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Home My WebLink About2200 FARADAY AVE; ; CB962200; PermitFA A Jaluntl n: occupdncy Gr up: :..ie ... r11pt1 n: DEM OK FE App /Ownr : ** Fees 11 r ------------ Fee Ai ustm nt T>t l t Fee e er ... pt < r --------- M1s r--~lan u * MI CELLANE J.;:.i TO l # I V JI.** G p F. Ult L #: n truct A 744- & C'r •ht N No: ----- APPROVAL · P.~_DATE 1{a;tfr1 '--'-... ARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 02 30-00 96 *** t ----- E ) E-ERM PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building DepartlEnt 2075 Las Pal.as Dr •• tarlsbad, CA 92009 (619) 438-1161 FSf.VAL'------------- 1. PERMl'I IYPE PLAN CK DEPOSIT ______ "T1'-Ht.,........, VAUD.BY ____ -t---t--,--+.,1-'"-' From List 1 (see back) give code of Pennie-Type: __ D_E_W\_o ______ _ DATE'--------++-~--.J-J....::....,..~ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ____ t.t.....;I_,.. _______________ _ Net Loss/Gain of Dwelling Units _.....;,.;:....:../_A. ______________ _ 2. PROJECf INFORMATION FOR OFFICE USE ONLY Address 7.. 7.££:> Fo.ra..dA.'( Bu1ldmg or Suite No. Nearest Cross Street ~"\-"'-e.r-~,-.J. ~ , LEGAL DESCRIPTION Lot No. subd1V1s1on Name/Number Unit No. Phase No. '{5" f-,1\ 1•,t> I\ "6 lO CHECK BEillW IF sOSMlt IED: 0 2 Energy Cales D 2 Structural Cales D 2 Soils Report O 1 Addressed Envelope ASSESSOR'S PARCEL PROPOSED USE ~S ~:r:<ot\.L.:l:.(oKTSC> oi.J ~1...A lo:)<;, # OF BATI-IROOMS DESCRIPTION OF WORK l)El,,\o # OF BEDROOMS DAY TELEPHONE ,L{L\ -::1 \ '3 NAME (last name first) i=:-vo.....,S ~ .... r-t_ Lv.~1' ~ c..o.:,;~""-C...-C:Co ~ CITI 'So._"'-M---"c..05 STATE C:..A ZIP CODE "'\ ""'tdo, DAY TELEPHONE :::!'·\'-\-'3.\ ")'"5 s. PROPER'IY oWNER NAME (last name first) ~e.-\\u:,r '? .... r:+.._ ..... &_"',-.c...-\\ ADDRESS '2.-L..CO ~ro}.o..,l CITI &.-\-Sb""-~ STATE CJ... ZIP CODE DAY TELEPHONE 6. mN'litACIOR NAME (last name first) Lu..?AR.b'.!: ~~ue\".:ie~ ADDRESS 5'10 L\•·-.d•c:.., V~<;~ 1)f', CITI S:>,_"'-f"\o.,c..o S STATE CA ZIP CODE ~DC..'\ DAY TELEPHONE 1'-tL\ -~ \"]°3 STATE UC. # u::>1 -z.81 LICENSE ClASS CITI BUSINESS UC. # 't.-ZS 8'.::0 D£siCNER NAME (last name first) '[)-..-.lLJ0,.>-1 ~'i::fu.oc..... ADDRESS '-t:;$\ 'S\; .... "\, § . ~E. A. CITI ~AN v:cE:6ro STATE <...A ZIP CODE q,"2..\0\ DAYTELEPHONE<-~·GO\.(STATELIC.# 1. WolUMtS" dJMPENSATION Workers' Compensation Declaration: I hereby all1nn that I have a certlhcate of consent to self-msure issued by Lhe Dlfector ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admined 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). INSURANCE COMPANY 6-.,:,..."?e.:t,so.._ ~ k-.':,o<.. · POLICY N0.6'N€6"8o$8 EXPIRATION DATE '/ 1 /41 Ceruhcate of Exemption: I cerufy that m the perlonnance of the work for which this pennll 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE°(-f;-::: DATE 11/1..J..("il.-- 8. oWRElt-BOtmElt OECLARA110N uwner-tluuaer uectarauon: I hereby af11nn that I am exempt from the Contractor's License Law for the lollowmg 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.). 0 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 Llcense 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). CJ 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 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNATIJRE DATE COMPLETE 1Hls SECTION FOR NON-RESIOEN I IAL BUILDING PERMITS 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? DYES ONO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? DYES ONO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CER11FICATE OF oa:uPANCY MAY Nar BE ISSUED AFfER JULY 1, 1989 UNLF.sS TI-IE APPLICANT HAS MET OR IS MEETING nm REQUJREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TIIE ADl POI1.Ul10N CDNlllOL DISIRICT. 9. rnNS'iROCl10N LENDING AGENCY I hereby afhnn that there as a construcuon lendmg agency for the perlonnance of the work tor which this penmt 1s issued (Sec 3097(1) C1V1i Code). LENDER'S NAME LENDER'S ADDRESS to_ APPllCAN I CER. lfillCA itoN I ceruly that I have read the apphcataon and state that the above mlormauon 1s correct. I agree to comply with all dty ordinances and Stale 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 IIARMLF.SS nm Cl1Y OF CARIS8AD AGAINST AIL UABIIJTIF.S, JUDGMENTS, CDS1'S AND EXPENSES WfilCH MAY IN ANY WAY Acx:RUE AGAINST SAID Cl1Y IN OONSEQUENCE OF nm GRANTING OF nos PER.MIT. 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 pennit 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 pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by such pennit is suspended or aban~°.fed at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Buildi e). APPLICANT'S SIGNATURE -,:__----;--~~ DATE: t\. \'1 <ll. WHITE: File YEU.OW: Applicant PINK: Finance List 1 -Permit-'fype From the following list, determine the permit-type that best describes the work you propose to do. Please put the code of that permit-type in the blank at the top of the page on the front of this application. Residential permits (only) also require the identification of the structure-type to be associated with the permit. Choose a structure-type from "List 2 -Structure-Types" and put its code in the appropriate blank on the front of this application. Residential Permits Code Description APT Apartments -new construction. CONDO Condominiums -new construction. ' CVNNR Conversion. Convert all or a portion of a non-residential building to residential use, creating one or more new residential units. CVNRN Conversion. Convert one or more residences in a building to non-residential usage. CVNRR Conversion. Increase or reduce the number of dwelling units in a residential structure through interior modifications (i.e.: a four bedroom house converted to a duplex, with 2 bedrooms each). DEMO Demolition oermit. (Also specify type of structure from List 2). DUP Duplex · new construction. MOHO Mobile home, renovation, repair, or addition of accessory structure not yielding a new living unit. MOHON Mobile home, pre-fabricated house, or trailer installed .(plumbed, wired) in a mobile home park (see distinction from single-family residence, below). RAD Residential addition/alteration, creat:iru!' no new dwelling unit(s). RREISSUE Residential permit re-issue. RREPAIR Residential building reooir. Damage, fire, etc. RREPLACE Residential building replacement (no additional units). SFA Single-family, attached -new construction. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.2:.: townhouse, row house, half-plex) SFD Single-family, detached · new construction: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached "granny flat". May be a mobile home or trailer on an individual lot, but not in a mobile home park. Non-Residential/Accessory Permits Code . Description . . COM Commercial structure, new construction. CREISSUE Commercial permit re-issue. CREPAIR Commercial building -repair. Damage, fire, etc. CREPLACE Commercial building -replacement. CTI Commercial tenant improvement. I DEMO Demolition permit. ELEC Electrical permit, for electrical work only. HOTEL Hotel or motel (including Managed Living Unit hotel) -new construction. HOTELR Hotel renovation. IND UST Industrial structure, new construction. ITI Industrial tenant improvement. MECH Mechanical oermit, for mechanical work only. MISC Miscellaneous. Use only if proposed work doesn't fit another activity type. PATIO Patio and/or deck. PLUM Plumbin~ oermit, for plumbing work only. POOL Gunite pools and spas. RETAIN Retaining wall permit. SIGN Sign construction/installation permit. SOLAR Solar energy system installation permit (specify structure type to be served). SPA Factory-made or Gunite. List 2 -Structure-Tvpe (Use with Residential Permit Only) From the following list, determine the type of residential structure that best describes the structure on which you will be working. Please put the code of that structure-type in the aooropriate blank at the top of the 002:e on the front of this application. Code Description SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls extending from foundation to roof at, or forming, a lot line. Has own plumbing and heating system (e.g.: townhouse, row house, half-plex). SFD Single-family detached: A one-family house with open area on all four sides. May have an attached or detached garage, or a business. May be a detached "granny flat". May be a mobile home or trailer on an individual lot, but not in a mobile home park. MF2-4 Multi-family, 2 to 4 units. A residential structure on a single lot, containing two, three, or four dwelling units. Units may share master heating, plumbing, or electrical service (e.g.: duplex, triplex, quad-plex). MFS+ Multi-family, 5 or more units. Sarne as MF2-4, except the building has a t least five attached units on the same lot. MOHO Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from . single-family residence, above) . CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB962200 FOR 11/25/96 DESCRIPTION: DEMO OF PART WALLS,DOORS,WINDO OK PER PAT KELLEY TYPE: MISC JOB ADDRESS: 2200 FARADAY AV APPLICANT: LUSARDI CONSTRUCTION CONTRACTOR: OWNER: REMARKS: MW/603-6683 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS--PERMIT# SE900026 WDP02053 CB940319 CB961193 AS960059 GR960025 TYPE swow WDP ITI ITI AST! GRADING PHONE: PHONE: PHONE: STATUS ISSUED ISSUED EXPIRED ISSUED ISSUED ISSUED CD LVL DESCRIPTION ACT COMMENTS INSPECTOR AREA PLANCK# CB962200 OCC GRP CONSTR. TYPE NEW LOT: 34 EL Rough Electric /JI ~,,nr,x._ ~¥/1/,..1-J-~ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS