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Home My WebLink About2336 HOSP WAY; 116; CB910730; PermitEs U I L D I N G 05/02/91 16:2~ Page 1 of Job Address: 2336 HOSP WY Permit Type: MISCELLA ~) > Parcel No: 167-250-43-~ Valuation: Construction ~ype: NEW Occupancy Group: Class Code: Description: ELEC/PLMG FOR LORY AND KITCH Appl/Ownr : HOSP WAY 1990 WESTWOOD COURT #300 LOS ANGELES, CA 90025 CONTRACTOR *** CARLSBAD, e Fees Required Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS TO G ** ---------1>.---> Permit Project Development No: CB91U73l' No: A 910 l 8'/ t, No: Str: * * Fl: **** Ste: 1 !. b 213 2208 05/0~/Ql 000 C Applied: Apr/Issue: Validated By: 474-1720 JED 05/02/91 05/02/'ll DC • C 437954 619-431-2800 .00 • ( 0 30.00 Ext fee ~>a ta 10. 00 PLBG/ELf' 30. l.,Q CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 ~ PERMIT APPLICATION & V City of Carlsbad Building Department EST. VAL. _____________ _ 2075 Las Pal mas Or., Carlsbad, CA 92009 (619) 438-1161 PLAN C1C DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE _______________ _ A -0 COMMERCIAL TENANT IMPROVEMENT B C 2. 0 INDUSTRIAL □NE!. □TENANT IMPROVEMENT 0 RESIDENT !AL O APARTMENT □DUPLEX □DEMOLITION □MECHANICAL □POOL □CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION □RELOCATION OH0BILE HOME □ELECTRICAL □PLUMBING □SPA □RETAINING WALL □SOLAR □OTHER PROJECT INFORMATION PLAN CHECK No. Address 2336 Hosp Way Building r Suite No. 116 Nearest cross streets El Camino Real F LE~L DESCRIPTION Lot No. Sutx:livision Name/Number Unit No. Phase No, CHECK BELOW If SUBMITTED: Q.2 Energy Cales 02 Structural Cales 02 Soils Repart 01 Addressed Envelope EXISTING USE PROPOSED USE Plumbing and Electrical for laundry and kitchens. BLDG. SC. FTG. # OF STORIES 3. CONTACT PERSON 4. 5. 6. 7. 8. NAME Court, Suite 200 CITY Keith Smith Carlsbad STATE CA ADDRESS ZIP CODE 5928 Pascal 92008 DAY TELEPHONE (619) 431-2800 SIGNATURE APPLICANT 0 CONTRACTOR Remodeling & 0 AGENT FOR CONTRACTOR O0\./NER Const. ADDREss 5928 Pascal 0 AGENT FOR OIJNER Court, Suite 200 NAME Cl TY New Deisgn Carlsbad STATE CA ZIP cooE92008 DAY TELEPHONE (619) 431-2800 PROPERTY OWNER OI-INER □LESSEE 1990 Westwood Blvd., 0 TEMANT Suite 300 NAME CITY Hosp Way Limited LOS Angeles STATE CA ADDRESS ZIP COOE 90025 DAY TELEPHONE ( 213) 4 74-1 720 CONTRACTOR NAME CITY New Design Carlsbad Remodeling & Const. STATE CA STATE LIC. # 545Q75 ADDREss 5928 Pascal ZIP CCXlE92008 Court, Suite 200 (619) DAY TELEPHONE 431-2800 CITY BUSINESS LIC. # 4)7954 SIGNATURE LICEMSE CLASS --J~--- Tl TLE DATE DESIGNER NAME CITY WORKERS' COMPENSATION STATE ADDRESS ZIP COOE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: hereby affirm that I have a certificate of consent to self·insure issued by the Director of Industrial Relations, or a certificate of Workers' Coq,ensation Insurance by an actnitted 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). ,ouc!WIC008402-00019 EKPIRATION om 6 /28/91 1NsuRAMcE ca,iPANY Nationwide Insurance Certificate of Exemption: I certify that in the performance of the work for which so as to become subject to the workers' Coq,ensation Laws of California. this permit is issued, I shall not e~loy any person in any manner SIGNATURE DATE OWNER-BUILDER DECLARATION Dwner·Builder Declaration: I hereby affirm that l am exempt from the Contractor's License Law for the following reason: DI 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 impro\lements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will ha\le the burden of proving that he did not build or i~ro\le for the purpose of sale.). DI, 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 iirproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D ! 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, iirprove, 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 pro'lisions of the Contractor's License Law (Chapter 9, coomencing with Section 7000 of Di'lision 3 of the Business and Professions Code) or that he is exerrpt therefrom, and the basis for the alleged exeirption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hurdred dollars [$500) ). SIGNATURE DATE COMPLETE THIS SECTION FOR NOM-RESIDENTIAL BUILDIMG PERMITS 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' □,o □YES Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? OYES 0NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES 0,0 IF ANY OF THE ANS\ERS ARE TES, A FINAL CERTIFICATE OF OCOJPANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 l.lllLESS THE APPLICANT HAS MET OR IS l'EETING THE REQUIREMENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CXINTRDl 0ISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representati'leS of the City of Carlsbad to enter upon the above rrt('ntioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, Jl()GMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. E~piration. Every permit issued by the Building Official under the pro'lisions of this Code shall expire by limitation and become null and \loid if the building or work authorized by such permit is not coomenced within 180 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 corrmenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE OR OBY PHONE APPROVED BY: _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance f ' CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB910730 FOR 06/25/91 DESCRIPTION: ELEC/PLMG FOR LDRY AND KITCH TYPE: MISC INSPECTOR AREA PK PLANCK# CB910730 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2336 APPLICANT: HOSP WAY HOSP WY STR:** FL:**** PHONE: 213 474-1720 STE: 116 CONTRACTOR: NEW DESIGN REMODELING OWNER: REMARKS: MH/KEITH/431-2800 SPECIAL INSTRUCT: 116 TOTAL TIME: CD LVL DESCRIPTION PHONE: 619-431~-2 PHONE: INSPECTOR _ _,_-"-=--------/ ACT COMMENTS 24 PL Rough/Topout t,,.,( ______________ _ 34 EL Rh,gh Electric _5_ ______________ _ -2i!1 --~~~=~'----------..LlP------------ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE 051691 051691 DESCRIPTION Rough Electric Rough/Topout ACT INSP AP PK AP PK COMMENTS