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Home My WebLink About2360 HOSP WAY; 329; CB911044; PermitB U I L D I N G 07/17/91 13: Page 1 of 0-3 (pO _, :if 3,.?-"\ Job Address : _.,vJ.-:' -> Permit Type: MISCELL) t Parcel No: 167-250-4? $~ Valuation: J Construction Type: NEW PERMIT Permit No: Ch~:1044 Project No: A911!281 Developmen "1 Str: Fl: Ste: '::5..;;i. y 3515 07/17/91 0001 01 02 C-PRHT 30-00 CR J.-113 Occupancy Group: Class Code: c:1 t _,: ... SSUED Applied: 07/17/9! Description: PLBG/ELEC FOR LDRY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT CARLSBAD, CA q2ooe le** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T ** Apr/Issue: 07/17/9: Validated By: DC 619 431-2800 ected & Credits .00 .00 30.00 *** Ext fee D.Jtd 30. 00 PLBG/EL. 30.00 INSP. ,-1-,L/&.-;:_--:__J)J.\!l Ip ~,21 . 91 CLEARANCE AJn-@ . CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. q/-/Ol/l/ City of carlsbad Building Department 2075 Las PalllBS Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ________ _ I EST. VAL I. PFJi.MI I hPR =-BY, __________ _ A -U COmmerc1al D New Bmldmg U I enant Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential D Apanment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar O Other 2. FOR OFFICE USE ONLY Nearest Cross Street Way, Carlsbad El Camino REal CHECK BEWW IF SOBMI 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ase o. ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and Kitchens. SQ. IT. # OF S1DRTES 3. WN IACI PFJtSON (II dnlerenl from applicant) NAME ADDRESS Keith Smith 5928 Pascal Court, Suite 200 CITI Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 4. APPIJCANI DWNIRACIOR □AGENI FORWNIRACIOR □OWNER □AGENI FOR OWNER NAME New Design Remodeling & ADDRESS 5928 Pascal court, Suite 200 STATE ZIP CODE DAY TELEPHONE 5. PROPER NAME Hosp WAy Limited Los Angeles ADDRESS ZIP CODE 92008 !6)9) 43)-2800 1990 Westwood Boulevard, Suite 300 CITI STATE CA 90025 DAYTELEPHONE (213) 474-1720 NAME CITY New Design Remodeling Carlsbad STATE CA ADDRESS ZIP CODE 5928 Pascal Court, Suite 200 92008 DAYTELEPHONE (619) 431-2800 STATE !JC.# 545075 IJCENSE CI.ASS CITI BUSINESS !JC. # 4 3 7 9 5 4 CITI STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOkkERS' WMPRNSAJION Workers' Compensation Declarat1on: I hereby aUlrm that I have a cemlicate of consent toseli-msure issued by the b1rectorof 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). INSURANCE COMPANY Nationwide Insurance POIJN~?08402-ooOl%a,1RATION DATE 2 rt1 1cate o xempuon: ceru t at m t e pe ormance o t e war or w 1c t 1s permit 1s tssu , s a not emp oy any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNEK-BUIID£ll Da!LARAIION Owner-Builder Deciaratlon: I hereby affirm that I am exempt from the Contracto?s License 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: 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.). □ 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 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). □ 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 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATURE DATE COMPLETE I HIS $£cl ION FOR NON-RESIDEN I IA[ BUIIDING PERMI rs 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 pennit from the air pollution control district or air quality management district? C YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATI! OF OCCUPANCY MAYNar BE ISSUED AITER JULY 1, 1989 UNLESS nm APPLICANT HAS MET OR IS Ml!lmNG nm REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND nm AIR POillJTION a>NTROL DISllUCT. 9. WNSIHOCIION UNDING AGENCY I hereby aihrm that there 1s a constructmn lendmg agency for the perfonnance of the work for which this penn1t 1s issued (Sec 3097llJ Civil Code). LENDER'S NAME LENDER'S ADDRESS lb. XPPllCAN I CEklMCA:ilUN I certify that I have read the apphcatton and state that the above mformat1on 1s correct. I agree to comply with all 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 AISC) AGREE 1U SAVE INDEMNIFY AND KEEP IIARMLF.SS nm Cl1Y OF CARISBAD AGAINST AU. UABIU11ES, JllllGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY ACX:JUIE AGAINST SAID Cl1Y IN a>NSF.QUF.NCE OF nm GRANTING OF nns PERMIT. OSHA: An OSHA pennit 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). APPIJCANTS S:✓7~ DATE: _____ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911044 FOR 10/29/91 DESCRIPTION: PLBG/ELEC FOR LORY AND KITCHEN TYPE: MISC JOB ADDRESS: 2360 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: REMARKS: MH/RICHARD/434-1494 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB911044 OCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 329 619 -2800 CD 29 39 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing EL Final Electrical ~---- ------------------ ------------------ ------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 102891 Final Plumbing NR PK DID NOT WALK IT 102891 Final Electrical NR PK DID NOT WALK IT 082191 Rough/Topout AP PK SHOULD BE ADDRESSED 2360 082191 Rough Electric AP PK