HomeMy WebLinkAbout2344 HOSP WAY; 125; CB911635; PermitI
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B ~ 1 ~ D T N G P E R M I T Perm1 t Ne T11~1->
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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.
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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'~
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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-~
------------------
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***** 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