HomeMy WebLinkAbout2380 HOSP WAY; 338; CB920344; PermitPERMIT APPLICATION
City of carlsbad Building Departaent
2075 Las Pal..,. Dr., cartsbad, CA 92009 (619) 438-1161
I. PFltMI I liPE
A -UCommerctal Li New Buddmg U lenant Improvement
B -D Industrial □ New Building D Tenant Improvement
~ ~
C -□ Residential D Apartment □ Condo □ Single Family Dwelling □ Addition/ A1teration
□ Duplex □ Demolition U Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool Li Spa □ Retaining Wall □ Solar □ Other
2. PRWECT INFORMATION
Address 2380 Hosp Way BuUdmg or Suite No338
Nearest Cross Street El candno Real
IEGAL DESCRIPIION Lot No. Subd1vis1on Name/Number
CHECK BEWW IF S0BMII 1£0:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi. EXISTING USE
DESCRIPTION OF WORK • Plumbing and Electrical for Kitchens.
SQ. FT. # OF STORIES
PLAN CHECK NO.
I
EST. VAL
PUN CK DEPOSIT _______ _
VALID. BY __________ _
DATE
FOR OFFICE USE ONLY
Omt No. Phase No.
PROPOSED USE
3. WN iACI PERSON (I[ dlllerent from applicant)
NAME Richard Whitney ADDRESS 5928 Pascal Court, Suite 200
CITY Carlsbad STATE CA ZIP mDE 92008 DAY TELEPHONE 1619 I 431-2800
4. APPUCANI UWNiRACIOR UAGENI FORWNIRACIOR DOWNER □AGENI FUROWNEJ.t
NAME ADDRESS
New Design Remodeling & Const.
CITY M•7mft5fflf STATE Cir ZIP CODE
S. PROPEk
NAME
5928 Pascal Court, Suite 200 92008 DAYTELEPHONE (619)431-2800
CITY
Hosp way Limited
Los Angeles STATE CA
ADDRESS
ZIP mDE
1990 Westwood Blvd.,
90025 DAY TELEPHONE
suite 300
(310)474-1720
NAME
CITY
New Design
Carlsbad
Remodeling
STATE CA
ADDRESS
ZIP mDE
5928 Pascal Court, Suite 200
92008 DAYTELEPHONE (619)431-2800
STATE UC. #545n1s LICENSE CLASS B CITY BUSINESS UC.# 437954
CITY STATE ZIP mDE DAY TELEPHONE STATE UC.#
7. WOIUtRRS' WMPRNSXIION
Workers' t.Zmpensatlon Declaration: I hereby affirm that I have a certificate of consent to self-msure issued by the Utrector 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).
SIGNATURE DATE
8. OWNkk-B0llDElt DPl!LARAliON
Owner-Builder Uedaranon: I hereby afhrm that I am exempt from the Contracto?s Llcense Law for the followmg 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 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 License I.aw 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 pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense I.aw (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 pennic
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
CUMPLE'lt l'AIS SEGI ION FOR NON-RES!DEN I IAt BOIIDING PERMI rs ONLY:
Is the applicant or future building occupant required co 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?
□YES □NO
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 ARE YES, A FINAL CERTIFICATE OF oa::uJ>ANCT MAY Nill Bl! ISSUED AFTER JULY I, 1989 UNLESS 11IE APPIJCANT
HAS Mirr OR IS Ml!lmNG 11IE REQIIIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POillJTION WNTII.OL DISTRICT.
9. WNSIR0CIIUN LENDING AGENCY
I hereby aihnn that there 1s a construcuon lendmg agency for the performance of the work for which this penmf IS issued (Sec 3097(1} CivU Code).
LENDER'S NAME LENDER'S ADDRESS
10. AWilCXNI CE:IUMCAIION
I cenify that I have read the appJJcat1on and state that the above mformat1on 1s correct. I agree to comply wtth 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLl'.'iS 11IE QTY OF CARISBAD AGAINsr AIJ. IJAIIILl11ES, JUDGMENTS, CDSTS
AND EXPENSES wmrn MAY IN ANY WAY Aa:11\IE AGAINST SAID QTY IN WNSF.QUENCE OF 11IE GRANTING OF 11IIS 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 pennit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE DATE: ______ _
WI-IlTE: File YEIJ.OW: Applicant PINK: Finance
PERMIT# CB920344
DESCRIPTION: PLUMB/ELEC FOR
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/23/92
LAUNDRY/KITCHEN
JOB ADDRESS: 2380 HOSP WY
APPLICANT: NEW DESIGN REMODELING
CONTRACTOR:
PHONE:
PHONE:
STR:
619 43
INSPECTOR AREA PK
PLANCK# CB920344
OCC GRP
CONSTR. TYPE NEW
FL: STE:
800
OWNER:
REMARKS: MH/GENE/434-1494
SPECIAL INSTRUCT: STE 338
PHONE:
INSPECTOR+'~'-'-------------
TOTAL TIME:
LVL DESCRIPTION ACT COMMENTS CD
29
39
PL Final Plumbing
EL Final Electrical ~----
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***** INSPECTION HISTORY*****
DATE
041092
041092
DESCRIPTION
Rough/Topout
Rough Electric
ACT INSP
AP PK
AP PK
COMMENTS
SUITE 338
SUITE 338