HomeMy WebLinkAbout2362 HOSP WAY; 334; CB911413; PermitB 'l l L D I N G P E R M I T Permit No: CB~l:.41J
Proj~c-t No: Aq101794
10/17/91 15:',C.,
Page 1 of 1
Jvb Addref"s: 2362 HOSP WY
Permit Type: MISCELLF
Parcel No: 167 2~0-42 68
Valuation:
Str: ** F'
DevE'lo~Jment '.\lo:
4869 10/17/91 0001 01 02 c-PRMT 30-00
0R -Q.3'1~
Construction Type: NEW
occupdncy Group: C lc1s"' Code:
Description: PLUMBING & ELECTR :CAL FOR L!)RY
: AND KITCHENS UN:T #208
Applied: 10/17/91
:.G/l?/9. o·
Appl/Ownr : NEW DESIGN REMODELLNG
5928 PASCAL CT #200
CARLSBAD, CA q2oos
b19
Apx/I~~ue:
Validated by:
431-2800
OWNER
CONTRACTOR
HOSP WAY L:!:MIT'
NEW DESIGN RM ~~L~NG & CdN~
OWNER
t.37954
~928 PASCAL C
CARLSBAD, CA 9 008
*** Fees Required *** **A ---------------
Fees Collect~ & Credits **~ ---------------------------------------~---
Fee~:
Adjustments:
Total Fees:
Fee description
---------------~~--~
Misce:laneous Fee#
* MISCELLANEOUS TOT
q0.'00
.oo
J0.00
Totc1l Credi p:
Tot-a). Pc1yments;
Balance D1:.1:
Units IF /ln·t
--~-----~-----~i --~-J-
} 3~. 0'¢
.00
• (.;0
30.00
Ext fee Datd --------------30.00 PL/EL/K/
30.0C
LAPPROVAL
INSP. _,___ DATE ....... ~_,,,_.1
CLEARANCE ................. ~ _ _.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
--.,.,_, _____ ., _____ ..,.. ___________ _
PERMIT APPLICATION ~ V
PLAN CHECK NO.
City of carlsbad Building Deparhlent
2075 Las Palaas Dr., cartsbad, CA 92009 (619) 438-1161
PIMI CK DEPOSIT, _______ _
I
ESl".VAL
VALID. BY, __________ _
I. PERMII hPR DA'IB
A -U Commerctal D New Bu1ldmg U tenant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
c -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration
□ Duplex □ Demolition U Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical O Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PRCllECf INFORMATION FOR OFFICE USE ONLY
Address 2362 Hosp Way
Nearest Cross Street El Camino
BuUdmg or Suite No. 334
Real
LEGAL bE:Scitivi iuN Lot No. Subd1vis1on Name/Number Unit No. Phase No.
CHECK BMW IF SOBMI 11 Eb:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PABCEI. EXISTING USE PROPOSED USE DESCRIPTION OF WORK
Plumbing and Electrical for SQ. Ff. # OF STORIES Laundry and Kitchens.
3. WN IAC'I PFJISON (ff dlHerenf from applicant)
NAME Richard Whitney ADDRESS
ZIP CODE
5928 Pascal Court, Suite 200
CI1Y Carlsbad STATE CA 92008 DAYTELEPHONE (619) 431-2800
4. APPUCXNI UCONIRACIDR UAUJ::NJ l'UKL;UNIHACJUK DOWNER UAGENJ FOR OWNER
NAME New Design Remodeling ADDRESS 5928 Pascal court, Suite 200
CITY Carlsbad, STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800
NAME
CITY
Hosp Way Limited
Los Angeles, STATE CA
ADDRESS 1990 Westwood Boulevard, Suite 300
ZIP CODE 90025 DAY TELEPHONE ( 213) 474-1720
NAME
CITY
New Design Remodeling
Carlsbad, STATE CA
ADDRESS 5928 Pascal Court, Suite 200
ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800
STATE !JC. #545075 IJCENSE CLASS B CITY BUSINESS !JC. # 4 3 7 9 5 4
CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.#
7. WOIOMtS' WMPENSAliON
Workers' Compensation Declaration: I hereby afurm that I have a ceruhcate 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 POIJCY NO. EXPIRATION DATE
Cert1llcate of Exemption: I certify chat m the performance of the work for whtch this penmf 1s issued, I shall not employ any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-BUllDkll Dli'.!OOlX:liON
Owner-Builder Oeciarauon: I hereby afhnn that I am exempt from the Contracto?s Ucense Law for the foilowmg 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.).
□ 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 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 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 DA'IB
COMPLEIE IHIS SEGtlbN FOR NON-RESlbEN IIAL BOIIDING 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 pennit from the air pollution control district or air quality management district?
CYES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICA'IB OF OOCUPANCY MAY NOf BE ISSUED AFI'ER JULY I, 1989 llNIBSS THE APPIJCANT
HAS MET OR IS MEIITING THE REQIIIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POWTITON mNTitOI. DISl'RICT.
9. WNSIRUCIION IENDING AGENCY
I hereby afhrm that there 1s a construction lending agency for the performance o[ the work for which tfos perm)[ 1s issued (Sec 309)(1) CiVU Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPllt!AN I CkkilFK!AliUN
[ cenify that [ have read the app(icatlon and state that the a&5ve mformatlon 1s correct. I agree to comply with 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 AUD AGREE ID SAVE INDEMNIFY AND KEEP IIARMLF.SS THE Cl1Y OF CARISBAD AGAINST All. LIABlllTIES, JUDGMENTS, CDSTS
AND EXPENSES WIDCII MAY IN ANY WAY Aa:RIJE AGAINST SAID Cl1Y IN mNSF.QIJENCE OF nm GRANTING OF TIIIS 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 permit is suspended or abandoned at any time after the work is commenced for a pericxl of 180 days (Section 303(d) Uniform Building Code).
DATE:\6-11<::l /
OW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB911413 FOR 12/06/91
DESCRIPTION: PLUMBING & ELECTRICAL FOR LDRY
AND KITCHENS UNIT #208
TYPE: MISC
JOB ADDRESS: 2362 HOSP WY
APPLICANT: NEW DESIGN REMODELING
CONTRACTOR: NEW DESIGN REMODELING & CONS
PHONE:
PHONE:
INSPECTOR AREA PK
PLANCK# CB911413
OCC GRP
CONST~~
STR: ** FL:**("" STE: 334, ':,
619 431-2800 · ·-·
619-431.,-2800
\ OWNER: HOSP WAY LIMITED
REMARKS: MH/GENE/434-1494
SPECIAL INSTRUCT:
PHONE:
INSPECTOR ~v~L~~--------
TOTAL TIME:
CD
29
39
LVL DESCRIPTION
PL Final Plumbing
EL Final Electrical
----------------------------------------
ACT COMMENTS
***** INSPECTION HISTORY*****
DATE
102191
102191
DESCRIPTION
Rough/Topout
Rough Electric
ACT INSP
AP PK
AP PK
COMMENTS