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Home My WebLink About2362 HOSP WAY; 133; CB901505; Permit., B U I L D I N G P E R M I T Permit No: CB901505 09/14/90 15:37 Page 1 of 1 Job Address: 2362 HOSP WY Permit Type: MISCELLANEOUS Parcel No: 167-250-42-41 Valuation: 0 Construction Type: NEW Occupancy Group: Class Description: PLUMBING & EL~ FOR : AND KITCHEN~~ HOSP WAY LIMITED Code: LDRY OWNER CONTRACTOR NEW DESIGN REMODELING & GONS 5928 PASCAL CT CARLSBAD, CA 92 08 *** Fees Required *** ~** Fees : Adjustments: Total Fees : Fee description Miscellaneous Fee 1 * MISCELLANEOUS TOTAL 30 .00 .00 ao. o > Project No: A9001680 Development No: Str: Fl: Ste: 8105 09/14/90 0001 01 o .. r.-f't\:MT 10. {;k14fl/ Status: ISSUED Applied: 09/14/90 Apr/Issue: 09/14/90 Validated By: DC Lie. OWNER Lie. C 437954 619-431-2800 .00 ,00 30.00 *** Ext fee Data 30.00 PL/EL/K/ 30.00 APPROVAL 1 IN$'4 ~:..... .. DATE /r -~?o CLEARANCE--.._,,vK __ tU..rJ ______ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 4\ V 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL _____________ _ PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE _____________ _ A B C COMMERCIAL 0 INDUSTRIAL □NEW □RESIDENTIAL □APARTMENT □DUPLE)( □DEMOLITION □MECHANICAL QPOOL TENANT IMPROVEMENT □TENANT IMPROVEMENT [):CONDO □SINGLE FAMILY DWELLING JilADDITION/ALTERATION □RELOCATION □MOBILE HOME [jf:LECTRICAL ~LUMBING QSPA QRETAINING WALL QSOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. Address 2362 Hosp Wa; Carlsbad CA Nearest Cross Streets El • ' Unit No. Phase No. 02 Structural Cales 1 Addressed Envelo PROPOSED USE Install Plumbing & electrical for Laundry hook-ups for units. BLDG. SQ. FTG. # OF STORIES 3. CONTACT PERSON ''"' Keith Smith CITY carlsbad STATE CA SIGNATURE ADDRESS ZIP CODE 5928 Pascal Court; 92008 DAY TELEPHONE Suite 200 (619) 431-2800 4. APPLICANT ~ONT RAC TOR Remodeling & 0 AGENT FOR CONTRACTOR QQI.INER QAGENT FOR OWNER NAME Cl TY lllew Design carlsbad Constructf&\i" 5928 Pascal Court STATE CA DAY TELEPHONE 5. PROPERTY OWNER OWNER z Ip CODE 9200S □LESSEE ADDREss 1990 Westwood Blvd., (619) 431-2800 □TENANT NAME CITY Hosp Way Limited Los Angeles STATE CA Z!P CODE 92025 DAY TELEPHONE 6. CONTRACTOR Suite 300 (213) 474-1720 NAME CITY lllew Design carlsbad SIGNATURE DESIGNER NAME CITY Remodeling & Constructrg1ss 5928 Pascal STATE CA ZIP CODE 92008 STATE LIC. # 545075 LICENSE CLASS ___ Ra_ __ STATE T JTLE ADDRESS ZIP CODE Court; Suite 200 OAY TELEPHO.E ( 619) 431-2800 CITY BUSINESS LIC. # 1116900 DATE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION 8. Workers• Coopensation Declaration: hereby affirm that I have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' Cowpens at ion Insurance by an adTii tted insurer, or an exact copy or duplicate thereof cert if i eel by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3600, Lab. C). 73 WC 1NsuRANcE cai1PANY Nationwide Mutual POLICY No. 008402 0001 E)(PIRATioN oATE F-?S-9J Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers• Coopensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I as owner of the property or my errployees with wages as their sole coopensation, 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 in-proves thereon., and who does such work himself or through his own employees, proYided that such irrprovements are not intended or offered for sate. If, however, the building or i~rovement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or ifll)rove for the purpose of sale.). 0 I, as owner of the property, am e11clusively 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 ifll)roves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am e11errpt 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, in-prove, 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 License Law ( Chapter 9, conmenci ng with Section 7000 of Division 3 of the Business and Professions Code) or that he is e11efll)t therefrom, and the basis for the alleged e11efll)tion. 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 [S500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to sutrnit 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 OND Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES OHO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYES 0,0 IF ANY OF THE ANS\ERS ARE YES, A FINAi. CUTIFICATE OF OCaJPANCY NAY NOT BE ISSUE0 AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE Of EMERGENCY SERVICES Ml) THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlDGNENTS, COSTS AND EXPENSES WHICH NAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. E11piration, Every permit issued by the Building Official under the provisions of this Code shall e11pire by limitation and become null and void if the building or work authorized by such permit is not conmenced within 180 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 cornnenced for a period of 180 days (Section 303(d) uniform Building Code). APPLICANT'S SIGNATURE □ OWNER ~ CONTRACTOR □ BY PHONE APPROVED SY~ ______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance • CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB901505 FOR 11/06/90 DESCRIPTION: PLUMBING & ELECTRICAL FOR LORY AND KITCHENS #133 TYPE: MISC JOB ADDRESS: 2362 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: NEW DESIGN REMODELING & CONS OWNER: HOSP WAY LIMITED PHONE: PHONE: PHONE: REMARKS: RS/KEITH/431-2800 SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical PERMIT# TYPE CB901506 MISC ------------------------------------ ------------------ STATUS ISSUED ACT COMMENTS ***** INSPECTION HISTORY***** DESCRIPTION COMMENTS INSPECTOR AREA PK PLANCK# CB901505 OCC GRP CONSTR. TYPE NEW FL: STE: 00 00 DATE 103090 103090 092890 092890 Final Electrical Final Plumbing Rough/Topout Rough Electric ACT INSP NR PK AP PK AP PK CO PK CORR INCOMPLETE