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Home My WebLink About1240 HOOVER ST; ; CB901257; PermitB U I L D I N G P E R M I T Permit Project Development No: CB901257 No : A9001395 No: 08/02/90 12 :24 Page 1 of 1 Job Address: 1240 HOOVER ST Str: Fl: Ste: Cl<-r ? OCf<p Permit Type: RESIDENTAL ADDITION/ALTERATION Parcel No : 206-150-15-00 7149 08/v~, v ~v. _ C-PRMT 1~0 Valuation: 4,053 Construction Type: VN Occupancy Group: Description: 386 SF DECK OWNER : BLACKBURN, ROBERT *** Fees Required *** Fees: Adjustments: Total Fees : Fee description Building Permit Plan Check Strong Motion Fee * BUILDING TOTAL 120.00 .00 120 .00 Class Code : Status : ISSUED Applied: 08/02/90 Apr/Issue: 08/02/90 Validated By : DC Lie. OWNER 619 729-3162 *** Fees Collected & Credits *** .:. Total Credits: Tot al P.a yments : Ba lan ce Due: Units Fee/Unit .00 .00 120.00 Ext fee Data 72 .00 47.00 1.00 120.00 / j~APPROVAJ. _ . INS ~DATE~ CLEARANCE ______ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION • City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL. _____ ,__,,=-=::.....=~--- Plo\N CK DEPOSIT ___________ _ VALID. BY, _____________ _ 1. PERMIT TYPE . DATE ______________ _ A - B COMMERCIAL 0 INDUSTRIAL □NEIi TENANT IMPROVEMENT {a-TEllANT IMPROVEMENT C ~OENTIAL □APARTMENT D DUPLEX D DEMOLITION □MECHANICAL □POOL □CONDO □SINGLE FAMILY DIIELLING OADDITION/ALTERATION □RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING OSPA □RETA INING IIALL □SOLAR □OTHER. _____ _ 2. PROJECT INFORMATION PLAN CHECK No . Address / ~ 4 cP I-/ a ~ t/ ~ /<!_. Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subd1 Vl S 1 on Name/Nll!'ber un;t No. Phase No. CHECIC BELOII IF SUIIIIITTED: 02 Energy Cales 02 Structural Cales 0 2 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL DES~l Of ~~C-~ BLOG. SO. FTG. 3. CONTACT PERSON NAME ../ / r/ G::-;£: r?.JZ .. A ;z_z:, CITY CA ,7,,L-S .is..A.2J ii .... 4. APPL D CONTRACTOR NAME Cl TY EXISTING USE # OF STORIES C-A STATE ADDRESS ZIP CODE 0 AGENT FOR CONTRACTOR ADDRESS STATE ZIP CODE DOWNER PROPOSED USE D ,1t DAY TELEPHONE 0 AGENT FOR OWNER DAY TELEPHONE 5. PROPERTY OWNER NAME n_oB-r. B .::Ac...,rz-.i..v OWNER 124~ ADDRESS □LESSEE □TENANT 6. CITY CA ll LS B. 4-..Z> DESIGNER CITY )l .... CL\ STATE STATE STATE ZIP CODE ADDRESS ZIP CODE 37~/ LICENSE CLASS __ ~ __ I __ TITLE ADDRESS ZIP CODE DAY TELEPHONE / ,2 q DAY TELEPHONE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # 7. WORKERS ' COMPENSATION workers• C~nsat,on Declaration: hereby aff1rm that I have a certificate of consent to self·1nsure issued by the Director of Industrial Relations, or a certificate of Workers• CC>ff1)ensat ion Insurance by an actnitted insurer, or an exact copy or duplicate thereof cert Hied by the Director of the insurer thereof fi l ed with the Building Inspection Department (Section 3800, Lab. C). 8. INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exeq:>tion: I certify that in the performance of the work for which this permit is issued, I shall not e1J1>loy any person in any manner so as to become subject to the Workers• Con.,ensation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Oec larat1on: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I as owner of the property or my e~loyees with wages as their sole compensation, wi ll do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor Is License Law does not apply to an owner of property who builds or i"l)roves thereon,, and who does such work himself or through his own employees, provided that such ifll)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of C001)letion, the owner-builder will have the burden of proving that he did not build or irrprove for the purpose of sale.>. 0 I, as owner of the property, am exclusively contracting with licensed contractors to const ruct the project (Sec. 7044, Business and Professions Code: The Contractor•s License Law does not apply to en owner of property who builds or illl)roves thereon, ard contracts for such projects with contractor(s) licensed pursuant to the Contractor Is License Law). D I 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, i"l)rove, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is l icensed pursuant to the provisions of the Contractor's License Law (Chapter 9, comnencing with Section 7000 of Oivision 3 of the Business and Professions Code) or that he is exefl'1)t therefrom, and the basis for the alleged ex°""tion. 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 DATE COMPLETE TH IS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY; Is the applicant or future building occupant required to sut::cnit a business plan, acutely hazardous materials registration form or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tamer Hazardous Substance Account Act? □YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DvEs □No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF ANY OF THE ANS\.ERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY MAY IIOT BE I SSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS NEETINC THE REQUIREIIENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL 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). JJ ~ /J "l::; LENDER 'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the appt i cation and state that the above information is correct . I agree to COfll)l y with all City ordinances end 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 TO SAVE INDE"NIFY ANO KEEP HAR"LESS THE CITY Of CARLSBAD AGAINST All LIABILITIES, Jl.OQ41:NTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PER"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 the building or work authorized by such permit is not conmenced within 180 days from th date of such permit or if the building or work authorized by such permi t is suspended or abandoned at any time after the work is commenced for a period of days (Section 303(d) Uniform Building Code). {2!_., ....-80WNER ll-/~ OBY PHONE APPROVED BY: _______ _ DATE: _________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB901257 DESCRIPTION: 386 SF DECK TYPE : RAD CITY OF CARLSBAD INSPECTION REQUEST FOR 09/19/91 (PER PETE) CS JOB ADDRESS: 1240 HOOVER ST APPLICANT: BLACKBURN, ROBERT PHONE: INSPECTOR AREA PD PLANCK# CB901257 OCC GRP CONSTR. TYPE VN STR: FL: STE: 619 729-3162 CONTRACTOR: OWNER: BLACKBURN, ROBERT REMARKS: MH/JIM SPECIAL INSTRUCT: PHONE: p:::::c:~,2)L TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 19 ST Final Structural ~ ;I ~/1/D rlA: Iv I riJ~ ~t,,vc,.l) ------------------ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 091791 Final Structural ACT INSP CO PD COMMENTS