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Home My WebLink About2350 HOSP WAY; 150; CB920475; Permit. ' B L• I L D : N t, J'j/1_ </ 12 1: ">':I Pa~Te 1 of 1 ;c,ti Address: 2 Q o~·p WY Perm1t Type I c, , ..150 4 0 I '-f E-cu,..,,:_ No: V <l L .. c1 t l en : Lunstruct1on Tyie: ~rW Or ·.iµancy G1 oup: Desc1ipt1on: PLUM/ELECTRICAL Referer.c-e#: F'1R KI"' & IDRY Apr:1ownr : NEW DESIG~ REMODELING AND CONS S928 PASCAL COURf #200 CAR::::.~BAD, CA 9 2 0 .'.lf:l "** Eee~ Required A* Fees: . ( ~tr: A.lju trrent'~: 'T'otal Fees: ta.1 0tal P Un.i. .. s PPr 11t ~ ,: t< l I; / P.rc,jec:t Nu: A'12G1 ~-l Deve loi:,rr.e,,.. +-11. ",., E' l. * , t:: 7634 05/13/92 0001 01 02 C-PRMT 30-00 ae_,33 3 1 St App:.i.P A~ir/ ~~4,: \/rt .. ldi-it •() Py: 4 38-21300 'c... / • . /. ) . } . . 0 l . ) 0 30. lO / l I I~ Ext f<:'e Dn+ d Ft:e de script 1 on Misce:laneous fee ---~-----~-----+---· * MISCELLANEOUS TO > '0,.0( 30. o I PU1/ELE,' 30,00 PPROVAL INSP. ---~-DATE 9 -/t; . .P. CLtARANCE..:.,,vr,r----~/2<..,&;;...:;.;;.,. __ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building DepartEnt l l!ST. VAL 2075 Las Palaas Dr •• Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT _______ _ VAIID. BY __________ _ I. PRllMIL hPR DATI! A -Li COmmerc1al U New Bmldmg Li Ienant Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential D Apanment □ Condo □ Single Family Dwelling □Addition/Alteration 2. □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other Way, Carlsbad Lot No. Subd1V1s1on Name/Number o. 150 FOR OFFICE USE ONLY Unit No. Phase No. CHECK BEIDW IF S0BMII I ED: □ 2 Energy Cales C 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE PROPOSER IJSE DESCRIPTION OF WORK Plumbing and Electrical for laundry and kitchen SQ. FT. # OF SJORIES 3. WN IACI PERSON (tf duterenl from appJJcanO NAME Richard Whitney CI1Y Carlsbad ADDRESS STATE CA ZIP CODE 5928 Pascal court, Suite 200 92008 DAY TELEPHONE Jl19) 431-2800 4. APPUCXNI UWNIRACIOR DAGEN! FdRWNlRACIUR ADDRESS Remodeling & Const. DOWNER UAGHNi FORD NAME New Design 5928 Pascal Court, Suite 200 5,;k~~ STATE CA ZIP CODE 92008 DAYTELEPHONE (619)431-2800 NAME ADDRESS ZIP CODE Hosp WAy Limited CI1Y ~" Ange] es STATE 6. WNJ NAME CA 1990 Westwood Blvd., Suite 300 9QQ25 DAYTELEPHONE /31Q) 474 7220 New Design Remodeling ADDRESS & Const. CI1Y Carlsbad STATE CA ZIP CODE 5928 Pascal court, suite 200 92008 DAYTELEPHONE (619)431-2800 STATE !JC.# 545075 LICENSE CI.ASS B CITY BUSINESS !JC. # 43 7954 CI1Y STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOltlMtS' WMPE'.NSAJION Workers' Compensation beclarat1on: I hereby affirm that I have a certificate of consent to selr-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). Truck Insurance Exchange N20077301 6-20-92 INSURANCE COMPANY POLICY NO. EXPIRATION DATE CertUlcafe of Exemptton: I cert.UY that m the performance of the work for which this permit 1s 1$Ued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNEil-B0llDmt 11P.cUJtA:1 KJN bwner-Bmlder Dedaratmn: I hereby affirm that I am exempt from the Contracto?s License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Cocle: The Contractor's Llcense law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Llcense Law). a I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Cocle: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its i$uance, also requires the applicant for such permit to file a signed statement that he is 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATI! COMPLEIE THIS SECI ION FOR NON-RESIDEN I IAL BOIWING PERMI rs ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF TIIEANSWERS ARE YES, A FINALCER11FICATl!OFOClllPANCY MAY NOT Bl!IS.5Ul!DAFrnRJIJLY I, 1989 UNIJ!SS THEAPPIJCANT HAS Mirr OR IS MEETING THE RF.QUlREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION <XlNTIIOL IJIS11UCT. 9. WNSIRUCIION O!NDING AGENCY i hereby afhrm that there 1s a constructmn lending agency for the performance of the work for which this penn1t 1s l$Ueci (Sec 3097 (I) dVJI Code}. LENDER'S NAME LENDER'S ADDRESS IO. APPUCXNJ CF.kiiFJCABON I certify that I have read the application and state that the above miormatJon JS 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 ro SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARISIIAD AGAINlIT AIL lJAIIIUTIFS, JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY A£XJIIJE AGAINlIT SAID QTY IN ffiNSEQUENCE OF THE GRANTING OF l1DS 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). APPIJCANT'S SIGNATURE DATE: _____ _ WJ-UTE: File YELl.OW: Applicant PINK: Finance ,, CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920475 FOR 09/16/92 INSPECTOR AREA PK PLANCK# CB920475 OCC GRP DESCRIPTION: PLUM/ELECTRICAL FOR KIT & LORY TYPE: MISC JOB ADDRESS: 2352 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: REMARKS: MH/GENE/434-1494 SPECIAL INSTRUCT: TOTAL TIME: AND CONS CONSTR. TYPE NEW STR.** FL:**** STE: 150 PHONE: 619 438 2800 PHONE: PHONE: INSPECTOR __ V _________ _ CD LVL DESCRIPTION ACT COMMENTS 29 PL Final Plumbing J\U_ 5ko£.Jt1 he_ !) ~ -3 9-_EL _F_i_n_a_l _E_1_ec_t_r_ic_a_1 _____ ~= ZJAJ&e, (/<'fuvf ------------------------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP Q~NTS 051992 Rough/Topout NS PK ONG SUITE# \ 051992 Rough Electric NS PK ONG SUITE# , 051492 Rough/Topout AP PK "==--_ ____-/ 051492 Rough Electric AP PK