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HomeMy WebLinkAbout2188 AVENIDA TORONJA; ; CB062116; Permit07-25-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: CB062116 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2188 AVENIDA TORONJA CBAD MECH 0000000000 $0.00 STACKLE RESIDENCE REPLACE A/C UNIT Lot#: Status: ISSUED Applied: 07/25/2006 Entered By: MDP Plan Approved: 07/25/2006 Issued: 07/25/2006 Inspect Area: Applicant: TELFORD JONES INC STE 13A400 25920 IRIS AV MORENO VALLEY CA 92551 951 486-0337 Owner: Mechanical Issue Fee InstaII/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES $15.00 $9.00 $0.00 $0.00so.oo $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees:$24.00 Total Payments To Date:$24.00 Balance Due:$0.00 FINAL APBfcOVAL // /? //Date: ( •/ J/£>r>-lekfirrinf''a' 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ._. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #) Legal Description Assessor's Parcel # \ Description ofrWoifc- • & Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Existing Use SQ.FT. # of Stories Phase No. Proposed Use # of Bedrooms Total # of units # of Bathrooms Name 3, State/Zip Telephone #Fax# Address City State/Zip Telephone # Name 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 [Chapters, 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 applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). Name State License # $51032 Designer Name State License # Address - i ^ License Class &* C- *• Address Q City City State/Zip City Business License* State/Zip Telephone # Telephone # 3/-7 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. •d I have and will maintain worker's 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 earner and policy number are: , _ -, Insurance Company C+aJC-''>>\^LJ|&/U£-K>t^ Policy No. Q-\\J> 0 0 ' ' ^" ^ Expiration Date_ (THIS SECTION 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' CompensatiM Laws of California. WARNING: Failur&tMsecure worfcersicpXpeQsation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000 Jffn yfiijjon to the costjpconflensation, damages are provided for in Section 3706 of the Labor Code, interest and attgjp^s f& SIGNATURE. 7. I hereby affirm that I am exempt from the 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 d 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 (he 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 contractorjs) 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- D YES D NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. 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 / phone number / /ontractors 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 WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) 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 Cartsbad 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, JUDGEMENTS, COSTS AND OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories in height. 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 for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ' MT'IAA'**' fl^xt^-- DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/03/2006 Permit# CB062116 Title: STACKLE RESIDENCE Description. REPLACE A/C UNIT Inspector Assignment: 2168 AVENIDATORONJA Lot 0 Type:MECH Sub Type: Job Address: Suite: Location: APPLICANT TELFORD JONES INC Owner: STACKLE MARK D&JENNIFER L Remarks: Phone: 7609440014 Inspector: Total Time: CD Description 44 Rough/Ducts/Dampers 49 Final Mechanical Act Comment Requested By: JENNIFER Entered By: JANEAN Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments License Detail Page 1 of 2 California Home Tuesday. J License Detail Contractor License # 856936 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&P7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P 7071_J_7. 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: 07/25/2006 * * * Business Information * * * TELFORDJONES INC 25920 IRIS AVE STE 13A 400 MORENO VALLEY, CA 92551 Business Phone Number: (951) 486-0337 Entity: Corporation Issue Date: 04/05/2005 Expire Date: 04/30/2007 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class Description B IGENERAL BUILDING CONTRACTOR C10 i ELECTRICAL IC20 WARM-AIR HEATING. VENTILATING AND AIR-CONDITIONING C36 IPLUMBING http://www2.cslb.ca.gov/CSLB JLIBRARY/License+Detail.asp 07/25/2006 License Detail Page 2 of 2 * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 1039361 in the arr $10,000 with the bonding company SURETY COMPANY OF THE PACIFIC. Effective Date: 02/14/2005 BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) Gl ROBERT JONES certified that he/she owns 10 percent or more of the voting stock/equity corporation. A bond of qualifying individual is not required. Effective Date: 04/05/2005 * * *Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 046-0014249 Effective Date: 03/01/2005 Expire Date: 03/01/2007 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licet Personnel List Other Licenses [License Number Request Contractor Name Request Personnel Name Request SalespersQTLRequest 1Salesperson Name Request © 2006 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 07/25/2006