The URL can be used to link to this page

Home My WebLink About2362 HOSP WAY; 236; CB911318; Permit.. B U I L D I N G P E R M I T Permit No: CB91 31~ Project No: ~"•~1 ~,~ 09/18/'H 16:34 Page 1 of 1 Job Address: 2362 HOSP WY Permit Type: MISCELLl N Parcel No: 167-250-4: S~ Valuation: Construction Type: NEW Occupancy Group: Class Code: Description: PLUM/ELEC LDRY AND KITCHEN Appl/Ownr : NF.W DESIGN REMODELING 5928 PASCAL CT #200 CARLSBAD, CA 92009 *** F'ees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS TO Development Ne · --::, Str: * * Fl: **** Ste: 1.. C,R__:).._...i'f7 619 4464 09/18/91 0001 01 02 C-PRMT 30-00 Status: ISSUED Applied: 09/18/91 Apr/Issue: 09/18/91 Validate.3 By: DC 431-2800 .00 .00 30.00 Ext fee Data 30.00 KIT/~DRY 30.00 PROVAL ~.,i;;;!;;;.~j;f.DATE /d -.?4•?/ 4'1:t:C: <<4'r'«MO CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. C/1-J~q' City of carlsbad Building Departaent 2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT. _______ _ I ESf. VAL I. PFJlMI I hPE A -U COmmerc1al B -□ Industrial =.BY __________ _ U New Bu1ldmg Li I enanc Improvement □ New Building □ Tenant Improvement C -U Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ A1ceration □ Duplex □ Demolition LI Mechanical D Pool □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Spa □ Retaining Wall □ Solar □ Other 2. PRUJF.C'f INFORMATION Address H:sp ~·ay BuUdmg or Smte No. l.'l67,. . Nearest cross Street El Camino Real 236 LEGAL DEsCRIM ION Lot No. Suix11VJs1on Name/Number CHECK BEIDW IF SOBMI I I ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope FOR OFFICE USE ONLY Omt No. Phase No. ASSESSOR'S PARCEi, EXISTING USE PROPOSED USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and kitchens SQ. FT. # OF SlDRIES 3. WN IACi P~N (Ir ,dll,lerent from applicant) NAME Keitn Smitn ADDRESS 5928 Pascal Ct., Ste. 200 Carlsbad CA 92008 9619) 431-2800 CITY STATE ZIP CODE DAY TELEPHONE 4. APPUCANI □WNiRACIOR UAGENI FORCONIRACiOR DOWNER OAGENI FOR OWNER NAME New Design Remodeling & ADDRESS 5928 Pascal Ct., Ste. 200 ~struction Carlsbaj.ATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 NAME Hosp Way Limited ADDRESS 1990 Westwood Blvd., Ste. 300 CITI Los Angeles STATE CA ZIPCODE 90025 DAYTELEPHONE 9213) 474-1720 NAME N'W D2sign lerl::celing & C:rnt. ADDRESS 5928 Pascal Ct., STe. 200 CITI Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 STATE LIC. # 545075 UCENSE CLASS B CITI BUSINESS UC. # 437954 CITI STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WORkERS WMPENSAliUN Workers' Compensation Declarauon: I hereby afiirm that I have a cert1tlcate of consent to self-insure 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). 7:HIX8402-00:J19 INSURANCE COMPANY Nrt:.iawif.E J.nsuran:e POUCY NO. EXPIRATION DATE 6/28/92 I Cemhcate of Exemptmn: I cerufy that m the perlormance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATIJRE DATE 8. OWNEK-B0uDEK DP.CLAAAIIUN bwner-Butlder Declaration: I hereby affirm that I am exempt from the Contracto?s Llcense Law for the following 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 Ccxle: 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 Ccxle: 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 this reason: (Sec. 7031.5 Business and Professions Ccxle: 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]). SIGNATURE DATI! COMPLEIE IHiS SECIION FOR NON-RESIDENIIAL B0ILbING PERMll'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? CYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF 11IE ANSWERS ARI! YES, A FINAL CERTIFICATI! OF oa:IJPANCY MAY NITT BE ISSUED AFTER JULY I. 1989 IINLI!SS TIIB APPIJCANT HAS MET OR IS MEI!TING 11IE REQUIREMENTS OF TIIE omCE OF EMERGENCY SERVICES AND TIIB AIR POilll11ON CDNTIIOL DISllUCf. 9. WNSIROCIIUN iJi.NDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the perlormance of the work for which this pemut 1s issued (Sec 3097(1) dvil Code). LENDER'S NAME LENDER'S ADDRESS IO. APPllCAN I C£kiiFJCAllUN I cenify that I have read the apphcauon and state that the above mformatlon 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 10 SAVE INDEMNIFY AND KEEP IIARMIBSS 11IE CfIY OF CARI.5BAD AGAINST ALL LIABIIJ11ES, JUDGMENTS, CDSTS AND EXPENSES WIIlCII MAY IN ANY WAY A£IlUJE AGAINST SAID CfIY IN CDNSF.QUENCE OF TIIE GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Ccxle). APPUCANT'S SIGNATIJRE DATE: '2,1/1 z/?,I Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911318 FOR 10/28/91 DESCRIPTION: PLUM/ELEC LDRY AND KITCHEN TYPE: MISC JOB ADDRESS: 2362 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: OWNER: REMARKS: MH/GENE/434-1494 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: s 619 CD 29 39 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing EL Final Electrical ft ~½ Qtl. Qm ------------------ ------------------------------------ ***** INSPECTION HISTORY***** DATE 092691 092691 092491 092491 DESCRIPTION Rough Electric Rough/Topout Rough Electric Rough/Topout ACT AP AP AP co INSP PK PK PK PK COMMENTS NOTCHING INSPECTOR AREA PK PLANCK# CB911318 OCC GRP CONSTR. TYPE NEW STE: 236