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HomeMy WebLinkAbout2360 HOSP WAY; 229; CB901504; PermitB U I L D I N G P E R M I T 09/14/90 16:07 Page 1 of 1 Job Address: 2360 HOSP WY Str: Permit Type: MISCELLANEOUS Parcel No: 167-250-42~ Valuation: o Construction Type: NEW Occupancy Group: Class Code: Description: PLUMBING & ELECTRICAL FOR LDRY : AND KITCHENS #229 Permit No: CB90150 4 Project No: A9001679 Development ~1o1/2)/b Fl: Ste:J.;29u ,c/lf~l 8105 09/14/90 00 C-Ph'ft ro. , Status: ISSUED Applied: 09/14/90 Apr/Issue: 09/14/90 Validated By: DC OWNER CONTRACTOR HOSP WAY LIMITED NEW DESIGN REMODELING & GONS Lie. OWNER Lie. C 437954 619-431-2800 5928 PASCAL CT CARLSBAD, CA 92008 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee 1 * MISCELLANEOUS TOTAL 0 .00 .00 30.00 .00 .oo 30.00 *** Ext fee Data ...... JU APPROVAL 30.00 PL/EL/K/ 30.00 INSP. ....,._-,.;;;-DATE ~--&4.:, CLEARANCE ____ , CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION • City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 {619) ,,a-1161 . . PLAN CK DEPOSIT ___________ _ VALID. BY, ______________ _ 1. PERMIT TYPE DATE ______________ _ . A O COMMERCIAL B -0 INDUSTRIAL TENANT IMPROVEMENT 0 TENANT IMPROVEMENT C -□RESIDENTIAL □APARTMENT [j':C0ND0 □SINGLE FAMILY DWELLING ~ADDITION/ALTERATION 0 DUPLEX O DEMOLITION □MECHANICAL □POOL ORELOCATlotl □MOBILE HOIE !IIELECTRICAL lj!PLUMBING □sPA □RETAINING WALL □SOLAR OontER 2 .. cc PROJECT INFORMATION PLAN CHECK " ress 2360 Hosp way; Carlsbadr CA Nearest Cross streets El Camino Real LEGAL DESCRIPTION Lot No. Subdivision Name/N!.lli>er Unit No, Phase No. CHECK BELCM IF SUBMITTED: 3. 4. 5. 6. 7. Q2 Energy Cales 02 Structural Cales D 2 Soi ls Report D 1 Addressed Envelope ASSESSOR'S PARCEL EKISTING USE PROPOSED USE Install Plumbing BLOG. SQ. FTG. & electrical for Laundry hook-ups for units. # OF STORIES CONTACT PERSON NAME Keith SDli th CITY carlsbad SIGNATURE APPLICANT (3tONTRACTOR NAME New Design Remodeling CITY carlsbad PROPERTY OWNER NAME Hosp Way Limited CITY Los Angeles CONTRACTOR NAME New Design Remodeling CITY carlsbad & & ADDREss 5928 Pascal Court; Suite 200 (619) 431-2800 STATE CA ZIP COOE 92008 DAY TELEPHONE 0 AGENT FOR CONTRACTOR □OWNER 0 AGENT FOR OWNER COnstructf~" 5928 Pascal court STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800 OWNER □LESSEE □TENANT ADDREss 1990 Westwood Blvd., Suite 300 STATE CA ZIP COOE 92025 DAY TELEPHONE (213) 474-1720 COnstruct~ffn'' 5928 Pascal Court; Suite 200 STATE CA ZIP COOE 92008 DAY TELEPHONE ( 619) 431-2800 STATE LIC. # 545075 LICENSE CLASS __ _.B..__ __ TITLE CITY BUSINESS LIC. # 1 )16900 SIGNATURE DESIGNER NAME CITY WORKER ' COMPENSATION STATE ADDRESS ZIP COOE DATE DAY TELEPHONE STATE LIC. # Workers• C~sation Dec aration: I hereby affirm that I have a certificate of consent to self·insure issued by the Director o ustr1a Relations, or a certificate of Workers• C~nsation Insurance by an admitted insurer, or an e11act copy or duplicate thereof certified by the Director of the insurer thereof filed with the Bui ldi ng Inspection Department (section 3800, Lab. C). INSURANCE COMPANY Nationwide Mutual POLICY NO. oa9f82 0001 E)(PJRATI0N DATE 6-28-91 Certificate of Ex~tion: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Coirpensation Laws of California. SIGNATURE DATE 8. OWNER-BUILDER OECLARATION Owner-Builder Declaration: I hereby affirm that I am e)(empt from the Contractor's License Law for the following reason: D I as owner of the property or my errployees 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 irrproves thereon,, and who does such work himself or through his own errployees, provided that such irrprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of coopletion, the 01,mer·bui lder 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 e)(c\usively contracting with licensed contractors to construct the project (Sec. 7044, Busiooss and Professions Code: The 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 License Law). 0 I am exer!l)t under Section ___________ Business and Professions Code for this reason: (Sec. 7031.5 Busiooss and Professions Code: Any City or County which requires a permit to construct, alter, irrprove, 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 License law (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom, and the basis for the alleged e)(elll)tion. 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 COMPLETE THIS SECTION FOIi NON·RESIOENTIAL BUILDING 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 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 feet of the outer boundary of a school site? OYES IF MIY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCll'ANCY MY NOT BE ISSlED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIRENEltTS OF THE OFFICE OF BERGENCY SERVICES ANO THE AIR POLLUTION CONTROi. DISTRICT. 9. CONSTRUCTION LENOING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE J certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws re\at1ng 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY DF CARLSBAD AGAINST ALL LIABILITIES, JLOQl:NTS, COSTS AND EXPENSES WHICH NAT IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. E)(piration. Every permit issued by the Building Official under the provisions of this Code shatl e)(pire by limitation and become null and void if the building or work authorized by such permit is not conmenced i.1ithin 180 days from the date of such permit or if the building or i.1ork authorized by such permit is suspended or abandoned at any time after the work is coornenced for a period of 180 days (Section 303(d) Uniform Building Code). □ OWNER jilCONTRACTOR □BY PHONE APPROVED BY:-----~-DATE: _________ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB901504 FOR 10/30/90 DESCRIPTION: PLUMBING & ELECTRICAL FOR LORY AND KITCHENS #229 TYPE: MISC JOB ADDRESS: 2360 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: NEW DESIGN REMODELING & CONS OWNER: HOSP WAY LIMITED PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB901504 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 431 2800 619-431-800 REMARKS: T2/RS/KEITH/431-2800 SPECIAL INSTRUCT: Ta' INSPECTOR --+-L-/ _________ _ BA TOTAL TIME: CD 29 39 LVL DESCRIPTION PL Final Plumbing EL Final Electrical DATE 092890 092890 DESCRIPTION Rough/Topout Rough Electric ACT COMMENTS ***** INSPECTION HISTORY***** ACT INSP AP PK AP PK COMMENTS