HomeMy WebLinkAbout2352 HOSP WAY; 345; CB920952; Permit[ ~ ·" (' i:., E f, M .. 'I f err 1 t ~
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (6 19) 438-1161
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PERMIT APPLICATION ~ '1;3
PLAN CHECK NO.
City of Carlsbad Building Departaent
EST.VAL. _______ '.5,_._,,C,..2c;•c.."'_l>_ 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161
PIAN CIC DEPOSIT, ____ _,..~--
I. PERMII I YPE =· BY ____ _._i'-"-''""('-'1i'-1~, 'iJ=-✓
A -U Commercial □New Butldmg Li tenant Improvement
B -D Industrial □ New Building D Tenant Improvement
C -□ Residential □ Apartment □ Condo □ Single Family Dwelling Li Addition/ AJteration
□ Duplex □ Demolition
□ Mechanical □ Pool
Li Relocation □ Mobile Home □ Electrical □ Plumbing
□ Spa □ Retaining Wall □ Solar □ Other
2. PROJl!Cf INFORMATION
Address BuJJdmg or Smee No.
#345
FOR OFFICE USE ONLY
2352 Hosp Way
Nearest Cross Street
LEGAL DESCRil"I ION 0mt No. Phase No.
CHECK BEWW IF SUBMII 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEI. EXISTING USE PROPPSED USE
DESCRIPTION OF WORK Plumbing and Electrical for Laundry and Kitchen
SQ. Ff. # OF STIJRIES
3. WN JACI PERSON (If dnlerenl from apphcanl)
NAME Richard Whitney ADDRESS
CA ZIP CODE
5928 Pascal Court, Ste. 200
CITY Carlsbad STATE 92008 DAY TELEPHONE ( 619) 431-2800
1-. XPPUCXNI
NAME
UWNiitACIOR UAGENI FOR WNIRACIOR
New Design
Carlsbad
Remodeling
STATE
ADDRESS
DOWNER □AGENI FOR OWNER
5928 Pascal court,
92008 DAY TELEPHONE
Ste. 200
(619)431-2800 CITY CA ZIP CODE
NAME ADDRESS
CA ZIP CODE
1990 Westwood Blvd., Ste 300
90025 DAYTELEPHONE (310)474-1720
Hosp Way Limited
c11Y dfuc:. Angel es STATE 6. CDNI
NAME ADDRESS
New Design Remodeling 5928 Pascal Court, Ste. 200
CITY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800
STATE !JC.# 545-75 LICENSE CLASS B CITY BUSINESS IJC. # 437954
CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.#
7. WdkkERS' WMPRNSAIION
Workers' Compensation Declaratmn: I hereby afhrm that I have a cert1hcate 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 N2--7-85-50 9/21/92 INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certihcate of Exemptmn: I certify that m the performance of the work for which this penmt 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. UWNEk-BOllDEk DF.COOlA:iiuN
dwner-Bmider Deciaratton: I hereby afhrm that I am exempt from the Contracto?s Llcense 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 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.).
0 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. 7031.5 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 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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPI.EIE IAIS SECIIUN FUR NON-RESIDEN IIAt BOIIDING PERMil'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 □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 THE ANSWERS ARE YES, A FINAi.CERTIFICATE OFCXDJPANCY MAY NOT BE ISSIIEDAFrnllJULY 1, 1989 UNIBSS THE APPIJCANT
HAS MET OR IS MEI!TING THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.IJTION CXJN1ROL DISTIiier.
9. WNSIR0CIION LENDING AGENCY
I hereby athrm that there 1s a construction lend mg agency for the performance of the work for which this penmf 1s issued (Sec 3097(1) C1vU Ccxie).
LENDER'S NAME LENDER'S ADDRESS
10. APPllCAN I CPJllOICAflON
I cemfy lhat I have read the apphcatmn and state that the above mformauon 1s correct. I agree to comply with ail City ordmances 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 ALSO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS THE aTY OF CARISBAD AGAINsr ALL I1ABILITIES, JUDGMENTS, CX>STS
AND EXPENSES WIIlCH MAY IN ANY WAY NilUJR AGAINsr SAID aTY IN WNSF.QIIENCI! OF THE GRANTING OF TIIlS 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 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).
DATE: 2--1 I APPLICANT'S SIGNATURE &"½-11' YEU.OW: Applicant PINK: Finance
City of Carlsbad M :.jl I It! I I,,. I •14 ·b I I I,., 14, I I
DATE: 02/19/93
TO: TAYLOR FRANKLIN M
2352 HOSP WY #345
CARLSBAD CA 92008
RE: BUILDING PERMIT EXPIRATION
PERMIT NUMBER: CB920952
ISSUE DATE: 09/11/92
LAST INSPECTION:
PLEASE CALL FOR AN INSPECTION
IF WORK IS COMPLETE
ADDRESS: 2352 HOSP WY #345
Our records indicate that your building permit will expire by limitation
of time on 03/13/93.
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.
(Bl 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