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Home My WebLink About2344 HOSP WAY; 328; CB911317; Permitf B U l L D I N G P E R M I T Permit No: CB911317 Project No: 09/18/91 16:33 Page 1 of 1 Job Address: 2344 HOSP WY Permit Type: MISCELL1 E S Parcel No: 167-250-4~ 3~ Valuation: Construction Type: NEW Occupancy Group: Class Code: 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 Development Ne ~ fJ 'I --:J LL Str: ** Fl: ** ;e: 3; Cl<-o(.tiJ T'7 619 4464 09/18/91 0001 01 02 C-PRHT 30-00 Status: Applied: Apr/Is~ue: Validated By: 431-2800 ISSUED 09/18/9::. 09/18/':11 DC .00 .oc 30.00 Ext fee Dat-1 30.00 KIT/LDRY 30.00 CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departlllent 2075 Las Paloas Dr., carlsbed, CA 92009 (619) 438-1161 EST.VAL. __________ _ PLAN CK DEPOSIT ________ _ VAUD.BY __________ _ I. PFltMI I hPE DAIB A -UCommerctal □New Butldmg LI tenant Improvement B -□ Industrial LI New Building D Tenant Improvement C -U Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ A1teration □ Duplex U Demolition U Relocation LI Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall D Solar C Other 2. PRQJECT INFORMATION FOR OFFICE USE ONLY Address mi Hosp Way' Carlsbad Buudmg or Suue No. 328 Nearest ci¼s. ~:f.., El Camino Real LEGAL DESCRIM ION Lot No. Suix11VJs1on Name/Number 0mt No. Phase No. CHECK BEWW IF S0BMI I I Eb: □ 2 Energy Cales C 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXlSTING USE PROPOSED USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and kitchen SQ. IT. # OF STORIES 3. WN IACI P~N (I( qijferenf from apphcanl) NAME Kel tn Srili tn ADDRESS 5928 Pascal 92008 Ct., Ste. 200 CITY Carlsbad STATE CA ZIP CODE DAY TELEPHONE 9619) 431-2800 4. APPUCXNI □WNIMCIOK DAGENI FORWNIRACIOR □OWNER DAGEN I FOROWNEit NAME ]is. Design lato:12l.ir:g & Q:rnt. ADDRESS 5928 Pascal Ct., Ste. 200 ZIP CODE 92008 DAY TELEPHONE ( 61 9) CITY Carlsbad STATE CA 431-2800 NAME Hosp Way Limited ADDRESS ZIP CODE 1990 Westwood Blvd., Ste. (213) 300 474-1720 CITY Los Angeles STATE CA 90025 DAY TELEPHONE NAME ]\av Design lato:12l.ir:g & Cl:nst. ADDRESS 5928 Pascal ct. , Ste. 200 (619) CITY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE 431-2800 STATE !JC. # 545075 IJCENSE CLASS B CITY BUSINESS !JC. # 437954 CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WORRERS' WMPRNSAIION Worken.' Compensation Oeclarat1on: I hereby affirm that I have a cert1hcate of consent to seif-msure issued by the Ulrector 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 Inspection Department (Section 3800, Lab. C). ,~,_0 _,__ 73'iJX.8402--0(X)1Q • ho A INSURANCE COMPANY 1'c<WUMI.I.Ue Irnutall:E POIJCY NO. El1PIRATION DATE 61 =192 Cert1hcace of Exemption: I certify that m the performance of the work for which tflls permit ts issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of C'.alifomia. SIGNATURE DATE 8. OWNRll-D0llDEk DECCARA.liuN 0Wner-Bu1lder Deciaratton: I hereby affmn that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees 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 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). □ 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DAIB COMPLEIE IRIS SEClloN FOR NQN.RESIDEN IIAt BOIWING PERMil'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely ha1.ardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley.Tanner Ha1.ardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CYES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 1lIB ANSWERS ARE YES, A FINAL CERTIFICATE OFCXDJPANCY MAY NOT BE ISSUED AITERJIIl.Y I, 19891JNLESS TIIBAPPIJCANT HAS MET OR IS MEETING 1lIB RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 1lIB AIR POJllfl10N ffiNTil.OL DISTRICT. 9. WNSIRUCIIDN ffiNDiNG AGENCY I hereby athrm that there ts a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. XPJSUCANI CFJlliFICXIIDN I certify that I have read the apphcatmn and state that the aOOve mformauon 1s correct. I agree to comply wuh all City ordmances 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 1U SAVE INDEMNIFY AND KEEP HARMLESS 1lIB CITY OF CARISBAD AGAINST ALL UABILITIF.S, JUDGMENTS, CDSTS AND EXPENSES WIIlCII MAY IN ANY WAY A(IlUJE AGAINST SAID CITY IN OONSEQIJENCE OF nm GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit 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) Unifonn Buildin Code). APPIJCANTS SIGNATURE DATE: L( / 6, q OW: Applicant PINK: Finance ... .... CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911317 FOR 10/28/91 INSPECTOR AREA PK PLANCK# CB911317 OCC GRP DESCRIPTION: PLUM/ELEC LORY AND KITCHEN TYPE: MISC JOB ADDRESS: 2344 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: REMARKS: MH/GENE/434-1494 SPECIAL INSTRUCT: TOTAL TIME: CONSTR. TYPE NEW STR:** FL:**** PHONE: 619 431-2800 PHONE: STE: 328 PHONE: Q INSPECTOR~-~---------- CD 29 39 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing EL Final Electrical DATE DESCRIPTION 092491 Rough/Topout 092391 Rough/Topout 092091 Rough/Topout 092091 Rough Electric ***** a-0:P ND ~-Rm. INSPECTION HISTORY ***** ACT INSP COMMENTS co PK CORR. INCOMPLETE co PK CORR INCOMPLETE co PK ON JOB CARD AP PK