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Home My WebLink About2340 HOSP WAY; 317; CB910455; Permit,,,,. 03/14/91 15:49 Page 1 of 1 B U I L D [ N G Job Address: 2340 HOSP WY Permit Type: MISCELLAN-o ~ Parcel No: 167-250-42 -~$' Valuation: J P E R M I T Str: Permit Project Development Fl: Ste: 138e 03/14/91 oc No: CB910455 No: A9100551 J< 3,-, C-P MT Construction Type: NEW Occupancy Group: Class Code: ee,,is1 ;:.tatus: ISSUED 03/14/91 03/14/91 DC Description: PLUMBING/ELEC FOR LDRY AND KIT Applied: Appl/Ownr : NEW DESIGN REMODELING 5928 PASCAL COURT #200 CARLSBAD, CA 92008 *** Fees Required *** ·----Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T fAil i> 619 Apr/Issue: Validated By : 431-2800 · llected & Credits ,00 .oo 30,00 *** Ext fee Datu -~----------------- 30.00 PLMB/ELE 30.00 \F1Nft1_ APPROVAL .1( INSP. j_2_ DATE 5 ' {t CLEARANC£_µ _____ .(l,,, ___ , 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 Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ___________ _ VALID. BY ______________ _ 1. PERMIT TYPE DATE _______________ _ A • COMMERCIAL TH~ANT IMPROVEMENT B O INDUSTRIAL □NEW □TENANT IMPROVEMENT □RESIDENTIAL □APARTMENT □CONDO QS!NGLE FAMILY 0\./ELLING □ADDITION/ALTERATION □DUPLEX □DEMOLITION QMECHANICAL □POOL □RELOCATION □MOBILE H()l1E □ELECTRICAL □SPA QRETAINIMG WALL □SOLAR □OTHER □PLUMBING 2. PROJECT INFORMATION PLAN CHECK No. F Address 2 Building or Suite No. 340 Hosp Way, Carlsbad 317 Nearest Cross Streets El Camino Rea] LEGAL DESCRIPTION Lot No. SubdiVision Name/Nunber Unit No. Phase No. CHECK BELC&I IF SUBMITTED: Q2 Energy Cales p2 Structural Cales 02 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING use PROPOSED USE Plumbing and Electrical for laundry and kitchens. BLOG. sa. FTG. # OF STORIES 3. CONTACT PERSON 4. 5. 6. 7. 8. NAME Cl TY Keith smith Carlsbad SIGNATURE APPLICANT NAME New Deisgn CITY Carlsbad PROPERTY OWNER r'Ilf CONTRACTOR Remodeling & NAME Hosp Way Limited ADDREss5929 Pascal Court, Suite 200 STATE CA ZIP coo,92008 DAY TELEPHONE ( 619) 431-2800 0 AGENT FOR CONTRACTOR O OWNER Const. ADDREss5928 Pascal STATE CA ZIP c~2QQ8 OWNER 0 AGENT FOR OWNER Court, Suite 200 DAY TELEPHONE ( 619) □LESSEE 0TENMH 431-2800 ADDRESS 1990 Westwood Blvd. , Suite 300 Cl TY Los Angeles STATE CA ZIP coo,90025 DAV TELEPHO" (213) 474-1720 CONTRACTOR NAME CITY New Design Carlsbad Remodeling & Const. STATE CA ADD""S928 Pascal Court, Suite 200 ZIP COC,2008 DAY TELEPHONE ( 619) 431-2800 LICENSE CLASS _____ _ CITY BUSINESS LIC. # ~4~3L7~9L5=4~---- TITLE r. DATE DESIGNER Cl TY STATE ADDRESS ZIP COOE DAY TELEPHONE STATE LJC. # WORKERS' COMPENSATION lolorkers' C~nsat1on Declaration: I hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers' C~nsat ion Insurance by an actni t ted insurer, or an exact copy or duplicate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY Nationwide Insurance 73WC008402-00019 POLICY NO. EXPIRATION DATE 6/28/91 Certificate of Exemption: I certify that in the performance of the wor~ for which this permit is issued, I shall not employ any person so as to become subject to the lolorkers' COO'pensation Laws of catifornia. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am e~empt from the Contractor's license Law for the follo,;ing reason: 1 n any manner DI as o,;ner of the property or my en-ployees with i.ages 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 in-proves thereon,, and who does such work himself or through his own employees, provided that such in-provements are not intended or offered for sale. If, however, the building or improvement is sold within one year of COOl)letion, the owner-builder will have the burden of proving that he did not build or in-prove for the purpose of sale.). D I, as owner of the property, am e~clusively 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 in-proves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Lalo'). D J am ex~t 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, in-prove, dE'lllOlish, 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, coomencing lo'ith Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exelJlltion. 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 [S500J). SIGNATURE 0ATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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? □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 QNO Is the facility to be constructed within 1,D0D feet of the outer boundary of a school site? □YES IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET (If IS MEETING THE RECIJIRENENTS OF THE OFFICE OF EMER<i;NCY SERVICES AND THE AIR POLLUTION COHROL DISTRICT. 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 I S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE J certify that I have read the application and state that the above information is correct. I agree to comply w1th all City ordinances and State (aws 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, Jl.llGMENTS, COSTS AND EKPENSES WHICH MY IN ANT WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERt!IT. Expiration, Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if or work authorized by such permit is not coomenced within 180 days from the date of such permit or ii the building or work authorized by such permit or abandoned at any time after the ,;ork is conmenced for a period of 180 days (Section 303(d) Uniform Building Code). the building is suspended APPLICANT'S SIGNATURE □ OWNER rs/catHRACTOR □BY PHONE APPROVED BY; _______ _ DATE: WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED INSPECTION /) DATE_-=~_--__,_/i_b_-_i_,_/__ INSPECTOR'----'--1-A----'-------- PERMIT# -------PLANCK# _____ _ TIME ARRIVE: _____ TIME LEAVE: _____ _ CD LVL DESCRIPTION ACT COMMENTS ;ZtJ'(Jt... ;V!"':J -,,-11,.,~,316 -/S 7 M fl-<;~'--de-,,_ -dJ3s -1--f:~ >,.,,- .;:,3 3C. -/I(.. _Cj/-73d AP 1~,,f-~ ,i.4-DDfle:55 C.0Dz_ C\ I -7 33, ,;;J 3 lb ft,,~ 15"7 ~~ ,;J.33</ f'i<l:'.>f 310 ~1 31 I ~"( ,;J33(.., ,t I / I (., <:2.'/ 'll-,2,0 3<-/ 'l l -7 3c./ ,;)3#11 II .;,~Is ,;;<I 3"{ q I -<-/ 5"5' ,;?YID ,, 317 3"1 91 -Lf>'t 8'1 .?344 /I s~~ AP ;,-P A-{) AP A(> A,)