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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92{)()C) (619) 438-1161
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PERMIT APPLICATION ~ V
PLAN CHECK NO. q -/ ~.33
City of carlsbad Building Departaent
2075 Las Pal•• Dr •• Carlsbad, CA 92009 (619) 438·1161 EST. VAL, __________ _
PLAN CK DEFOSIT, _______ _
VAIID. BY, __________ _
I. PRkM.11 I YPE DATE
A -UCommerc1ai LI New Building U Tenant Improvement
B -□ Industrial U New Building □ Tenant Improvement
C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address 2344 Hosp Way, carlsbaaBuJJdmgorSu1teNo. 323
Nearest Cross Street El Camino Real
LEGAL DESCRIP 1 ION Lot No. Subd1VJston Name/Number Omt No. Phase No.
CHECK BEWW IF SOBMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S FABCEL EX.lSTING USE PROPOSED USE
DESCRIPTION OF WORK for Laundry and Kitchens. Plumbing and Electrical
SQ. FT. # OF STORIES
3. WN IR.:I PERSON (II dlIIerent from aPphcanfJ
NAME Richard Whitney ADDRESS 5928 Pascal Court, Ste. 200
CllY Carlsbad STATE CA ZIPCODE 92008 DAYTELEPHONE (619)431-2800
4. APPIJCXN I
NAME
UCON IRACIOR UAGENI FURWNIRACIOR □OWNER □AtENI FOkdWN£R
New Design remodeling ADDRESS 5928 PAscal Court, Ste. 200
CITY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800
NAME ADDRESS 1990 Westwood Blvd.,
90025 DAY TELEPHONE
Ste 300
(213)474-1720
Hosp Way Limited
CllY bjS At,pge] es STATE 6. UJNiRACI
CA ZIP CODE
NAME New Design Remodeling ADDRESS
ZIP CODE
5928 PAscal Court, Ste. 200
CllY Carlsbad STATE CA 92008 DAY TELEPHONE ( 619) 431-2800
STATE UC.# 545075 UCENSE CLASS B CITY BUSINESS UC.# 43 7954
CllY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORkRRS WMPENSXIIUN
Workers' Cornpensahon-Declarat1on: I hereby afhrm that I have a ceruhcate of consent to selr-msure issued by the Director of industnal
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).
• . 73WCoo8402-00019 INSURANCE COMPANY Nationwide Insurance POUCY NO. EXPIRATION DATE 6/28/92
Cenihcafe of Exemption: I cerufy that m the performance of the work for which this permit 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. OWNRk-B0rwmt DPliARAIIUN
bwner-Bu1ider Declaration: I hereby affirm iliac I am exempt from the Contracto?s Ucense Law for tfie foUowmg reason:
0 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.).
0 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 Llcense 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 i~uance, also requires the applicant for such pennit to file a signed statement that he ls licensed pursuant to the
provisions of the Contractor's Llcense 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATIJRI! DATE
COMP1EIE IHIS SECIION FOR NON-RESIDEN IIAL B0ltDING PERMI l's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous 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?
□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 TIIEANSWERS ARE YES, A FINAi.CERTIFICATE OF oa:uPANCY MAY NOT Bl! ISmJl!D AFTER JULY 1, 1989 UNIJ!SS TIIE APPLICANT
HAS MET OR IS MEETING TIIE REQUIREMENTS OF TIIB OFFICE OF EMERGENCY SERVICES AND TIIE AIR POU.tlTION CX>NTII.OL DISllllCf.
9. WNSIR0ChON fENOiNG AGENCY
I hereby afhrm that there 1s a constructmn 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. APPUCAN t C£R:IIPICkl'iON
I cenUY that I have read the apphcatmn and state that the above mformauon 1s correct. I agree CO comply wtth 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 ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE Cl"IY OF CARISBAD AGAINST AIL LIABIUI1ES, JUDGMENTS, CX>STS
AND EXPENSES WHIOI MAY IN ANY WAY ACDUIE AGAINST SAID Cl"IY IN OONSEQUENCE OP 11IE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit i~ued 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 Building Code).
DATE:/.? -5-'z; I APPUCANTS SIGNATURE
c<'c.,n,L ~~W: Applicant PINK: Finance
PERMIT# CB911633
DESCRIPTION: PLUMB/ELEC FOR
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/10/92
LAUNDRY/KITCHEN
INSPECTOR AREA PK
PLANCK# CB911633
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 2342 HOSP WY
APPLICANT: NEW DESIGN REMODELIN
CONTRACTOR: PHONE:
STR:** FL:**** STE: 323
PHONE: 619 431µ2-00
OWNER:
REMARKS: RS/RICHARD/434-1494
SPECIAL INSTRUCT:
TOTAL TIME:
CD
29
39
LVL DESCRIPTION
PL Final Plumbing
EL Final Electrical
DATE DESCRIPTION
011792 Final Plumbing
011792 Final Electrical
120691 Rough/Topout
120691 Rough Electric
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PHONE:
INSPECTOR _ _._ _________ _
ACT COMMENTS
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INSPECTION HISTORY *****
ACT INSP COMMENTS
NR PK DRYER VENT
NR PK DRYER VENT
AP PK
AP PK