HomeMy WebLinkAbout2352 HOSP WAY; 248; CB920948; PermitB I I L [ . N J; R M T r t'r mi t ' . ( . 'i p ..
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO. 'f?.,-Cf'-{ e
City of carlsbad Building Departaent
EST. VAL If 3,0 • "" 2075 Las PalES Dr., C&rlsbad, CA 92009 (619) 438-1161
PLAN CK DEPOSIT VAIJD. BY (V\.,l!).,,..,P,.,_. ____ _
I. PF.llMi I I YPH DATE Cj_f u{~
A -LI COmmerc1al LI New Bu1ldmg LI lenanr Improvement
B -□ Industrial LI New Building D Tenant Improvement
C -□ Residential D Apartment □ Condo LI Single Family Dwelling □Addition/Alteration
LI Duplex □ Demolition LI Relocation LI Mobile Home U Electrical □ Plumbing
□ Mechanical □ Pool D Spa □ Retaining Wall D Solar □ Other
2 PROJF.CT INRlRMATION FOR OFFICE USE ONLY
Address 2352 Hosp Way BuUdmg or Suite No, 248
Nearest Cross Street El Camino Real
LEGAL DEsCHIM ION Lot No. Sufx1IV1s1on Name/Number 0mt No. Phase No.
□ 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ 1 Addres.sed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCRIPTION OF WORK . d k · t h Plumbing and electrical for laundry an i c en
SQ. Ff. # OF STORIES
3. WN IACI ,PEJISOl'l (1£ 9-iijerenf from applicant) NAME Richard Whitney ADDRESS 5928 Pascal court, Ste 200
(619)431-2800 Carlsbad CA 92008
CllY STATE ZIP CODE DAY TELEPHONE
4. APPDCANI □WNIRACIOR UAG£NI FORWNIKACIUR uuwNtK UAGENI FOR OWNER
NAME New Design
Carlsbad CilY
remodeling
STATE CA
ADDRESS 5928 Pascal Court, Ste. 200
ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800
NAME
CilY
Hosp Way Limited
Los Angeles STATE CA
ADDRESS 1990 Westwood Blvd.,
ZIP ffiDE 9 oo 2 S DAY TELEPHONE
Ste 300
(310)474-1720
NAME
CITY
New Design Remodeling
Carlsbad STATE CA
ADDRESS 5928 Pascal court ste
ZIP ffiDE 92008 DAY TELEPHONE
200
(619)431-2800
STATE UC.# 545075 LICENSE CLASS B CilY BUSINESS UC.# 437954
CilY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORkRRS' WMPENSAIIUN
Workers' t.Zmpensat1on beclarat1on: I hereby afhrm that I have a ceruhcate of consent to self-insure issued by the Utrector 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 N2007-85-50 9/21/92
INSURANCE ffiMPANY POLICY NO. EXPIRATION DATE
Cenl1lcate of Exempbon: I certtfy that m the perionnance of the work ior 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-B0IWEk DHCDJiADUN
Owner-Butlder Declaratton: I hereby afhnn that I am exempt from the COntractor's Llcense Law for the followmg 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: 111.e 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: 111.e Contractor's License 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).
D 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 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 DATE
CoMPIEIE IHIS SECIION FOR NON-RESIDEN IIAt BUILDING PERMll's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 2550S, 2S533 or 25S34 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district?
□YES CNO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF TIIl!ANSWERS ARE YES, A FINAL CERTIFICATE OF OCDJPANCY MAYNITT BI!ISSIJED AFil!RJULYl, 1989 IJNLllSS TIIl!APPLICANT
HAS MET OR IS MEimNG TIIl! REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POIJ.UTION CDN11IOL DISllUCT.
9. WNSIR0CIION 1£NDING AGENCY
I hereby afhnn that there 1s a constructmn lend mg agency for the performance of the work for which this penntt IS issued (Sec 3097(1) CivU Code).
LENDER"S NAME LENDER'S ADDRESS
10. APPLICANI CEkliFlciliuN
I certify that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with 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 AISO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TIIl! CfIY OF CARISIIAD AGAINST AIL IJAIIIUl1F.S, JUDGMENTS, CDSTS
AND EXPENSES WIIIOI MAY IN ANY WAY MilUJE AGAINST SAID CfIY IN OONSEQIJENCE OF TIIl! GRANTING OF TIIIS PERMIT.
OSHA: An OSHA permit is required for excavations over S'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennic 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 pennit or if the building or work authorized by
such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code).
APPLICANTS SIGNATURE ,t?~ DATE: Cj'-t I
&wYZct:cr'J_
YEIJ.OW: Applicant PINK: Finance
PERMIT# CB920948
DESCRIPTION: PLUM./ELEC. FOR
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 09/16/92
KIT. & LORY
JOB ADDRESS: 2352 HOSP WY
APPLICANT: NEW DESIGN REMODELING
CONTRACTOR:
PHONE:
PHONE:
OWNER: PHONE:
INSPECTOR AREA PK
PLANCK# CB920948
OCC GRP
CONSTR. TYPE NEW
STR:** FL:**** STE: 248
619 431-2800
. I
REMARKS: MH/GENE/434-1494
SPECIAL INSTRUCT:
• I
INSPECTOR~~ __ .::_-_-_--_-_______ _
TOTAL TIME:
CD
24
34
DATE
LVL DESCRIPTION
PL Rough/Topout
EL Rough Electric
DESCRIPTION
***** INSPECTION HISTORY*****
ACT INSP COMMENTS
City of Carlsbad
M =-J ■ I I di 141· i~IA•i=I Ii 1119 ,Ii
DATE: 02/19/93
TO: HOMEOWNER
2352 HOSP WY #248
CARLSBAD CA 92008
RE: BUILDING PERMIT EXPIRATION
PERMIT NUMBER: CB920948
ISSUE DATE: 09/11/92
LAST INSPECTION:
PLEASE CALL FOR AN INSPECTION
IF WORK IS COMPLETE
ADDRESS: 2352 HOSP WY #248
Our records indicate that your building permit will expire by limitation
of time on 03/15/93.
The provisions of UBC, Section 303(d) state: "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 one calendar year from the date of such permit,
or if the building or work authorized by such permit is stopped at any time
after the work is commenced for a period of six consecutive calendar months or
if the building or work authorized by such permit exceeds three calendar years
from the issuance date of permit. Work shall be presumed to have commenced if
the permittee has obtained a required inspection approval of work authorized
by the permit by the building official within one year of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not ob-
tained a required inspection approval of work by the building official within
each six month period upon the initial commencement of work authorized by such
permit.·
Before such work can be recommenced, a new permit, or a renewal permit as
specified below, shall be obtained.
1. PERMITS WHERE WORK HAS NOT COMMENCED.
not commenced in the first calendar year from the
permit may be obtained provided:
For permits where work has
date of issuance, a renewal
(A) No changes have been made or will be made in the original plans and
specifications for such work.
(B) That the expiration has not exceeded three years from the original
issuance date.
(C) That the same edition of the model codes is in effect as used in
the initial plan check.
(D) That a fee equal to one-half the amount required for a new permit
be paid.
The renewal permit shall expire three calendar years from the date of initial
permit issuance.
2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161