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Home My WebLink About2362 HOSP WAY; 134; CB901909; Permit., B U I L D I N G PERMIT Permit No: CB901909 12/06/90 12:39 Page 1 of 1 Job Address: 2362 HOSP WY Permit Type: MISCELLAI v ~ Parcel No: 167-250-42· 4 ~ Valuation: o Construction Type: NEW Occupancy Group: Class Code: Description: PLUMBING/ELEC FOR LDRY & KITCH Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT #200 CARLSBAD, CA 92008 *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee#. * MISCELLANEOUS T~TAL **k 0.00 .oo J0.00 *** Project No: A9002185 Development 1\1): Str: Fl: Ste: l~'f 97 25 2/◊6/90 OOv C~ ~ ,. ' . <._al.;,' SS1ED Applied: 12/06/90 Apr/Issue: 12/06/90 Validated By: DC 619 431-2800 A APPROVAL .oo .00 30.00 'lr'l<k Ext fee Data 30. 00 PLMB/ELI 30.00 INSP. -------DATE .I "V I CLEARANCE-1'"1-·_..d_. ---• CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION 4\ V City of Carlsbad Building Department EST. VAL ______________ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLMI IX DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE _______________ _ A • COMMERCIAL TENANT IMPROVEMENT B D ! NDUSTR I AL □,mi 0 TENANT IMPROVEMENT C 0 RESIDENTIAL 0 APARTMENT QC0ND0 □SINGLE FAMILY D\.IELLING OAD0ITI0N/ALTERATJON □DUPLEX □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING 0 ME CHAN I CAL □POOL □SPA 0RETAINUIG WALL □SOLAR □OTHER 2. PROJECT INFORMATION PLAN CHECK No. Addrejs 2362 Hosp Way, Carlsbad Building or 134 Nearest Cross Streets El Camino Rea J LEGAL DESCRIPTION Lot No. Sutx:livision Name/Number Unit No. Phase No. CNECIC BELOW If SUBNITTED: Q2 Energy Cates 02 Structural Cales ASSESSOR'S PARCEL 0 2 Soi ls Report D 1 Addressed Envelope EXISTING USE Plumbing and Electrical for laundry and kitchens. BLDG, SQ. fTG. # OF STORIES PROPOSED USE 3. CONTACT PERSON 4. 5. 6. 7. 8. NAME Cl TY Keith Smith Carlsbad SIGNATURE APPLICANT NAME New Deisgn Cl TY Carlsbad PROPERTY OWNER 'fli CONTRACTOR Reiilodeling & NAME CITY Hosp Way Limited Los Angeles CONTRACTOR NAME Cl TY Cl TY New Design Carlsbad Remodeling & WORKERS' COMPENSATION STATE CA 0 AGENT FOR Const. STATE CA OWNER STATE CA Const. STATE CA STATE AOOREss592s Pascal ZIP coo,92008 CONTRACTOR QOWNER ADDREss5928 Pascal ZIP coo\12008 Court, Suite 200 DAY TELEPHONE (619) 431-2800 0 AGD/T FOR OWNER Court, Suite 200 DAY TELEPHONE ( 619) 431-2800 □LESSEE ADDREss 1990 Westwood Blvd., □TENANT Suite 300 ZIP cooE9OO25 DAY TELEPHONE (213) 474-1720 'DD""S928 Pascal Court, Suite 200 ZIP C~2008 DAY TELEPHOHE (619) 431-2800 L 1 CENSE CLASS -~B"'---- T I TLE ADDRESS ZIP COOE CI TY BUS I NESS LI C. # a4~3L7~9~5~4,_ ___ _ DATE DAY TELEPHONE STATE LIC. # Workers' Compensation 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' Compensation Insurance by an actni t ted insurer, or an exact copy or dupl i cate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, lab. C). 1NsuRANCE COMPANY Nationwide Insurance 73WC008402-00019 POLICY NO. EXPIRATION DATE 6/28/91 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any persoo in any manner so as to become subject to the Workers' C~nsation 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 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·bt.Jilder 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 bt.Jilds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 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 license Law (Chapter 9, c011J!lencing 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 [S5001). SIGNATURE 0ATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUll0ING PERMITS ONLY: Is the applicant or future bt.Jilding occupant required to submit a bt.Jsiness 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 ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' Ores □No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □" If MIT Of THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCClJPANCT MY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE '-PPLICANT HAS MT OR JS MEETING THE REQUIRENENTS Of THE OFFICE OF ENERGENCT SERVICES AM> 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 LIA81LITIES, JLOCJ4ENTS, COSTS ANO EXPENSES IJHICH MAY IN ANY IJAT ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall eJ1p1re by limitation ;md become null and void if or work authorized by such permit is not corrmenced within 180 days from the date of such permit or if the bu1 ldi ng or work authorized by such permit any time after the work is c need for a period of 180 days (Section 303(d) Uniform Building Code). the building is suspended OWNER rtOIHRACTOR □ BY PHONE APPROVEO BY: ______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance < PERMIT# CB901909 DESCRIPTION: PLUMBING/ELEC FOR TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 02/14/91 LORY & KITCH JOB ADDRESS: 2362 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: PHONE: PHONE: OWNER: PHONE: STR: INSPECTOR AREA PK PLANCK# CB901909 OCC GRP CONSTR. TYPE NEW FL: STE: 00 REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: UNIT #134 INSPECTOR --k~=::::::__ ______ _ TOTAL TIME: CD LVL DESCRIPTION 29 PL Final Plumbing 39 EL Final Electrical ')i = & f?~ DATE DESCRIPTION 120790 Rough Electric ACT COMMENTS ftf2- ~_L~,,Lc.-L:!L_ _______ _ ***** INSPECTION HISTORY***** ACT INSP AP PK COMMENTS SUITE 134