HomeMy WebLinkAbout2360 HOSP WAY; 331; CB901791; PermitB U I L D I N G P E R M I T Permit
Project
Development
No: CB901791
No: A9002045 11/09/90 10:01
Page 1 of 1
Job Address: 2360 HOSP WY
Permit Type: MISCELLANEOUS
Parcel No: 167-250-42-5~
Valuation: 0
Construction Type: VN
Occupancy Group:
Str:
Class Code:
No:
Fl: Ste:
9309 11/0C, 190 OC'0l
R/"T
Cf-JS: i~cus:
Description: PLUMBING AND
: UNIT #331
ELEC FOR LAUNDRY Applied:
ISSUED
11/09/90
11/09/90
KZH
Appl/Ownr : DESIGN REMODELING
5928 PASCAL CT #200
CARLSBAD, CA 92008
CONTRACTOR DESIGN REMODEBTNG
5928 PASCAL C
CARLSBAD, A 92 08
HOSP WY D. OWNER
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description ------------------~
Miscellaneous Fee 1
* MISCELLANEOUS TO AL
Apr/Issue:
Validated By:
619-431-2800
619-431-2800
Credits ***
.00
.00
30.00
t Ext fee Data
FINAL APPROVAL
INSP. / ,,.,/ DATE 1 -{)I 1 I
30. 00 PL/EL/K1
30.00
CLEARANCE---.N __ 4-___ 1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
-·-~-------------------PERMIT APPLICATION ~ '1P
City of Carlsbad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1!61
1.
A
PERMIT TYPE
COMMERCIAL
PLAN CK DEPOSIT, ___________ _
VA.LIO. BY, ______________ _
DATE _______________ _
TENMH IMPROVEMENT
B • 0 INDUSTRIAL □TENANT IMPROVEMENT
C O RESIDENTIAL O APARTMENT
□DUPLEX 0DEMOLIT!ON
□MECHANICAL □POOL
□CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION
□RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
QSPA □RETAINING WALL □SOLAR □OTHER
2. PROJECT INFORMATION PLAN CHECK No. F
Address Bui ldrng or
2360 Hosp wav
Nearest Cross Streets 331
LEGAL OESC11:1PTION El Camino Qeal Lot No. Sulxhv1sion Name/Nurber Unit No. Phase No.
CHECK BEJ,.CM IF SUBMITTED:
Q2 Energy Cales 02 Structural Cales 02 Soi ls Repart D 1 Addressed Envelope
EXISTING USE PROPOSED USE
Plumbing and electrical for laundry and kitchens.
BLOG. SQ. FTG,
3. CONTACT PERSON
NAME
CITY
SIGNATURE
4. APPLICANT □ cmHRACTOR
NAME
# OF STORIES
STATE
ADDRESS
ZIP CODE
0 AGENT FOR CONTRACTOR
ADDRESS
DAY TELEPHONE
□OWNER 0 AGENT FOR OWNER
New Design Remodeling
ciTY Carlsbad & Construction
STATE CA
5928 Pascal Court,.1 ,i?Q,n,
ZIP CODE92ooa ~ttP ill (619) 431-2800 5. PROPERTY OWNER OWNER □LESSEE
Blvd.,
□TENANT
#300 NAME Hosp Way Limited ADDREss199O Westwood
c1TY Los Angeles STATE CA ZIP CODE 90025 DAY TELEPHONE ( 213) 474-1720
6. CONTRACTOR
NAME New Design Remodeling & Const. ADDRESS5928 Pascal Court, # 200
Catrlsbad mr, CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800
7.
8.
CITY
LICENSE CLASS __ _., __ _ CITY BUSINESS LIC. # C437954
TITLE Controller DATE November 8 1990
ADDRESS
STATE ZIP CODE DAY TELEPHONE STATE LJC. #
Workers• Compensation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' Compensation Insurance by an ao:tni t ted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY Nationwide Mutual POLICY NO. 3~M"682 84 EXPIRATION DATE 6-28-91
Certificate of Exeirption: I certify that in the performance of the work for which this permit is issued, I shall not eirploy any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
DI as owner of the property or my employees i.ith i.ages as their sole compensation, will do the i.ork and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Lai. 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 c~letion, 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 Cootractor'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).
D J am exeirpt 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 License Law (Chapter 9, coomencing with Section 7000 of Division 3 of the Elusiness 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
COMPLETE THIS SECTION FOR HON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely haiardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley·Tanner Haiardous 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 0N□
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site'
□YES □ND
IF ANT Of THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCOJPANCY MY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE Of EMERGENCY SERVICES AND THE AIR POl.LUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING 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
APPLICANT'S SIGNATURE 10. I 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 lai.s relating
to building construction. I hereby authorize representatiYes of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY Of CARLSBAD AGAINST All LIABILITIES, JLOQIIENTS, COSTS AND EkPENSES WHICH MY IN ANY WAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
Expiration. Every permit issued by the Eluilding 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 coomenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abardoned at any time after the ork is c011111enced for a period of 180 days (Section 303(d) Uniform Building Code).
D OWNER acoNTRACTOR OBY PHONE APPROVED BY: _______ _
DATE: _________ _
HITE: File YELLOW: Applicant PINK: Finance
PERMIT# CB901791
DESCRIPTION: PLUMBING AND ELEC
UNIT #331
TYPE: MISC
JOB ADDRESS: 2360 HOSP WY
APPLICANT: DESIGN REMODLEING
CONTRACTOR: DESIGN REMODELING
OWNER: HOSP WY LIMITED
REMARKS: MH/KEITH/431-2800
SPECIAL INSTRUCT:
TOTAL TIME:
CD
29
39
LVL DESCRIPTION
PL Final Plumbing
EL Final Electrical
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/21/91
FOR LAUNDRY
INSPECTOR AREA PK
PLANCK# CB901791
OCC GRP
CONSTR. TYPE VN
STR: FL: STE:
PHONE: 619-431-2800
PHONE: 619-431kYOO PHONE:
INSPECTOR --ii-=----------
ACT COMMENTS & -----<lulu.1l___,CB:(l-0=.,=,,_-1,llo..t:L....cCu/,.,AIJ;"'1.,__·.L,0::......:2':.../c.:"'-?_
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***** INSPECTION HISTORY*****
DATE
111390
111390
DESCRIPTION
Rough/Topout
Rough Electric
ACT INSP
AP PK
AP PK
COMMENTS