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HomeMy WebLinkAbout2350 HOSP WAY; 151; CB920476; Permit·- J',/1 '~.:; 1':0l B l/ E • ; ... it ~ .;"b Addr e ... s: 2 J 5 t; HOSP WV EerM1t Typ0 : M[5CELLAr P11.1cel No: lo?-2c 0-4 -15' V ... u t ion: Co~s•ruct1on Type: ~~W Jc cur 3ncy c,,;1 oup: D<1 srr 1pt ic n: :E-LUM/ELEC~RICA: L U Rt.->fE1ence#: F R Kl T & L[). Y App 1 /Own.r : NEW DE~ IGl\i REMODELING AN:::> ~ONS ~9~8 PAJC~L COUR' #lOO CAR:SBAP , A 9200 *** Fees Required -----------------_......, f'f'e•·: Adjustmr•nt ... : Tot1l Fee~: 1-ce df•scription ----------------- Misce.ldn~ous Fee 1r. MI.SCELLANEOIJS TO ~tr: -1 * 61'1 4 P( rm 1 t !\ < : ( E I I: It 1l. ( ~PC"t N•,: A~ l, [>ev~ l <.'pmen t-Fl.In: Fl· **** ~ti 0001 01 7634 05/13/92 02 C-PRMT 30 00 Cfc333J St Ar:,p.:1ej: 5/ 4' Af r T ;up: o , ., Va.' :dnth] ty: ;:-1.. 8-)8()(' ~c-ted & en di ts ------- .llO • G l lU. 0 0 Ext tee> [) t~ PROVAL JU.00 fLEdLF iO. (,0 INSP . ...1.---DATE 9 -a ,? CLtARANCE 4#: <Y1B CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Departaent 2075 Las Pal,.,s Dr., Carlsbad, CA 92009 (619) 438-1161 PIAN CK DEPOSIT _______ _ l l!Sf. VAL YAW>. BY __________ _ I. PRkMII IYPR DAIB A -□COmmerc1ai U New Building LI Tenant Improvement B -□ Industrial C New Building □ Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition LI Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY Address 2350 Hosp Nearest Cross Street El Way, Carlsbad BuHdmgorSuiteNo.151 CAmino Real LEGAL DESCRIP I ION Lot No. SutxhVJs1on Name/Number 0nu No. Phase No. CH£Ck Bf:WW IF SOBMI I I ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOR'S PARCEi, EXISTING USE PROPQSED USE DESCRIPTION OF WORK Plumbing and Electrical for Laundry and Kitchens SQ. IT. # OF STORIES 3. WN IACI PFJtSON (If duierenl from appUcant) NAME Richard Whitney ADDRESS 5928 Pascal Court• Suite 200 CITY Carlsbad STATE CA ZIP mDE 92008 DAY TELEPHONE ( 619) 431-2800 4. APPUCXNi UWNIRACIOR UAGENI FORWNIRACIOR □OWNER □AGENI FORUWNrut NAME New Design Remodeling & Co~!?~ESS 5928 Pascal Court, Suite 200 CllY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 NAME Hosp way Limited ADDRESS 1990 Westwood Blvd., Suite 300 CllY Los Anqeles STATE CA ZIP CODE 90025 DAY TELEPHONE ( 310) 4 74-1 770 6. cbN rlW'.!'luk NAME ADDRESS New Design Remodeling & Const. 5928 Pascal Court, Suite 200 CllY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 STATE UC.# 545075 LICENSE CLASS B CllY BUSINESS UC.# 437954 CllY STATE ZIP CODE DAY TELEPHONE STAIB UC. # 7. WORkERS' WMPENSA:I ION Workers'Compensatton Declaration: I hereby affirm that I have a certificate of consent toseif-msure issued by the D1rectorof 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 fded with the Building Inspection Department (Section 3800, Lab. C). Truck Insurance Exchange N20077301 6-28-92 INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcate of Exemption: I certtfy 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. OWNEk-B0DDkk DFiiJJiXIJON bwner-Builder beciarat1on: I hereby afhrm that I am exempt from the Contractor's Ucense Law for the fohowmg 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.). 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 license Law). □ I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.S Business and Professions Code: Any City or County which requires a permit 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 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 {$5001). SIGNATIJRE DA11! COMPLEIE IHIS SECIION FOR NON-RESIDENIIAL B0IWING PERMil'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hai.ardous materials registration fonn or risk management and prevention program under Sections 25S0S, 25S33 or 25S34 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? CYES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF TIIE ANSWERS ARE YES, A FINALCERTIFICA11! OF oa:uPANCY MAY Ncrr BE ISSUED J\Fl"ER JULY 1, 1989 UNU!SS TIIEAPPUCANT HAS MET OR IS MEETING TIIE REQIIIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POll.UTION CDNTII.OL DISllUCT. 9. WNSIRUCiiON il!NDING AGENCY I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit ts issued (Sec 3697(1) civil c&ie). LENDER'S NAME LENDER'S ADDRESS id. APPiltAN t UkllFICA:liOM I cemiy that I have read the apphcatJOn and state that the above mformauon ts correct. I agree to comply with all City ordinances and State 1aws relating to building construction. I hereby authorize representatives of the City of C'.arlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE ID SAVE INDEMNIFY AND KEEP IIARMIBSS nm CTlY OF CARISBAD AGAINST ALL UABUJTIES, JUDGMENTS, CXlSTS AND EXPENSES WHICH MAY IN ANY WAY ACDUJE AGAIN!IT SAID CTlY IN CDNSl!QUENCE OF TIIE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over S'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 36S 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). APPLICANT'S SIGNATURE DATE: _____ _ WHITE: File YELl..OW: Applicant PINK: Finance - PERMIT# CB920456 DESCRIPTION: PLUM/ELEC FOR TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 09/16/92 LORY/KITCHEN INSPECTOR AREA PK PLANCK# CB920456 OCC GRP CONSTR. TYPE NEW STR:~• FL:**** STE: 246 JOB ADDRESS: 2352 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: REMARKS: MH/GENE/434-1494 SPECIAL INSTRUCT: PHONE: 619 4'311~ 80.0 PHONE: PHONE: INSPECTOR/_·~--------- TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 29 39 PL Final Plumbing EL Final Electrical ;Je--- ------------------------------------ ------------------ ***** INSPECTION HISTORY***** DATE 051992 051992 DESCRIPTION Rough Electric Rough/Topout ACT INSP AP PK AP PK COMMENTS