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Home My WebLink About2334 HOSP WAY; 209; CB911106; PermitB U I L D I N G P E R M I T Permi" . \.,1..,.., .. -.... -' 07/31/91 15:50 Page 1 of 1 Job Address: 2334 HOSP WY Permit Type: MISCELLi ~ Parcel No: 167-250-4 125' Valuation: Construction Type: NEW Occupancy Group: ClRss Code: Description: PLMB/ELEC FOR LORY AND KITCHEN Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT #200 CARLSBAD, CA 9200~ *** Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T *** Project No: A9101376 Development No: Str: ** Fl: **** Ste: "'J9 3766 07/31/91 0001 01 02 C-f'RHT 30-00 Status: ISSUED Applied: 07/31/91 Apr/Issue: 07/31/91 Validated By: DC 6~9 431-2800 t .oo .00 30.00 * *1< Ext fee D<.1tc1 30.00 PLBG/El 30.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. q/-/JDV City of Carlsbad Building Departaent 2075 Las PalllBS Dr., CBrlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ________ _ I ESf. VAL I. P£kMI I JiPE ~.BY __________ _ A • U Commerc1al U New Building LI l'enant Improvement B -□ Industrial □ New Building D Tenant Improvement C -LI Residential D Apartment D Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical D Pool □ Spa D Retaining Wall D Solar □ Other 2. PRarncr JNIDRMAnON FOR OFFICE USE ONLY Address 2334 Hosp Way, Carlsbad BuUdmg or Suite No. 209 Nearest Cross Street El Camino REal LEGAL DESCRIJfllON Lot No. Subd1V1s1on Name/Number Omt No. Phase No. CHECK BEWW IF SOBMI 11 ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISJJNG USE PROPOSED USE DESCRIPTION OF WORK Plumbing and Electrical for laundry and Kitchens. SQ. FT. # OF STORIES 3. WN IACI PFJtSON (IC dnlerent from apphcani) NAME ADDRESS Keith Smith 5928 Pascal Court, Suite 200 CI1Y Carlsbad STATE CA ZIP CODE 92008 DAY TELEPHONE ( 619) 431-2800 ... APPilt!ANI Ul.UNJH.ALlUK UAGENI FORWNIRACIOR □OWNER DAGEN I FOR OWNER NAME New Design Remodeling & ADDRESS 5928 Pascal Court, Suite 200 STATE ZIP CODE DAY TELEPHONE S. PROPkkl U NAME Hosp WAy Limited CA ADDRESS ZIP CODE 92008 (619) 431-2800 1990 Westwood Boulevard, Suite 300 CI1Y Los Angeles STATE CA 90025 DAY TELEPHONE ( 213) 474-1720 NAME CI1Y New Design Carlsbad Remodeling STATE CA ADDRESS ZIP CODE 5928 Pascal Court, Suite 200 92008 DAY TELEPHONE ( 619) 431-2800 STATEIJC.# 545075 IJCENSECLASS CI1Y BUSINESS IJC. # 437954 CI1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. # 7. WOltkRRS' WMPENSAIR'.JN Workers' Compensation Oeclarat1on: I hereby aUlrm that I have a cert1hcate 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}. rouclWf008402 -0001&,rnATION DATE 6 28 92 SIGNATURE DATE 8. oWNER-BOliDER DPlDJtXIIUN Owner-Builder beclarat1on: I hereby afhrm that I am exempt from the Contracto?s Lcense 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 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 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 Llcense law). □ I am exempt under Section ________ Business and Professions Ccxle 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 pennit 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 Ccxle} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DAT!! CoMPttIE 'I HIS SECI JON FOR NON-RESIOE'.N IIAL BUILDING PE'.RMI l'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? □ 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 nm ANSWERS ARE YES, A FINALCERTIFICATI! OFoa:IJPANCY MAYNar BE ISSUED AFTER JULY 1, 1989 UNUlSS nmAPPIJCANT HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POwnlON WNTilOL DISl1UCT. 9. WNSI KOCI R'.JN IENDING AGF.NCY I hereby afhrm that there 1s a constructmn lendmg agency for the performance of the work for which this penn1t 1s issued (Sec 309?(1) CivU Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllcAN I CEklfilk!AllON I cen1fy that I have read the apphcat1on and state that the above mlormatton 1s correct. I agree to comply wuh 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 ALSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS nm Cl1Y OF CARISBAD AGAINST AU. IJABIIITIES, JUDGMENTS, CDSTS AND EXPENSES wmcn MAY IN ANY WAY AO::RUE AGAINST SAID Cl1Y IN WNSEQUENCE OF nm GRANTING OF nns PERMIT. OSHA: An OSHA pennit 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 period of 180 days (Section 303(d) Uniform Building Ccxle). APPIJCANTS SIGNATURE DATE: ______ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911106 FOR 09/10/91 DESCRIPTION: PLMB/ELEC FOR LORY AND KITCHEN TYPE: MISC JOB ADDRESS: 2334 HOSP WY APPLICANT: NEW DESIGN REMODELING CONTRACTOR: PHONE: PHONE: INSPECTOR AREA PK PLANCK# CB911106 OCC GRP CONSTR. STR:** FL:**** 619 431-2800 OWNER: REMARKS: RS/RICHARD/434-1494 SPECIAL INSTRUCT: PHONE: I)_ INSPECTOR ~ -+,---------- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 29 PL ~EL Final Plumbing .nf2 Final Electrical f..'.'!..__ --------------- ==Z~::=-~1J.~"'~.;.'.:V:~=============== t~ =:J~:~f~~~;~;~1=================== ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS