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2010 CHARLEEN CIR; ; CB100071; Permit
01-12-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No: CB100071 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2010 CHARLEEN CR CBAD ELEC 2053301600 Lot#: STEFANOVICH RES-REPLACE EXISTI 100 AMP PANEL WITH NEW 200 AMP ELECTRIC PANEL Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: NORMAN CONSTRUCTION 869 GRAND AV CARLSBAD CA 92008 760434-9818 Owner: STEFANOVICH ROBERT S 2010 CHARLEEN CIR CARLSBAD CA 92008 ISSUED 01/12/2010 RMA 01/12/2010 01/12/2010 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 0 0 0 100 $10.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $35.00 Total Fees:$35.00 Total Payments To Date:$35.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: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 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 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 vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax: 760-602-8558 www.ca rlsbadca .eov Plan Check No. Est. Value Plan Ck. Deposit Date JOB CT/PROJECT * SUITE#/SPACE#/UNIT# PHASE* I # OF UNITS I # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESD #NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD CONT4 APPLICANT NAME ADI ADDRESS CITY STATE ZIP PHONE EMAIL FAX PHONE FAX EMAIL PROPERTY 0'CONTR ADDRESS ADDR CITY « FAX PHONE EMAIL FAX EMAIL (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 issu/mcfTalso requires ttfe Iapplicant 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 iDOO of Division 3 of theBusiness 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)). JW O R K P R $ ' C:O MPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O 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, d 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 workers' compensation insurance carrier and policy nurpber are: Insurance Co. Policy No. Expiration Date Jhj«rsection need not be completed if the permit is for one hundred dollars ($100) or less. D 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 workersLEompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100.000), in addition to the cost of compensation, damagtifas provid/# for in Section 3706 of the Labor codejnterest and attorney's fees. CONTRACTOR SIGNATURE OWNER - B U I L D E R "D E CLARATION n AGENT DATE /*~/(*~ / hereby affirm that I am exempt from Contractor's License Law for the following 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 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). O 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). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, d Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE GAGENT DATE •>F:<».R'-'N'OW-R;*;Si01f»«"t*i^4"-BU,»I.O!ING "P'ER WTJTS ONLY 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? D Yes O No Is (He applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CJ Yes d No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes a No IF ANY OF THE ANSWERS ARE YES,; EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CO N S T R If C T I ON LENDING AGE N C IT- I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) 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 representative of ttie City of Carlsbad to enter upon Hie above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD OSHA: An OSHA permit is required for excavations over 5'G" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by Ihe Building Official under the provisions of this Code shall expire by limitalion and become null and void if Ihe building or work aulhorized by such permit is not commenced wflhin JS$APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 01/15/2010 Permit# CB100071 Title: STEFANOVICH RES-REPLACE EXISTI Description: 100 AMP PANEL WITH NEW 200 AMP ELECTRIC PANEL Inspector Assignment: 2010 CHARLEENCR Lot: 0 Type: ELEC Sub Type: Job Address: Suite: Location: APPLICANT NORMAN CONSTRUCTION Owner: STEFANOVICH ROBERT S Remarks: Phone: 7604194001 Inspector Total Time: CD Description 39 Final Electrical Act Comments Requested By: NA Entered By: JANE AN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat... Page 1 of 1 Department of Consumer Affairs Contractors State Li e Board Contractor's License Detail - License # 399528 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying 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 to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. • Per B&P 7071.17, 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 onto the Board's license database. License Number: Business Information: Entity: Issue Date: Reissue Date: Expire Date: License Status: Classifications: Bonding: Workers' Compensation: 399528 Extract Date: 01/12/2010 NORMAN CONSTRUCTION 865 GRAND AVE CARLSBAD, CA 92008 Business Phone Number: (760) 419-4001 Sole Ownership 02/05/1981 08/12/1994 04/30/2011 This license is current and active. All information below should be reviewed. DESCRIPTION GENERAL BUILDING CONTRACTOR CONTRACTOR'S BOND This license filed Contractor's Bond number SC6061070 in the amount of $12,500 with the bonding company Effective Date: 03/02/2009 Contractor's Bonding History This license is exempt from having workers compensation insurance; they certified that they have no employees at this time. Effective Date: 09/01/2000 Expire Date: None Workers' Compensation History Conditions of. Use | Privacy Policy Copyright © 2016 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicense/LicenseDetail.asp 01/12/2010