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Home My WebLink About1250 HOOVER ST; ; CB090869; PermitCitv of Carlsbad Residential Permit Permit No: CB090869 Job Address: 1250 HOOVER ST Status: Permit Type: RESDNTL Applied: Parcel No: 2061501900 Lot#: 0 Approved: Reference No: Issued: PC#: Inspect Area: WITHDRAW 05/27/2009 Project Title: MANZANO: 639SF 2DU//615 SF ART STUDIO/149 SF ENTRY AND STAIRWELLS/ALL AS 2ND STORY OF 1 STORY HOME,14 SF DECK Applicant: Owner: NOLAN MORGAN 760-583-9964 00136104885 BLDG PLAN CHECK Fees: $1,519.36 Additional Fees: MANZANO ALLEN J&BARBARA C INTER VIV 1250 HOOVER ST CARLSBAD CA $516.86 $0.00 Total Fees: $1,519.36 Balance: $1,002.50 City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www .carlsbadca.gov Building Permit Application JOBAD'.::RESS E~t. Value f1/~ 3"J (p Plan Ck. Deposit ~( (p. Date 6 z_; ( 0 APN ~Ob -( ~O I G\ -0?> CONSTR. TYPE OCC. GROUP ADDRESS CITY STATE ZIP PH1).~-E--FAX EMI\.L ARCH/OESl<;NER NAME & ADDRESS t- I~ "l 7 &n.t-~"'-' Cl4-IL [U). • STATE L/C. # ~NTL ME lJ M s '' CONTRACTOR BUS. NAME ADDRESS CITY EMAIL STATE L/C.# rltt.. FAX CLASS Cl-1 ZIP CITY BUS. L/C.# IRE SPRINKLERS YES D NO✓ (Sec. 70) 1.S Boiinm and Profmions Code: Any City or Countr whith requires a permit to conmuct, alieri improve, demolish or reP.air any structure, prior to its issuance. also requires the ap_plicant for such permit to file a signed statement that he is ticensed J)ursuait to the provisions of the Contractor's licen1e I.aw (Chapter 9. commending with Section 000 of O,vision J of th, Businm and Promsions Code} or that he is uempt there from. and the basis for the alleged m mption. Any ,iolation of Sec:-.ir. 70) 15 ,,y any applicant for a permit subjects the appliont 10 a civil penalty of not more than five hundred dollars (SSOO}). ~ ~ Worker;' Compensation Declaration: I hereby affirm under penalty of perjury one ol the following declarations: D I heve and will maintain a certificate of consent to self-Insure for wor1<ers' compensation as provided by Section 3700 of the Labor Code, for the perlormance of the wor1< tor which this permit is issued. D I h?\"? and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the perlormance of the work tor which this permtt is issued. My wor1<ers' compensation insurance carrier and policy nurr,1-er are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ !h. sec'i:Jfl need not be completed it the permit is tor one hundred dollars ($100) or less. Ce 1' ·;:ate of Exemption: I certify that in the perlormance of the work tor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wor1<ers' Compensation Laws of ornk1 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition IL :he cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. JfS corrRACTOR SIGNATURE DATE I hereby J'.';:m that I am exempt from Contractor's License Law for the following reason: □ I, , ~ ·.wner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered tor 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 wor1< himself or through his own employees, provided that such improvements are not intended or ottered tor sa:e.. 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 tor the purpose of sale). ;ii/ I, a-' ~wner of the property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Prolessions Code: The Contractor's License Law does not apply to an owner of i' prc.01 .. iy who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Contractor's License Law). □ I ar:i \.<empt under Section __ Business and Professions Code for this reason: i. 1 personally plan to provide the major labor and materials tor construction of the proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application tor a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone / contractors' license number): , but I have hired the lowing person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): ) the lotlowing persons lo provide the work indicated (include name / address/ phone / type of work): Is the applicant or future building occupant required to submtt a business plan, aC1Jtely hazardous materials registrahon 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 applicam or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the fa.:ility ·,i be constructed within 1,000 leet of the outer boundary of a school site? □ Yes D No IF ANY Oi' ntE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY AV OT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I ~ertify that, 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. I herehy auiho~ize representali'le of the City of Carlsbad to enter upon the aroie mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ~L,. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: llr os:~A permrt is required for excavations over 5'0' p and demotif or construction of structures over 3 stories in height. EXPIAAT10N: Every permtt issued by the Building Offi · r the pr · · of this Code shaD expire by limitation and become null and void ff the building orwor1< authorized by such permrt is not commenced within 180 days from the date of such permrt or ff the ilding br1< authorized such permrt is suspended or abandoned at any time after the work is commenced fo a period of 180 days (Section 106.4.4 Unffonn Building Code). /fS APFL,CANT'S SIGNATURE ?/~r 7 o C_rr'-f o ;::-~ fu.__.5,esA 7:: -r;1r~ \S (~ }<cQ.cJ-,;;;;-57 )* 'K~-r-o~ ~(;::' ~cc Pc..A.rV_j,/ ~~-/Ye~ ,r,,£/~--s c-c"c_s;- /-) PD oTiji=. ""I{ ,5· v' p;:::::>o ;Jr~ c;-- ~ Pd~.__5 /~cATe~/ ~ csr/,,q_. /f Pr"Gf 4 // 0 ,,.-v ,,c:o A! ,/~ ~OPt"'?/'cJ/✓ ~ z~~ ~~c!.-J~~ V ,,de T ce=f--r-/ -z.___:s----es /~ o ,...,-&--,e____ __s.;... , q~~-, C4' 7zcr1:7~-