIIS ONLY: Is the applicant or future: building occupant required to submit a business plan, acutely ha7.ardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha7.ardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICA11! OF OCilJPANCY MAY Nar BE ISSUED AF11!R JULY 1, 1989 UNLl!SS TIIE APPLICANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TIIE AIR POLUJTION CDNTilOL DISTRICT. 9. WNSIROCIION L£NDING XGENCY 1 hereby aihrm that there: 1s a construcuon (endmg agency lor the performance of the work for which this permit 1s issued (Sec 3097(1} CivU c&ie). LENDER'S NAME LENDER'S ADDRESS id. AWIJCXNI CP.kilFiCAiluN I certify that I have read the apphcauon and state that ihe above mformauon 1s correct. 1 agree to comply with all City ordmance:s 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 HARMU!SS TIIE QTY OF CARL5BAD AGAINST ALL UABIUfIES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY A(DllJE AGAINST SAID QTY IN CDNSF.QUENCE OF nm GRANTING OF TIIIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 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 authorized by such permit is not commenced within 365 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 commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPIJCANT'S SIGNATIJR:-t' ~ ~ DATE: f,1// &""If WHITE: File YEllOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911314 FOR 10/18/91 DESCRIPTION: PLUM/ELEC LORY AND KITCHEN TYPE: MISC JOB ADDRESS: 2344 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: REMARKS: MH/ SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB911314 OCC GRP CONSTR. TYPE NEW STR: * STE: 227 619 431 CD 29 39 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing EL Final Electrical i--- -------------------- DATE 092491 092391 092091 092091 ***** INSPECTION HISTORY***** DESCRIPTION Rough/Topout Rough/Topout Rough Electric Rough/Topout ACT INSP AP PK NR PK AP PK CO PK aoUr~ /,)_ /-/)_ C/ c;). o fv COMMENTS CORR INCOMPLETE ?