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Home My WebLink About1060 HOOVER ST; ; CB013002; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-18-2001 Miscellaneous Permit Permit No:CB013002 Job Address: Permit Type: Parcel No: Valuation: Reference#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1060 HOOVER ST CBAD MISC 2061710700 $2,500.00 MELLGREN RESIDENCE Subtype: OTHER Lot#: 0 30 SF PORCH EXTENSION W/ELECTRIC Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: WORTHING INC, B. A. MELLGREN FLORENCE L ISSUED 09/18/2001 MDP 09/18/2001 09/18/2001 0131 09/18/01 0002 01 02 PO BOX 1861 690 CARLSBAD VILLAGE DR CARLSBAD, CA 92008 619-729-3965 CARLSBAD CA 92018 Total Fees: $97.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Payments To Date: PERMIT ELECTRIC $0.00 FINAL APPROVAL Inspector: 12 }:g ~ 0~ 1 • r-Date: l-· H>-0 3 Balance Due: Clearance: $77.00 $20.00 $0.00 $97.00 CGP 97-00 $97.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. · You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which 1,ou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. 0 I '300 '2-... EST. VAL. z '(¢:c') Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ 1. PROJECT INFORMAT~ I D(a? l,lmvec , Address (include Bldg/Suite #I Business Name !at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel # Ww-111-01 Existing Use Proposed Use Description of ~~~ °"' 2. CON~~/;~..1;';; (ff e::nt from appJlc■nt) #of Stories # of Bedrooms # of Bathrooms Name Address 3. APPLICANT ~ontractor O Agent for Contractor O Owner Name Address 4. PROPER Name Ii. City 0 Agent for Owner City City i>< • State/Zip Telephone# Fax# State/Zip Telephone# State/Zip (Sec. 7031.5 Business and Professions Code: 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 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions CodeJ or that he is exempt therefrom, and the basis tor the alleged Any violation ~ct ion 7031 . 5 ~ any applicant tor a permit subjects the applicant to r.tvil pen ty o~ mq ~ five hun7z31~~ Designer Name State License # 1'£Z89f: 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensa ·on insurance carrier and policy number are: \_ Insurance Company __ ~~ :l,!l:JC!.,,...ll...l,!~l.:..-------Policy No.04'b•O I ON \'T 87 7'7 Expiration OateO I -0 J -O'Z.. ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D CERTIFICATE OF EXEMPTION: I cartify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage 11 unlawful, and shall subject an employer to criminal penah:ie1 and civil flnH up to one hundred thousand dollars ($100,000), ditio the coat of compansetlon, damages•• provided for in Section 3706 of the!-:: code}intereat and attomey'a fen. SIGNATURE, ___ ~/li! ~i~~~lt'li,4_~:::::=~-------------DATE '::1../J f,Q J 7. OWNER-BUILDER DE ' ; l hereby affirm that I am exempt from the Contr ctor' License Law for the following reason: 0 I, as owner of the property or my emplo ees th 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: Th ntractor'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 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). D 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 contractorts) licensed pursuant to the Contractor's License Law), D I am exempt under Section ______ Business and Professions Code for this reason: 1, I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number!: 4, I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone number/ contractors license number).:_------------------------------------------------ 5. I will provide some of the work, but I have contracted lhiredl the following persons to provide the work indicated (include name / eddress / phone number / type of work):: ______________________________________________________ _ PROPERTY OWNER SIGNATURE: ______________________ _ DATE ________ _ COMPLETE THIS SECTION FOR NON-IIESIDENTJAL 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 pravantion program under Sections 26605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district1 D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site1 0 YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY l 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, ______________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate, I agree to comply with all City ordinances and State laws relating to building construction. t hereby authorize representatives of the Citt 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, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0" 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 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 commenced r a per f 180 days (Section 106.4.4 Uniform Building Code). q /,, ,o.}D / APPLICANT'S SIGNATURE -' ...... t~'t!.Cll&~.,....,:::.::::______________ DATE --4,~ _,;/=--~'-'--------- YELLOW: Applicant PINK: Finance Inspection List Permit#: CB013002 Type: MISC OTHER Date Inspection Item Inspector Act 02/10/2003 39 Final Electrical CW AP 09/19/2002 19 Final Structural RF AP 09/19/2002 29 Final Plumbing RF WC 09/19/2002 39 Final Electrical RF WC 09/19/2002 49 Final Mechanical RF WC 08/23/2002 14 Frame/Steel/Bolting/Weldin RF AP 08/23/2002 15 Roof/Reroof RF AP Monday, February 10, 2003 MELLGREN RESIDENCE 30 SF PORCH EXTENSION W/ELECTRIC Comments ELECTRIC FINAL -CARD IS SIGNED OFF IN THE FIELD Page 1 of 1 ~ V City of Carlsbad Bldg Inspection Request For: 09/19/2002 Permit# CB013002 Tille: MELLGREN RESIDENCE Description: 30 SF PORCH EXTENSION W/ELECTRIC Type:MISC Sub Type: OTHER Job Address: Suite: Location: 1060 HOOVER ST Lot APPLICANT WORTHING INC, B. A. 0 Owner: MELLGREN FLORENCE L Remarks: Total Time: CD Description Act 19 Final Structural Al_ 29 Final Plumbing ~ 39 Final Electrical w c:. -- 49 Final Mechanical lvc Associated PCRs/CVs //06-G7 Inspection History Comments Date Description Act lnsp Comments 08/23/2002 14 Frame/Steel/Bolting/Welding AP RF 08/23/2002 15 Roof/Reroof AP RF Inspector Assignment: RF --- Phone: 7607293965 Inspector: /( F Requested By: GAIL Entered By: CHRISTINE I ,,, ' "(/'