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HomeMy WebLinkAbout2344 HOSP WAY; 125; CB911635; PermitI It B ~ 1 ~ D T N G P E R M I T Perm1 t Ne T11~1-> 1-!/0"i/'ll 12:2b Pa9e 1 nf 1 Jl n Addn•ss: l 344 HOSP WY Ferm1t 7ypc: MISCELLANEOL~ ~dtcel N,: 1b7-250-42-oq Valuation: o lun.tructiun Type: NEW (h~< upctncy G1 oup: Clas.:; Code: De~cr1ption: PLUMB/ELEC FOR LAUNDRY/KI':'CHEN Ar..>p~/(JWnr : NEW DESIGN REMODELIN 5928 PASCAL CT #200 CARLSBAD, CA ~200 Fees Required Fees: Ad_;ustments: '.'otal Fees: Fee <1Pscrirt1on M.~cellaneo~~ Fee A MTSCELLAf\rEOUS TO Pro Je~·t N, Deveh•prnent N< C/c-l '-19U Str: i1:A: Fl: **"'A Ste: 1. •-4-r~c..'"'lr"[) 5499 12/05/91 0001 01 02 C--f'RHT 30. oo vu .L-.1.'-'0'-' b19 4J1-2b0l, cted & Credits PPROVAL .00 .ua lO. dJ l:.xt tee D.1td 30.00 ELE(/t-I'~ ,rn. t'O f~SP. DATE s-✓• -z-------CL(ARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 • PERMIT APPLICATION A. ~ PLAN CHECK NO. City of Carlsbad Building Departaent 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 PIAN CK DEPOSIT _______ _ I EST. VAL VAIID. BY __________ _ I. PEkMI I hPE DATE A -U COmmerc1al U New Build mg Li I enanc Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing □ Mechanical D Pool □ Spa □ Retaining Wall D Solar □ Other 2. PRaJF.C'f INFORMATION FOR OFFICE USE ONLY Address 2344 Hosp Way, Carlsbad Bu,@mg or Suite No. 125 Nearest Cross Street El Camino Real LECAL DEstRfiFI ION Lor No. Subd1V1s1on Name/Number Unit No. Phase No. CHECK BEWW IF SOBMII 1£0: D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROP9SED USE DESCRIPTION OF WORK Plumbing and Electrical for Laundry and Kitchens. SQ. IT. # OF STORIES 3. WN IACI PFJtSON (IC dulerent from apphcant) NAME Richard Whitney CI1Y Carlsbad STATE CA ADDRESS ZIP CODE 5928 Pascal Court, Ste. 200 92008 DAY TELEPHONE ( 619) 431-2800 4. At'i'LlW\Nl UWNIRACIOR UAli.tNJ l'UHCUNIKALJUH UUVVNtJ{ □AGENI FOR OWNER NAME New Design Remodeling ADDRESS 5928 Pascal Court, Ste. 200 CI1Y Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 NAME CI1Y NAME CI1Y CI1Y Hosp Way Limited Los Angeles STATE CA New Design Remodeling Carlsbad, STATE CA STATE UC.# 545075 STATE ADDRESS ZIP ffiDE ADDRESS ZIP CODE 1990 Westwood Blvd., 90025 DAY TELEPHONE Ste. 300 (213)474-1720 5928 Pascal Court, Ste. 200 92008 DAY TELEPHONE ( 619) 431-2800 UCENSE CLASS B CI1YBUSINESS UC.# 437954 ZIP ffiDE DAY TELEPHONE STATE UC.# 7. WORRERS' WMPENSAliuN Workers' Compensat10n Deciarat1on: I hereby affirm that I have a certificate of consent to self-msure issued by the Director of lndustnai 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 mMPANY Nationwide Insurance POUCY NO. EXPIRATION DATE 6/28/92 Cerullcate of Exempuon: I certify that m the periormance of the work for which this pernut 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. OWNER-BOllDkk DPiYARAIIOR Owner-Builder beclarat1on: I hereby affmn that I am exempt from the Contracto?s Llcense Law for the foliowmg 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.). □ 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 DATE CoMPLEIE THIS SEcIION FOR NON-RESIDEN I IAL BUILDING PERMil'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 pennit from the air pollution control district or air quality management district? C 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 ARE YES, A FINAL CERTIFICATE OF ocx:tJPANCY MAY NCJf BE ISSlJEll AITER JULY I, 1989 IINIJlSS THE APPIJCANT HAS MET OR IS MEl!TING THE REQIJIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR FOLI.IJ110N <DNTIIOL DIS1111CT. 9. WNS'IH0CIION LENDING XGF.NCY I hereby afhnn that there 1s a construction lendmg agency for the performance of the work for which this penmt 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS IO. XPPUCAN I CF.kfiFicA'fioN I certify that I have read the apphcatton and state that the above mformauon 1s 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 AISO AGREE ID SAVE INDEMNIFY AND KEEP IIARMLllSS THE CITY OF CARISBAD AGAINST ALL LlABILlTIES, JUDGMENTS, <DSTS AND EXPENSES WHICH MAY IN ANY WAY ALXJUJE AGAINST SAID CITY IN <DNSF.QUENCE OF THE GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over S'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit 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 pennit 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: 12. -S --"'1 I I APPUCANTS SIGNATURE a J Gn-1-& ·< WI-Il~ F~OW: Applicant PINK: Finance ., ,. ~ PERMIT# CB911635 DESCRIPTION: PLUMB/ELEC FOR TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 04/13/92 LAUNDRY/KITCHEN JOB ADDRESS: 2344 HOSP WY APPLICANT: NEW DESIGN REMODELIN CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PK PLANCK# CB911635 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 125 619 431-2 REMARKS: RS/GENE/434-1494 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 29 39 PL Final Plumbing EL Final Electrical tit: i?<P=-~ i),d-~ ------------------ ------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 011792 Final Plumbing NR PK OCCUPIED W/0 FINAL 011792 Final Electrical NR PK OCCUPIED W/0 FINAL 121091 Rough Electric AP PK 121091 Rough/Topout AP PK