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Home My WebLink About2350 HOSP WAY; 252; CB920477; Permit,.., l 1 '/Jz 12:llU 8 ll : L '"l I :IJ G r' r E< M [ ... Perm:t Nt1: ·s i • 4 ·, ' PaJE"' 1 >f 1 ~ l l E• t Ne I-'. q ' fr>i Add!F•:.:;:::;: ,._ ~O HU~P WY ~errr1t 7ypP: M:SCEL~ P . .r l (' l No : 1 b 7 2 5 0-4 3~ valuat1 m: .>tr: A* (>eve ..1.. c pm Pr. t \ : t' l 7634* 05}13/92 :0001 01 02 C-PRMT 10 00 '-on::tr u.l +-1 <,n TypE : Nf.W o ·cupancy 1,r-ouE-' ,. Pf Pl: nee#: Ci2333/ +., ~>esc-r1ption: PLUM/ELECTR~CA' F >f< K:T & L::->RY AppltPd: ('j/.._·;• Apr/l""SLl.,.: r /: Appl/Ownr : NEW DF.sr,;N RfMO:>ELl[\,cJ AN[> '(JI.\~ 5928 PASCAL COURT #100 LARLSBAr, ~A q2ro8 VJl .da+-u. By: [11 E.19 4Jtl-t80G F es: A J1~t. t.ment~·: ot:11 FPes: --------~ Fee.: cte er 1p+-ton M1 eel l<lnc-ou~ F •p A MIS 'ELLANE0·15 70 0,{J J. -----.. ---~ ) •cted & ·red1t __ ,,_ tel. J tul p . ( B tLm 3( .00 UnJ. ts t: Ext t -f' =-------~--- 30.0l1 l c, . ,) (., -.1C, llU ·~ E NA APPROVAL INSP. ~~--DATE t -/f':2- CLtARANCE ...:..M_;_;or~~~· ---1 CITY OF CARLSBAD 2075 Las PaJmas Dr., Carlsbad, CA 92009 (619) 438-1161 fl , t I PLE,/ELE( ------ PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Depart111e11t I EST. VAL 2075 Las Pal ... Dr., Carlsbad, CA 92009 (619) 438-1161 PIAN CK DEPOSIT ________ _ VAfID. BY __________ _ I. PP.RMI I l'YPR DATI! A-UCOmmerc1al □New Bmldmg Li tenant Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential □ Apanment □ Condo □ Single Family Dwelling □ Addition/ AJteration □ Duplex □ Demolition Li Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical D Pool D Spa □ Retaining Wall □ Solar □ Other 2. PRCllECf INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. 252 2350 Hosp Nearest Cross Street Way, Carlsbad LEGAL DESCklM ION Lot No. SubchV1s1on Name/Number Omt No. Phase No. CHECK BEIDW IF S0BMI 11 f:D: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PABCEI. EXISTING USE PROPOSER USE DESCRIPTION OP WORK Plumbing and Electrical for laundry and kitchen SQ. IT. # OP STORIES 3. WN IACI PFJlSON (II dlI[erent tfom appJJcanO NAME Richard Whitney CI1Y Carlsbad STATE CA ADDRESS ZIP CODE 5928 Pascal court, Suite 200 92008 DAY TELEPHONE ( 619) 431-2800 4. APPUCANI UtuNIRXCIUk □AGE:Nl FOkWNIRACIOR □OWNER □AGENI t'OkOWNER NAME ADDRESS New Design Remodeling & Const. 5928 Pascal court, 92008 DAY TELEPHONE Suite 200 (619)431-2800 CI1Y Car 1 sbad STATE CA ZIP CODE 5. PROPER I Y OWNPJt NAME Hosp Way Limited ADDRESS ZIP CODE 1990 Westwood Blvd., Suite 300 CI1Y Los Angeles STATE CA 6. WR MAC iuk NAME 90025 DAY TELEPHONE { 3] 0) 147-J 720 New Design Remodeling ADDRESS & Const. CI1Y Carlsbad STATE CA ZIP CODE 5928 Pascal court, 92008 DAY TELEPHONE Suite 200 (619)431-2800 STATE UC.# 545075uCENSE CI.ASS B CI1Y BUSINESS UC.# 437954 CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOkkF.ilS' WMPi!NSKUON Workers' Compensauon Oeclarat1on: I hereby afhrm that I have a certUlcate of consent to selr-msure JSSUed by the Director of industnal 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 DATI! Certlhcate ol Exemphon: I certify that m the performance of the work for which this perm)[ 1s lSSUed, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNmt-BUtwm DfiiJOiXJ ION Owner-8u1lder beclarahon: I hereby affirm that I am exempt from the ConcractoPs Llcense Law for the following 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 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.). □ 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). □ 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 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DA.TI! COMPlEfE I HIS SEGIION FOR NON-RESIDEN IIAt BOIIDING PERMII'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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 feec of the outer boundary of a school site? □YES ONO IF ANY OF TIIEANSWERS ARE YES, A FINALCERTIPICATI! OFoa:uPANCYMAYNOT BEISSUF.D AFI1!RJULY I, 198911NLESS TIIEAPPIICANT HAS MET OR IS MEETING 11IE REQUIREMEN"fS OF nm OFPICI! OP EMERGENCY SERVICES AND nm AIR POWJTION CXlll11IOL DISTIUCI". 9. WNSIR0CIK.JN LENOING AGENCY I hereby aihnn that there 1s a construction lend mg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1VII Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllt!AN'I CEkIIPICAliuN I cemfy that I have read the apphcation and state that the above mformallon 1s correct. i agree to comply wuh ali 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 AIID AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS nm CfIY OF CARISIIAD AGAINST AU. LIAlllU1'IES, JUDGMENTS, a>STS AND EXPENSES WHICH MAY IN ANY WAY Mil!IJE AGAINST SAID CfIY IN WNSllQIIENCI! OF TIIE GRANTING OF 11DS 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 pennit 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). APPLICANTS SIGNATURE DATE: ______ _ WHITE: File YEll.OW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920477 FOR 09/14/92 DESCRIPTION: PLUM/ELECTRICAL FOR KIT & LORY INSPECTOR AREA PK PLANCK# CB920477 OCC GRP CONSTR. TYPE NEW TYPE: MISC JOB ADDRESS: 2350 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: REMARKS: RS/GENE/434-1494 SPECIAL INSTRUCT: AND CONS PHONE: 619s!'/E~:•;s~1/o:*** STE: 252 PHONE: PHONE: INSPECTOR-'------------ TOTAL TIME: CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical ~ COMMENTS ------------------ ------------------------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 052292 Rough/Topout AP PK 052292 Rough Electric AP PK 052192 Rough/Topout co PK ON JOB CARD 052192 Rough Electric AP PK 051992 Rough Electric co PK 051992 Rough/Topout co PK