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Home My WebLink About2350 HOSP WAY; 351; CB920478; Permit8 U I L '> I N '-' P E ~l M 1 .,... , 11_/', lt.:l 1 r :(li j_ ) t J b Addres..,: 1.J':>0 HOSP W'l I: •nr1t ne : M:c..:ELLA P r ·el No: 16, £.">0-4 4'7 Str : ** Vc1lu tion : constructlOl, myi_:,P: N~W Occupunc:y 1;r.oup: ~tf(It'lC('#: [ e~c-r ~ot i,>n: PL~JM/ELECTRH AL I OR Kl~ & I '>LY PPrm•t No: 1q~o41 Pro J •c t Ne : A 2. 1 4 ~eve'oi:-,:nt>nt Nn: F-l: 7~4*05;rf/92 <>601° 01 02 C-PRHT ~0-00 St Appl i eel : 0 .! A[r/T"..,.UE.>: Q;,'" V lic.ated Py: [,~ NEW DESil;N REMODELING AND CONS J928 PASCAL couRr #/00 CARLSBAD, CA Y2U06 t>L9 4 ,8-2800 Appl/Owru. • N~s Requi.r e<l ------------------ Fees: A 1 JU"i tIT'(-'n tc : 1 ota! Fee. : Misc Ll,meou~ FE"'e * M[SCELLANtOUS ~O ** • ... - • l) J . ) ~ 0 • C Ext it•E-De ------------- APPROVAL l . J P:C /EL t (}. 0 INSP . ..i.....;;::~-DATE 1-1t-? CLtARANCEC;;1'~-'""":i....---1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-l 161 PERMIT APPIJCATION City of carlsbad Building Departaent 2075 Las Pal.,,, Dr., Carlsbad, CA 92009 (619) 438-1161 I. PFJtMI I li'PE A -0 Commercial O New Bu1ldmg LI Tenant Improvement B -□ Industrial □ 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. PROIEGf INFORMATION Address 2350 HOsp Nearest Cross Street WAy, Carlsbad Budding or Smte No. 351 LEGAL DEScRIV'i loN U7.V1s1on Name/Number CHECK BEWW IF SOBMI 11 ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEL EXISJJNG USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and kitchen SQ. IT. # OF STORIES 3. WN iACI PER9.JN (If duferent from appJJcanf) PLAN CHECK NO. I EST. VAL PIAN CK DEPOSIT _______ _ VAUD. BY __________ _ DATE FOR OFFICE USE ONLY Unit No. Phase No. PROP9SED USE NAME Richard Whitney CllY Carl shad ADDRESS ZIP CODE 5928 Pascal Court, Suite 200 STATE CA 92008 DAYTELEPHONE (619)431-2800 4. APt'U~t UCONIRXCIOR UAGENI FOR CONIRACIUR DOWNER UAGENI FDR OWNER NAME ADDRESS New Design Remodeling & COnst. 5928 Pascal Court, 92008 DAY TELEPHONE CllY Carlsbad STATE CA ZIP CODE suite 200 (619)431-2800 5. PRC1Plltl Y UWNPlt NAME Hosp way Limited ADDRESS ZIP CODE 1990 Westwood Blvd., suite 300 CI1Y Lo~ Angeles 6. WNl'RACI NAME STATE 9QQ25 DAY TELEPHONE ( 310) 424 J 220 New Design Remodeling and CllY Carlsbad STATE CA ADDRESS Const. ZIP CODE 5928 Pascal Court, Suite 200 92008 DAY TELEPHONE ( 619) 431-2800 STATE UC.# 545075 UCENSE CIASS B CllY BUSINESS UC.# 437954 CllY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORkRRS' WMPENSAIION Workers' Compensation Declaration: I hereby af11rm that I have a certificate of consent to self-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 Exchanqe N20077301 6-20-92 INSURANCE COMPANY FOUCY NG: EXPIRATION DATE Cert1hcate 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. OWNltit-B0ilDRR JJPliARXIIUN bwner-BulJder beclaratlon: I hereby affirm that I am exempt from the Contractor'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 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 }'9r 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). □ 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 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 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPi.HIE IHIS SEGIION FOR NON-RESlbENJIAL BDILOJNG PERMitS 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 11IBANSWERS ARE YES, A FINAL CERTIFICATE OF<Ja:IJPANCY MAYNOr BE ISSUEDAITERJULY I, 1989 UNIJ!SS 11IBAPPUCANT HAS MET OR IS Ml!ETING 1l{E REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 1l{E AIR FOI.LlJTION CDNTROL DISllUCf. 9. WNSikOCilUN LENDING AGENCY I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this penntt 1s issued (Sec 3097 (1) C1vl1 Code). LENDER'S NAME LENDER0S ADDRESS to. APPUCAN'i-CFltliFICkl\uN I cenifY that I have read the apphcatton and state that the above mformauon 1s correct. I agree to comply wuh 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 AU;() AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS 1lffi CllY OF CARlSBAD AGAINST AU. LIABIUI1ES, JUDGMENTS, CDSfS AND EXPENSES WIDCH MAY IN ANY WAY Nx:IUJE AGAINST SAID CllY IN CDNSF.QUENCI! OF 1lffi GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" 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 permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a pericxl of 180 days (Section 303(d) Uniform Building Code). APPUCANT'S SIGNATURE DATE: _____ _ WHITE: File YEU.DW: Applicant PINK: Finance ,l DATE TIME ARRIV!:: _____ TIM!! I.EA VE: ___ __,;,_ ) co LVL O.?f CRIPTION ~ co~ PDIIITS 6/15/lt -7.,.._ _________ _