HomeMy WebLinkAbout2360 HOSP WAY; 130; CB911412; Permit" B U I L D I N G P E R M : 1
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.;c.b Adc1rcs:::: 2360 HOSP WY Str: u F
fPtmit ~ype: MISCELL
Fcircel No: 1b7-250-4 a8
Vuluation:
Conztruc tior1 Type: NEW
:>ccupancy Group: Class Code:
Description: PLUMBING & ELEC1R! LDRY
: AND KI~CHENS UNI1 ,,,,....
Permit No: r'B91141"
Project-No: A91 l17<l3
Develot.,ment No:
4869 10/17/91 0001 01 02 C-PRHT 30-00
-__ fl
Applied: 10/17/41
Apr/Issue: 10/17/91
Validated By: DC
Appl/Ownr : NEW DESIGN REMODELING
5928 PASCAL CT #200
CARLSBAD, CA 92008
61 ~ 4 Jl-2800
OWNER
CONTRACTOR
HOSP WAY LIMY
NEW DESIGN £>
C:,928 PASC ,
CARLSBAD,
*** Fees Required
-------------------~ees:
AdJustments:
Total Fees:
Fee description
--------------~--
Miscel:aneous Fee #1 * MISCELLANEOUS TOTAL
Unit!>
619-431-~80 >
-------~--------
.oo
.00
30.00
Ext fee :>at ,
---~--------------------------------
30. 00 P:./I: :, IK/ ~
30.JO > 30.00
A APPROVAL
INSP . .J-.:,aa;;;;;;;;:... DATE R-26
CLEARANCE er: <W -
CITY OF CARLSBAD
2075 Las Pal.mas Dr., Carlsbad, CA 92009 (619) 438-1161
-----•--· ----•--,
PERMIT APPLICATION ~ ~
PLAN CHECK NO. q/-Jc..// 2-
City of carlsbad Building Departaent
207S Las Palaas Dr •• Carlsbad, CA 92009 (619) 438-1161
PIAN CK DEPOSIT _______ _
l
l!ST. VAL
VAIJD. BY __________ _
I. PPJlMIJ hPR DATE
A -D Commerc1al U New Buddmg U 1 enant Improvement
B • □ Industrial □ New Building □ Tenant Improvement
C -□ Residential D Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other
2. PROJECr INFORMATION FOR OFFICE USE ONLY
Address BuJJdmg or Suite No,
2360 Hosp Way, Carlsbad 130
Nearest c~ Street El Camino Real
LEGAL DESCRIVttoN Lot No. Su&i1V1s1on Name/Number 0mt No. Phase No.
CHECK BEWW IF SOBMI 11 ED:
□ 2 Energy calcs □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPPSEP USE
DESCRIPTION OF WORK
SQ.Ff. Plumbing and Electr!'i'll\-rb!lmsLaundry and Kitchens.
3. WN IM.:I PFJl9JN (II duiereni from applicant)
NAME Richard Whitney ADDRESS 5928 Pascal Court, Suite 200
CI1Y Carlsbad STATE CA ZIPCODE 92008 DAYTELEPHONE (619) 431-2800
4. APPIJCANI UWN(RACIOR OAGJ;;NI FURWNIHACIOR DOWNER DAGENI FOR OWNER NAME New Design Remade.Ling ADDRESS 5928 Pascal Court, Suite 200
Carlsbad CA 92008 (619) 431-2800 CI1Y STATE ZIP CODE DAY TELEPHONE
NAME Hosp Way Limited ADDRESS 1990 Westwood Boulevard, suite 300
CI1Y Los Angeles STATE CA ZIP CODE 90025 DAY TELEPHONE (213) 474-1720
NAME New Design Remodeling ADDRESS 5928 Pascal Court, Suite 200
CI1Y Carlsbad, STATE CA ZIP CODE 92008 DAY TELEPHONE (619) 431-2800
STATE LIC. # 545075 LICENSE CLASS B CI1Y BUSINESS LIC. # 437954
CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORk£RS WMPP.NSA:liON
Workers' Compensation beclarat1on: I hereby afhrm that I have a certthcate of consent to seif-msure issued by the Ulrector of Industrial
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).
73WCoo8402-00019 INSURANCE COMPANY POLICY NO. EXPIRATION DATE
1
Cerubcate of Exemptmn: I certnY triat m the performance of the work for which this penmf IS 1SSued1 I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. UWNRR-BOIWRk DPl!LARA:liON
OWner-BulJder Oeclarat1on: I hereby affirm that I am exempt from the Contracto?s License Law for the foiiowmg 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.).
□ 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]).
SIGNATIJRE DATE
COMPLEIE IRIS SECIION FOR NON-RESIOENIIAC BDILbJNG PERMtrs 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 TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:tJPANCY MAYNCYr BE =tlED AFrnR JULY 1, 1989 UNLl!SS TIIE APPIJCANT
HAS MET OR JS Ml!lmNG TIIE REQUIREMENTS OF TIIB OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILUTION CDNTROL DISTRICT.
9. WNS'lkUCIIUN IP.NUING ACRNCI
I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code}.
LENDER·s NAME LENDER'S ADDRESS
IO. APPllcAN i CFJllMCAiiuN
I certUY that I have read the appJJcat1on and state that the above miormauon 1s correct. i agree to comply with ail 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMIJlSS TIIE crIY OF CARISIIAD AGAINST AIL IJABIIITIES, JUDGMENTS, CDSfS
AND EXPENSES WIIlCH MAY IN ANY WAY A£XJUIE AGAINST SAID CfIY IN ffiNSEQUENCE OF TIIE GRANTING OF TIDS 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: 10-11-~ I
OW: Applicant PINK: Fmance
• -CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB911412 FOR 12/19/91
DESCRIPTION: PLUMBING & ELECTRICAL FOR LDRY
AND KITCHENS UNIT(#208
TYPE: MISC
JOB ADDRESS: 2360 HOSP WY
APPLICANT: NEW DESIGN REMODELING
CONTRACTOR: NEW DESIGN REMODELING & CONS
OWNER: HOSP WAY LIMITED
PHONE:
PHONE:
PHONE:
REMARKS: MH/GENE/434-1494
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD
29
39
LVL DESCRIPTION
PL Final Plumbing
EL Final Electrical
ACT COMMENTS
-AP 4/p tJ: &-
------------------
DATE
102191
102191
DESCRIPTION
Rough Electric
Rough/Topout
***** INSPECTION HISTORY*****
ACT INSP
AP PK
AP PK
COMMENTS
INSPECTOR AREA PK
PLANCK# CB911412
OCC GRP
CONSTR. TYPE NEW
STE: 130