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Home My WebLink About2360 HOSP WAY; 232; CB911315; PermitB U I L D I N G P E R M I T Permit ~o: CB91131S 09/18/91 16:31 Page 1 of 1 Job Address: 2360 HOSP WY Permit Type: MISCELL\ t J Parcel No: 167-250-4~-18 Valuation: Construction Type: NEW Str: * * Project No· .., Development N ~n? Fl: **** Ste: 2 G/C-:;}_ 3l/1 4464 09/18/91 0001 01 02 C-PRMT 30-00 Occupancy Group: Class Code: Status: ISSUED 09/18/91 09/18/91 DC Description: PLUM/ELEC LDRY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL CT #200 CARLSBAD, CA 92009 *** Fees Required Fees: Ad~ustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS TO *** • l --~-.......-~- 619 Applied: Apr/Issue: Validated By: 431-2800 P.cted & CrAd1ts ~--------------------- .00 .00 30.00 Ext fee Data 30.00 KIT/L[iRY 31.00 t:t:!J,;OVAL INSP. ATE /0 .;s,11' CLEARANCE ""'.r r &,C/nll-~ CllY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Department 2075 Las Palaas Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL~-----------PLAN CK DEPOSIT ________ _ VAIID. BY __________ _ I. PEkMII IYPE A -U COmmerc1al B -□ Industrial U New Bu1ldmg LI lenant Improvement □ New Building □ Tenant Improvement DATI! C -l;J Residential □ Apartment □ Condo D Single Family Dwelling □ Addition/ Alteration □ Duplex LI Demolition D Relocation D Mobile Home D Electrical □ Plumbing D Mechanical D Pool □ Spa □ Retaining Wall □ Solar D Other 2. PRQJOCT INFORMATION FOR OFFICE USE ONLY Address :X 3 6c) BuUdmg or Suite No. ~ Hosp Way, Carlsbad 232 Nearest Cross Street El Camino Real LEGAL DEsCRIIYIION Loe No. Sutxi.1VJs1on Name/Number 0mt No. Phase No. CHECK BEIDW IF S0BMI 11 ill: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. FJCTSJJNG USE PBOPQSEP USE DESCRIPTION OF WORK ~j,1P,1bing and ElectricjdJ, J8diEsLaundry and kitchens 3. WN IACI Prl&JN (IJ dll[erent from apphcanf) NAME Keith Smith ADDRESS ZIP CODE 5928 Pascal Ct., Ste. 200 431-2800 CITY Carlsbad STATE CA 9 2008 DAY TELEPHONE ( S l 9 ) 4. APPIJCANI UCUNlKACJUK □AGENI FORWNIRACIOR UUVVNt;H. DAGEN! FOR OWNER NAME New Design Remodeling ADDRESS CITY Carlsbad STATE CA ZIPmDE 5928 Pascal Ct., Ste. 92008 DAY TELEPHONE ( 619) 200 431-2800 NAME CITY Hosp Way Limited Los Angeles STATE CA ADDRESS ZIP CODE 1990 90025 Westwood Boulevard, Ste. 300 DAY TELEPHONE (213) 474-1720 NAME CITY N SN Design larr:xElin, & O::nst.. Carlsbad STATE CA STATE UC.# 545075 ADDRESS 5928 Pascal Ct., !)200 ZIP OODE 92008 DAY TELEPHONE I~ 1 9) 431-2800 UCENSE CIASS CITY BUSINESS UC. # 437954 CITY STATE ZIP OODE DAY TELEPHONE STATE UC.# 7. WORRP.kS' WMPRNSAJIUN Workers' Compensation Declaration: I hereby ail1rm that I have a cert1hcate of consent to self-msure issued by the Ulrectorof 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 OOMPANY Nationwide Insuranceroucy NO. 73ra:a3402--000ail!RAnoN DATE 6/28/92 Cert1llcate of Exemption: I certify that m the performance of the work for which this pernut 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of C'.alifomia. SIGNATURE DATE 8. OWNF.R-B0IWEk DF.COOlAliON 0Wner-Bu1ider beclarat1on: I hereby affirm that I am exempt from the Contracto?s License Law for the foilowmg 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 nor 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: 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 Llcense 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 pennit 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 DATI! CDMPLEIE I HIS SECI ION FOR NON-R£Slb£N I IAL H0IWING PERMl'l'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 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 TIii! ANSWERS ARI! YES, A FINAL CERTIFICATI! OF oa:IIPANCY MAY NOT BE IS.Wl!D AFIER JULY 1, 1989 UNLESS TIii! APPIJCANT HAS MI!T OR IS MEETING TIii! REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICFS AND TIii! AIR POIJ.tmON WNTilOL msrmcr. 9-WNSIR0CIIUN mNOING AGENCY I hereby afhnn that there ts a construction lendmg agency for the performance of the work for which this penmt ts issued (Sec 3097(1) CivlJ Code). LENDER'S NAME LENDER'S ADDRESS lo. XPPIJCAN 1 t!EkliFICAiiON I certify that I have read the apphcat1on and state that the above miormatmn 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 TIii! CllY OF CARlSBAD AGAINST AU. UABIU11ES, JUDGMENTS, CX>STS AND EXPENSES WIIlCH MAY IN ANY WAY A£IlUIE AGAINST SAID CllY IN WNSF.QIIENCE OF TIIE GRANTING OF TIIlS PERMIT. ~ 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 AP::::::,:::::::~ •&~s~ommenced for a period of 180 days (Section 30:~:~nif~k/q Croe) WHiTE: File YELl.OW: Applicant PINK: Finance \ CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911315 FOR 10/28/91 DESCRIPTION: PLUM/ELEC LORY AND KITCHEN TYPE: MISC PHONE: INSPECTOR AREA PK PLANCK# CB911315 CCC GRP CONSTR. TYPE NEW STR:** FL:**** STE: 232 619 431-2800 JOB ADDRESS: 2360 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR.: OWNER: REMARKS: MH/GENE/434-1494 SPECIAL INSTRUCT: PHONE: ~ PHONE: INSPECTOR_.--""'----------- TOTAL TIME: CD 29 39 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing EL Final Electrical ff MD put (1-Rn · ------------------------------------ ------------------ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 092491 Rough/Topout AP PK 092391 Rough/Topout co PK CORR INCOMPLETE 092091 Rough/Topout co PK 092091 Rough Electric AP PK