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2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
A ~
.
PERMIT APPLICATION ~ ~
PLAN CHECK NO. ~1-3 ;{c~-9.s,
City of carlsbad Building Departaent
3,~.oa 2075 Las Pal.as Dr., Carlsbad, CA 92009 (619) 438-1161
I. PFltMII J'iPE
A-UCOmmerc1al □New Bu1ldmg LI lenant Improvement
B -□ Industrial □ New Building □ Tenant Improvement
C -U Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition U Relocation □ Mobile Home □ Electrical □ Plumbing
U Mechanical D Pool □ Spa D Retaining Wall □ Solar □ Other ____ _
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address 2362 Hosp Way
Nearest Cross Street El Camnio Real
LEGAL DESCklM ION Lot No. Sub(hviston Name/Number Omt No. Phase No.
CHECK BEWW IF SOHMII IED:
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPPSEP USE
DESCRIPTION OF WORK
SQ. Ff. Plumbing and electr}8f1-/mfillfs laundry and kitchen.
3. WN IACI PERSON (II dlIIerent from apphcanf)
NAME Richard Whitney ADDRESS
ZIP CODE
5928 Pascal Court, Ste. 200
CITY Carlsbad STATE CA 92008 DAY TELEPHONE ( 619) 431-2800
4. APPUCANI UWNIRACIOR UAGENI FORCONIRACIOR DOWNER UAGENI FOR OWNER
NAME New Design Remodeling ADDRESS 5928 Pascal Court, Ste. 200
CITY Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800
NAME Hosp way Limited ADDRESS
ZIP CODE
1990 Westwood Blvd., Ste. 300
CITY Los Angeles STATE
6. WNIRACIOR
NAME
CA 90025 DAYTELEPHONE (310)474-1720
ADDRESS
New Design Remodeling 5928 Pascal Court, Ste. 200
CITY Carlsbad STATE CA ZIP CODE 92008 DAYTELEPHONE (619)431-2800
STATE UC.# 545075 LICENSE CIASS B CITY BUSINESS UC. # 4 3 7 9 5 4
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WOitkEkS WMPkNSAIIDN
Workers' Compensation Oedarat1on: I hereby afhrm that I have a certUlcate of consent to self-msure issued by the Ulrectorof 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).
Truck Insurance N2007-85-50 9/21/92 INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Cert1hcate of Exemption: I certUY that m the performance of the work for which this permit 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. oWNmt-BOllDffi DP1!CARAliuN
□
□
□
OWner-Butlder Oeclarat1on: I hereby affirm that I am exempt from the Contracto?s license Law for the followmg 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 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-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 License 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 License 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 License 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 DATE
COMPLEI E THIS SECIION FOR NON~RESIDEN I IAL BUILDING PERMI l's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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? a YES a NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF nm ANSWERS ARE YES, A FINAI.CERTIFICATI! OFCXIlJPANCY MAYNOf Bl! ISSUED AFl'ERJIJLY I. 1989 UNLl!SS nmAPPUCANT
HAS MIIT OR IS Ml!ETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND nm AIR POU.UUON WNTROL D1S1111Cf.
9. WNSIROCIION IP.NDING AGENCY
I hereby atllrm that there 1s a constructmn lending agency for the performance of Che work for which this permit 1s issued (Sec 3097(1) C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
10. XPPllt!ANI CF.kl'IFlcA'l1UN
I certify that I have read the apphcauon and state that the above mformauon ts 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
pu[])OSeS. I AlSO AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS TIIE Cl'IY OF CARISIIAD AGAINST All. IJABIIJTIES, JUDGMENTS, CDSTS
AND EXPENSES WJDCH MAY IN ANY WAY ACDUJE AGAINST SAID CI1Y IN WNSEQUENCE 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 pericxl of 180 days (Section 303(d) Unifonn Building Code).
APPLICANTS SIGNATURE c~ ~CA> ~A DATE: r ...... , (
WHI~Fil~OW: Applicant PINK: Finance
DATE: 03/17/93
TO: TAYLOR FRANKLIN M
2362 HOSP WY #136
CARLSBAD CA 92008
RE: BUILDING PERMIT EXPIRATION
PERMIT NUMBER: CB920950
ISSUE DATE: 09/11/92
LAST INSPECTION:
PLEASE CALL FOR AN INSPECTION
IF WORK IS COMPLETE
ADDRESS: 2362 HOSP WY #136
Our records indicate that your building permit will expire by limitation
of time on 04/19/93.
The provisions of UBC, Section 303(d) state: "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 one calendar year from the date of such permit,
or if the building or work authorized by such permit is stopped at any time
after the work is commenced for a period of six consecutive calendar months or
if the building or work authorized by such permit exceeds three calendar years
from the issuance date of permit. Work shall be presumed to have commenced if
the permittee has obtained a required inspection approval of work authorized
by the permit by the building official within one year of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not ob-
tained a required inspection approval of work by the building official within
each six month period upon the initial commencement of work authorized by such
permit.
Before such work can be recommenced, a new permit, or a renewal permit as
specified below, shall be obtained.
1. PERMITS WHERE WORK HAS NOT COMMENCED.
not commenced in the first calendar year from the
permit may be obtained provided:
For permits where work has
date of issuance, a renewal
(A) No changes have been made or will be made in the original plans and
specifications for such work.
(B) That the expiration has not exceeded three years from the original
issuance date.
(C) That the same edition of the model codes is in effect as used in
the initial plan check.
(D) That a fee equal to one-half the amount required for a new permit
be paid.
The renewal permit shall expire three calendar years from the date of initial
permit issuance.
03/05/93 INSPECTION HISTORY LISTING ;136:l IJ#i_ /3 f,
FOR PERMIT# CB920950
COMMENTS r DATE INSPECTION TYPE INSP ACT
10/21/92 Rough/Topout RI RI MH/GENE/434-1494
10/21/92 Rough/Topout PK AP
10/21/92 Rough Electric RI RI MH/GENE/434-1494
10/21/92 Rough Electric PK AP
10/06/92 Rough/Topout RI RI MH/GENE/434-1494
10/06/92 Rough/Topout PK CA BY GROVE
10/06/92 Rough Electric RI RI MH/GENE/434-1494
10/06/92 Rough Electric PK CA BY GROVE
09/29/92 Rough/Topout RI RI MH/GENE/434-1494
09/29/92 Rough/Topout PK CA
09/29/92 Rough Electric RI RI MH/GENE/434-1494
09/29/92 Rough Electric PK CA
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