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1185 TAMARACK AVE; ; CB070753; Permit
03-20-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No CB070753 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1185 TAMARACK AV CBAD ELEC 2062611400 SILVERMAN RES- UPGRADE ELECT PANEL FROM 100 TO 200 AMPS Status Lot # 0 Applied Entered By Plan Approved Issued Inspect Area Applicant SHAFFER CONSTRUCTION 2402 ALTISMA WY CARLSBAD, CA 92009 619-431-5661 Owner SILVERMAN TIMOTHY J&LORRI A 1185 TAMARACK AVE CARLSBAD CA 92008 ISSUED 03/20/2007 LSM 03/20/2007 03/20/2007 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 100 $1000 $000 $000 $000 $2500 $000 $000 $000 $000 $000 $3500 Total Fees $35 00 Total Payments To Date $35 00 Balance Due $000 Inspector Clearance 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 theinmposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity 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 you have previously been given a NOTICE similar to this, or as to which the statute of I mitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO && ° 7^^ S3 EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Nama (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Work <^»a; SO #of Stones 57. # of^Bedroorhs # of Bathrooms Name Address City IfmsavitOK^E^BS^^iSm^ot.-. 'QjOwner .JQ Agent'for OwnerA^-:/. ;.:,;. State/Zip Telephone #Fax* Name Address City State/Zip Telephone # K < ,.-.... . Address City State/Zip Telephone # (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 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name ' ~~ State License # b£X22^ \ ~l Address License Class 7S City State/Zip City Business License # fy'fl~ Telephone # Designer Name •State License # Address City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 compensation insurance carrier and policy number are , " ' " 0/0 *?Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) (U CERTIFICATE OF EXEMPTION I certify 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 is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1Cg£&00) ijn addition Jojrie,cost Decompensation damages as provided for in Section 3706 of the Labor code interest and attorney a fees SIGNATURE ~^ Jtf»S/^L _ DATE 3"^^ '& 7 I hereby affirm that I am exempt from the'Corftractor s License Law for the following reason CD I as owner of the property or my employees with wages as their sole compensation will do tha 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 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) n 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 contractors) licensed pursuant to the Contractor s License Law) l~l 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 n YES H]NO 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 / phone number / contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervi >e and provide the major work (include name / address / phone number / contractors license number) ___ 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) ___ PROPERTY OWNER SIGNATURE DATE [C^MJRLflE^IS.SJCTlpJ^^ ,.^:u,,-.k.^,^..;:,.-.^:-., ..... , ..,,..,»,.. : .'"I. : _.*.IH xi 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? Q YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? CD YES II] 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 j..-^-...:j.. i.:,. ,a .:* ., I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS 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 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 JUDGMENTS COSTS AND 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 5 0" deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by the building Official under tbe-provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commem at any time after the work is comm APPLICANT S SIGNATURE of such permit oyMtie building or work authorized by such permit is suspended or abandoned 106 4 4fSfafrfibuilding Code) DATE .LOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 10/19/2007 Permit* CB070753 Title SILVERMAN RES- UPGRADE ELECT Description PANEL FROM 100 TO 200 AMPS Inspector Assignment PC 1185 TAMARACK AV Lot Type ELEC Sub Type Job Address Suite Location OWNER SILVERMAN TIMOTHY J&LORRI A Owner SILVERMAN TIMOTHY J&LORRI A Remarks Phone 7605185230 Inspector Total Time CD Description 39 Final Electrical Act Comments Requested By BILL Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 08/16/2007 34 Rough Electric PA PC EMR CALLED IN WILL CALL FOR FINAL WHEN ALL WORK COMPLETE City of Carlsbad Bldg Inspection Request For 08/16/2007 Permit# CB070753 Title SILVERMAN RES- UPGRADE ELECT Description PANEL FROM 100 TO 200 AMPS Inspector Assignment 1185 TAMARACK AV Lot 0 Type ELEC Sub Type Job Address Suite Location APPLICANT SHAFFER CONSTRUCTION Owner SILVERMAN TIMOTHY J&LORRI A Remarks electric panel inspection Phone 7605185230 Inspector Total Time CD Description 34 Rough Electric Act Comment Requested By NA Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments M License Detail\Page 1 of2 California Home Tuesday, Ma License Detail Contractor License # 600217 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on the hn button to obtain complaint and/or legal action information • Per B&P 7Q71 17, only construction related civil judgments reported to the CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base * * * Extract Date 03/20/2007 Business Information * * * SHAFFER CONSTRUCTION 6712WHITESAILST CARLSBAD, CA 92009 Business Phone Number (760) 518-5230 Entity Sole Ownership Issue Date 08/09/1990 Expire Date 08/31/2008 * * * License Status * * * This license is current and active All information below should be reviewed * * * Classifications * * * [Class Description GENERAL BUILDING CONTRACTOR * * *Bonding Information ** * CONTRACTOR'S BOND This license filed Contractor's Bond number 6060625 in the air $12,500 with the bonding company http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/20/2007 License Detail Page 2 of2 SURETY COMPANY OF THEPACIFIC Effective Date 01/01/2007 Contractor's.Bonding History * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 229-0024859 Effective Date 06/17/2002 Expire Date 06/17/2007 Workers_Comp_ensatior!History Personnel List I I ILicense Number Request Contractor Name Request Personnel Name Request • Salesperson Request [Salesperson Name Request © 2006 State of California Conditions of Use Privacy Policy http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 03/20/2007