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Home My WebLink About2352 HOSP WAY; 347; CB920474; Permit... Bu[L,..>IN, P E: R M I T PP1m~ t l\•1: pt() JC'C:t \i~): ~•r9;1474 Oc/ll'12 1~:C,8 • l(fE' l o i 1 JolJ Add1es~: LJS2 Hos;:, WY fer111t fy~c-> E>ar•·Pl ;\!t' • V1 l ud t l< n: lo,7,J..SO '-'" 43 C~>n...; truct ::.on mype: ~t.W ~tr: ** Devc .... opmPn t ~ ) : f~· *-*** St:r•: 11,;1 7634 05/13/92 00◊1 01 C-PRMT A 3.?, • 02 30-00 Occup~u,c y Gr c,up: ~,~ fer"-nc0#: ... , .... H.:Er .. Dcscr1pt1un: PLUM/ELECTR:CAL FCR K'T & :G.v Ar.JP~ ec:.: · A[1I/I ~ue· Vt.1..:1.:atei E: 438-28J\I l) C / • QC.,/' :-(' Aµpl/Owr.r : NLW DESIGN E:.EMODF.:.. lNG AND ~928 PASCAL COUR: # 00 CARLSBA~, CA ~~Jn~ /\ I< * Fet•; Read i re<.l £-'pee,: Ad~ustments: Totdl Fees : M:~.c el ldneous Fee * MI .:CE L:::.Al'..EOUS TO t 1) & Credit' . 0 t' .o 3 (' . ') 0 Ext fec> :,r1 .l 'l . C 'l PPROVAL INSP. J;:::::::.=-DATE -~ - CLtARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 I ~ / J ,. PERMIT APPLICATION PLAN CHECK NO. qJ-_-l/7 City of carlsbad Building Department 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _ PIAN CK DEPOSIT _______ _ VAIID. BY __________ _ I. PFJlMII hPE DATE A -U COmmerc1al U New Buddmg U Tenant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential □ Apartment D Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing □ Mechanical □ Pool D Spa □ Retaining Wall □ Solar □ Other ____ _ 2. PRClJECT INFORMATION FOR OFFICE USE ONLY Address BuUdmg or Suite No. 2352 Hosp Nearest Cross Street LEGAL DESCRIM ION Way, Carlsbad 347 El Camino Real U>t No. SuixhVJs1on Name/Number 0mt No. Phase No. CHECK BMW IF SOBMI 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PABCEJ: EXISTING USE PROPOSED USE DESCRIPTION OF, WORK . Plumbing and Electrical for laundry and kitchen SQ. IT. # OF SIDRIES 3. WN IACI PFJlSON (tr dnferenf from applicant) NAME Richard Whitney CI'IY Carlsbad STATE CA ADDRESS ZIP CODE 5928 Pascal Court, Suite 200 92008 DAYTELEPHONE (619)431-2800 1-. XPPUCXNI UCONIRACIOR UAGENI FOR CONIRACIOR LI OWNER □ AGEN I FOR OWNER NAME New Design Remodeling & coM~ESS CI'IY Carlsabd STATE CA ZIP CODE 5928 Pascal Court, 92008 DAY TELEPHONE Suite 200 (619)431-2800 NAME Hosp Way Limited ADDRESS CA ZIP CODE 1990 Westwood Blvd., Suite 300 CI'IY Los Angeles STATE 6. WN lkACIUK NAME 90025 DAYTELEPHONE (310)474-1720 New Design Remodeling ADDRESS & Const. CI'IY Carlsbad STATE CA ZIP CODE 5928 Pascal Court, 92008 DAY TELEPHONE Suite 200 (619)431-2800 STATE UC.# 545075 LICENSE CLASS B CI'IY BUSINESS UC.# 437954 CI'IY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORkERS WMPF.NSAIIDN Workers' Compensation Oeclarat1on: I hereby affirm that I have a certificate of consent to self-insure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admicted 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 Certthcate of Exemption: I certify that m the performance of the work for which this pemlll 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. OWNElt-B0lil>Ek DECOOlA:iiuN Owner-Builder Declaration: I hereby afhrm that I am exempt from the COntracto?s Lcense Law for the following reason: □ I, as owner of che 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 pur.mant 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 permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement thac 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 applicanc to a civil penalty of not more than five hundred dollars [$500]). SIGNATIIRE DATE CDMPLEIE IHIS SECIION FOR NON-RESIDEN IIAL B0ILbING PERMII's ONLY: ls the applicant or future building occupant required to submit a business plan, acutely ha1.ardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Ha1.ardous 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 THE ANSWERS ARE YES, A FINALCERTIFICATEOFocx:tJPANCY MAYNCYf BEJSSUEDAITERJULY I, 1989 UNLESS THE APPLICANT HAS MET OR IS MElmNG THE REQU1REMl!NTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLl.lmON <XlNlllOL DIS11UCT. 9. WNSIK0CIION LENDING AGENCY I hereby aihrm that there ts a construction lend mg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPilCANi cmtiiMCAIION I certify that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply with ail City ordmances and Seate 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 A1SO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARISBAD AGAINST ALL lJABilITIES, JUDGMENTS, CD5fS AND EXPENSES WIIlCH MAY IN ANY WAY ACDUIE AGAINST SAID CTIY IN CDNSEQUENCE OF THE GRANTING OF 1lDS 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 limication 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). APPLICANTS SIGNATURE DATE: _____ _ WHITE: File YEll.OW: Applicant PINK: Finance .. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920474 FOR 07/07/92 DESCRIPTION: PLUM/ELECTRICAL FOR KIT & LDRY TYPE: MISC JOB ADDRESS: 2352 HOSP WY APPLICANT: NEW DESIGN REMODELING AND CONS CONTRACTOR: OWNER: REMARKS: MH/GENE/434-1494 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: STR:* 619 438- INSPECTOR AREA PK PLANCK# CB920474 OCC GRP CONSTR. TYPE NEW STE: 347 CD 29 39 LVL DESCRIPTION A~T/JOMMENTS ff(-7--(,-7-2.&--PL Final Plumbing EL Final Electrical DATE DESCRIPTION 070192 Final Plumbing 070192 Final Electrical 062692 Final Plumbing 062692 Final Electrical 062392 Final Plumbing 062392 Final Electrical 051992 Rough/Topout 051992 Rough Electric ***** INSPECTION HISTORY ***** ACT INSP COMMENTS NS PK SEE NOTES NS PK co PK ON JOB co PK ON JOB CARD NR PK LOCKED NR PK LOCKED AP PK AP PK