HomeMy WebLinkAbout2344 HOSP WAY; 326; CB911634; Permit,
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l'',rLtLuc tion '!'ype: NEW
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Desc1. 1pt1 >n: PLUMB/ELEC FOR LAUNDRY/K::!'.':.'CHE.N Stcltu::-: :S~l EI
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Vc1l1ddtP l B:i,: r <.: Appl/Ownr NEW DE~:GN REMUDELIN
5928 PASCAL C1 #!00
CARLSBAD, CA Y2008
·ees Required A * "--~ ------~----------------
Fet"<;:
Adiustments:
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61~ 431-280:.J
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APPROVAL
~\~SP.-11-__ DATE 1~3 ~
CL~ARANCE_._Af'7: ___ IZ<,a _____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 920()() (619) 438-1161
-----n••.•-•"S•-~•~--•-••
PERMIT APPLICATION ~ V
PLAN CHECK NO. q/-/b?/
City of carlsbad Building Departaent
2075 Las Pat ... Dr., carlsbed, CA 92009 (619) 438-1161
PIAN CK DEPOSIT _______ _
I
EST. VAL
VAIID. BY __________ _
I. PERMII hPR
A-UCommerc1al □New Buildmg U lenant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -□ Residential □ Apartment □ Condo U Single Family Dwelling □ Addition/ Alteration
U Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
U Mechanical □ Pool □ Spa D Retaining Wall D Solar □ Other
DA11!
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address 2344 Hosp Way, Carlsbad
Nearest Cross Street El Camino Real
BuUdmg or Suite No. 326
LEGAL DEsCRiV'I ION Lot No. Subd1v1S1on Name/Number 0mt No. Phase No.
CHECK BEWW IF SOBMI 11 ED:
□ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi. EXISTING USE PROPPSEP USE
DESCRIPTION OF WORK
Plumbing and Electrical for Laundry and Kitchens.
SQ. IT. # OF S1UR!ES
3. WN IACI PFJtSON (ll duierenl from apphcanl)
NAME Richard Whitney ADDRESS 5928 Pascal Court, Ste.200
CITY Carlsbad STATE Ca ZIPCODE 92008 DAYTELEPHONE (619)431-2800
4. APPllCANI UCUNlKAClUK DAGEN! FORCONIRACIOR UUWNttl OAGENI FOR OWNER
NAME New Design Remodeling ADDRESS 5928 Pascal Court, Ste. 200
CITY C l had s. PROPEktfOw~
STATE CA ZIPCODE 92008 DAYTELEPHONE (619)431-2800
NAME
CITY
Hosp Way Limited
Los Angeles STATE ca
ADDRESS 1990 Westwood Blvd.,
ZIP CODE 92005 DAY TELEPHONE
Ste. 300
( 213) 4 74-1720
NAME
CITY
New Design Remodeling
Carlsbad STATE Ca
ADDRESS
ZIP CODE
5928 Pascal Court, Ste. 200
92008 DAY TELEPHONE ( 619) 431-2800
STATE !JC.# 545075 LICENSE CLASS B CITY BUSINESS !JC. # 4 3 7 9 5 4
CITY STA11! ZIP CODE DAY TELEPHONE STA11! !JC. #
7. WORkEltS' WMPF.NSAliON
Workers' Compensation Oedaratmn: I hereby aUlrm that I have a certificate of consent to self-msure issued by the Director 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).
INSURANCE COMPANY Nationwide Insurance POLICY NO. 73Wcoo8402-i?ia,~troN DA11! 6/28/92
Cernhcate of Exemption: I certtfy that m the performance of the work for which this penmf 1s 1SSued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. oWNffi-BOllDER Dm.ARAIIUN
Owner-Builder Oeciarauon: I hereby affirm that I am exempt from the Contracto?s License Law for the followmg reason:
□ 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.).
□ 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 co its issuance, also requires the applicant for such permit to file a signed statement chat 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DA11!
COMPLEIE IRIS SEGIION FUR NUN-RESIOEN IIAL BOILOING PERMl'l'S 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?
□ 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 THE ANSWERS ARR YES, A FINALCERTIFICA11! OF oa:IJPANCY MAY Nar BE ISSUED AFll!R.JIIl.Y 1, 1989 UNIJ!SS THE APPLICANT
HAS MET OR IS MEETING THE RF.QIJIREMENTS OF TIIE OFFICE OF EMERGENCY SERVlCl!S AND THE AIR POillJTION CXJNTROL DISl1UCf.
9. WNSIRUCIIDN IEQDING AGENCY
I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this penmt 1s issued (Sec 3097 (I) CaVJI Ccxie).
LENDER'S NAME LENDER'S ADDRESS
10. APPllCANI CPJllll'ICAfiuN
I certify that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with 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 THE CTIY OF CARISBAD AGAINST ALL LIAI1IU11ES, JUDGMENTS, CDSTS
AND EXPENSES WIDCH MAV IN ANY WAY Mx:IUJE AGAINST SAID CTIY IN CDNSF.QIJENCI! OF THE GRANTING OF TIIIS 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} Uniform Building Code).
DATE: /2--£-Cj / APPLICANTS SIGNATUR~.!:-d~
WHITE: File OW: Applicant PINK: Finance
PERMIT# CB911634
DESCRIPTION: PLUMB/ELEC FOR
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/03/92
LAUNDRY/KITCHEN
INSPECTOR AREA PK
PLANCK# CB911634
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 2344 HOSP WY
APPLICANT: NEW DESIGN REMODELIN
CONTRACTOR:
OWNER:
REMARKS: RS/GENE/434-1494
SPECIAL INSTRUCT:
STR:** FL:**** STE: 326
PHONE: 619 441/-2800 PHONE:
PHONE:
INSPECTOR.=...:;._ _________ _
TOTAL TIME:
CD LVL DESCRIPTION
29 PL Final Plumbing
39 EL Final Electrical
---------------------------------------______________ _,_
OMMENTS
***** INSPECTION HISTORY*****
DATE
121091
121091
DESCRIPTION
Rough/Topout
Rough Electric
ACT INSP
AP PK
AP PK
COMMENTS