HomeMy WebLinkAbout2360 HOSP WAY; 131; CB911638; Permit.. ...
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Valuation:
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~escription: PLVMB/ELEC FJR ~AUNDRY/KITC~FN A[)f:.
Appl1Uwnr : NEW DESIGN REMODELLNG
~928 PASCAL CT #LOU
CARLSBAD, CA 92008
Fees Required
Fees:
Adiu::::tments:
'!'otal Fees:
Fee descr1.pt1on
Misre~laneous Fee #1
* MISCELLANEOU~ TOtAr
30 .t-O
,VU
3-0. U
l
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b13 4J1 2800
l~cte,'i & Credi ts A A ii.
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Tct<.11 Payme,nts:
BaldnC l)u :
Units FE"e/Ut •
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30,00
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.ao
30.00
Ext feP Dat.i
30 • .JO E:.i•( /H' :
30.00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Departaent
2075 Las Pal•• Dr., Carlsbad, CA 92009 (619) 438-1161
~ "111 EST. VAL. _________ _
PIAN CK DEPOSIT _______ _
VAJID. BY __________ _
I. PRRMII I YPE DATE
A -U COmmerc1al U New Bu1idmg U l'enanc Improvement
B -□ Industrial U New Building □ Tenant Improvement
C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex U Demolition □ Relocation U Mobile Home U Electrical □ Plumbing
0 Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PRClJF.Cf INFORMATION
Address Budding or Suite No.
131
FOR OFFICE USE ONLY
2362 Hoso Wav .Carlsbad Nearest Cross Street El caffiino Rea!
LEGAL DESCRIP I ION Lot No. Suix11VJs1on Name/Number Unit No. Phase No.
CHECK BEWW IF S0BMII 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPQSEP USE DESCRIPTION OF WORK
Plumbing and Electrical for Laundry and Kitchen
SQ. FT. # OF STORIES
3. WN iACI .('r.tt:,UN 1tf _curt~reni from appJlcantJ
NAME Ricnarct wni tney ADDRESS 5928 Pascal Court, Ste. 200
Carlsbad Ca 92008 ( 619) 431-2800 CI1Y STATE ZIP CODE DAY TELEPHONE
4. APPUCANI □WNIRACIUR DAGEN! FORWNIRACIUR □OWNER □AGENI FOR OWNER
NAME New Design Remodeling ADDRESS 5928 Pascal Court, Ste. 200
CI1Y Carlsbad STATE CA ZIPCODE 92008 DAYTELEPHONE (619)431-2800
NAME Hosp Way Limited ADDRESS 1990 Westwood Blvd., Ste. 300
CI1Y Los Angeles STATE CA ZIPCODE 90025 DAYTELEPHONE (213)474-1720
NAME
CI1Y
New Design Remodeling
Carl shad STATE CA
ADDRESS 5928 Pascal Court, Ste. 200
ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800
STATE I.IC.# 545075 LICENSE CLASS B CI1Y BUSINESS I.IC. # 4 3 7 9 5 4
CI1Y STATE ZIP CODE DAY TELEPHONE STATE I.IC.# 7. Wdilk£RS WMPF.RSAIION
Workers' Compensation Declaration: I hereby affirm that I have a ceruUcate of consent to self-msure ISSued by the Director of 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).
. . 73WCoo8402-00019 INSURANCE COMPANY Nationwide :.:nsurance POLICY NO. EXPIRATION DATE 6/28/92
Ceruhcate of Exemption: I certify that m the performance of the work for which this pemllC 1s issued, I shall not employ any perwn m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNEk-D0lllli:k DFliARAIION
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contracto?s Llcense 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 Llcense 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.).
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 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 Llcense Law).
□ I am exempt under Section _______ Business and Professions Code for chis 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 pennit
subjects the applicant to a civil penalty of not more than five hundred dollars {$500]).
SIGNATURE DATE
WMPLEIE IRIS SECIIUN FUR NUN-RESIDEN IIAt BUIWING PERMII's 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
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OCx:IJPANCY MAY NOT BE IS.WED AFI1!R JULY I, 1989 UNLESS nm APPLICANT
HAS Ml!T OR IS MEETING nm REQllIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POilllTION CDNTROL DISilUCT.
9. WNSIRUCIION LENDING AGENCY
I hereby afhrm that there 1s a constructmn lend mg agency for the performance of the work for which this permit 1s issued (Sec 3097 (I) C1vll Code).
LENDER'S NAME LENDER'S ADDRESS
IO. APPllCAN 1 cmtllFICAlidN
I cerufy that I have read the apphcatton and state that the above mfonnauon 1s correct. I agree to comply wuh 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 AfSO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS nm Cl1Y OF CARJSBAD AGAINST AIL lJABIUJ1F.S, JUDGMENTS, <XlSTS
AND EXPENSES WJDCH MAY IN ANY WAY ACCRUE AGAINST SAID Cl1Y IN CONSEQUENCE OF nm GRANTING OF nns 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).
APPLICANT'S SIGNATURE ~ -~
wrnA~icant PINK: Finance
DATE: / 2 --§ 7 ( •
..
PERMIT# CB911638
DESCRIPTION: PLUMB/ELEC FOR
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/13/92
LAUNDRY/KITCHEN
TYPE: MISC
JOB ADDRESS: 2360 HOSP WY
APPLICANT: NEW DESIGN REMODELIN
CONTRACTOR:
OWNER:
REMARKS: RS/GENE/434-1494
SPECIAL INSTRUCT:
TOTAL TIME:
CD
29
39
LVL DESCRIPTION
PL Final Plumbing
EL Final Electrical
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***** INSPECTION
DATE DESCRIPTION ACT
011792 Final Electrical co
011792 Final Plumbing co
120691 Rough/Topout AP
120691 Rough Electric AP
PHONE:
PHONE:
PHONE:
HISTORY
INSP
PK
PK
PK
PK
INSPECTOR AREA PK
PLANCK# CB911638
OCC GRP
CONSTR. TYPE NEW
STR:** FL:**** STE: 131
619 43 -2800
*****
COMMENTS
DRYER VENT SYSTEM