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HomeMy WebLinkAbout2360 HOSP WAY; 131; CB911638; Permit.. ... B U ~ L ~> I N , 1~10°/Yl ll. ~J P=i,_;e 1 qf 1 •r)b A,hh t•~; , · L. 0 l~,r-WY P~rmit Tne: M L, :-, • l r c: e l. 1" o : : b 7 -2. " o -4 2,q Valuation: Construct10n Type: NEW P E R M l ' Pr--r-:nit Ne I: :r. , • ect N< Devel ;.ipP'en t N< ::it1.: AA Fl. Jc.AA.A Ste: l ( t 1 ' 5499 12/05/91 0001 01 02 ,>ccupdr.cy Gr .>up: c lets C<,dt>: C.-ffiHT 30 • 00 ~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 Apl/T· SUE>: :.2' ';/ q VulJl t(.,i l:y: [H_ b13 4J1 2800 l~cte,'i & Credi ts A A ii. rot-al er d1 t..,: Tct<.11 Payme,nts: BaldnC l)u : Units FE"e/Ut • __, ~---------,, 30,00 .JU .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 ------------------------------------ ------------------ ***** 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