The URL can be used to link to this page

Home My WebLink About2655 CARLSBAD BLVD; B; CB080145; Permit01-22-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB080145 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2655 CARLSBAD BL CBAD St B PLUM 2031420300 Lot# Construction Type 0 NEW REPLACE GAS LINE FROM NETER TO UNIT B APARTMENT AT REAR OF PROPERTY Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/22/2008 RMA 01/22/2008 01/22/2008 PD Applicant TOWN & COUNTRY PLUMBING 321 N ENGEL ST ESCONDIDO 92027 745-0337 Owner PHILLIPS JACK D 2667 OCEAN ST CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 0 1 0 $2000 $000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspecl 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 nght 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 City of Carlsbad 1635FaradayAve Carlsbad CA 92008 760-602 2717 / 2718 / 2719 Fax 760 602 8558 Building Permit Application LOT#PHASE## OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS DESCRIPTION OF WORK EXISTING USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #NO D AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NO D CONTACT NAME (If Different Fom Applicant)APPLICANT NAME ADDREbS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS .NA 3 AD ADtlRESS / CIT STATE m*~ ZIP ClW STA PHONE PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS CITY BUS LIC# (Sec. 70315 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 die applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors 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 70315 by any applicant for a permit subjects the applicant to a mil penalty of not more than five hundred dollars {$500}) [WO R;k!EiR!S»|C|!O'M'R.E;N?S?A^T i-C^lM, Workers Compensation Declaration f hereby affirm under penalty ol 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 n I have and will maintain workers compensation as required by Section 3700 of the Labor Code jorjhe performance of the work for which this permit is issued My workers compensation insurance earner and policy number are Insurance Co Pr *-4 <W f &4 $,w flloytl/J Jri*tJLi.iWVif& Policy No LU [<~N [ i I tf-OryLis Expiration Date <g \ 61 f O S? This section need not be completed if the permit is for one hundred dollars ($100) or lesr n 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 (&100 000) in addition to the cost of compensation damages as provjitterjfor In Section 3706 of the Labor code interest and attorney s fees / *J:£/C&- DATE 1/2.Z-/6. I hereby affirm that I am exempf from Contractor's License Law for the following reason O 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) a 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 I personally plan to provide the major labor and matenals for construction of the proposed property improvement O Yes O 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 /contractors license number) 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 / 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 / type of work) ^PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? d Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management distnct? O Yes d No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? a Yes a No IF ANY OF THE ANSWERS ARE YES EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 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 (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 IherebyauftorizerepresentetiveoflheCfy^ INDEMNIFY AND KEEP HARMLESS THE CFTY 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 OSHApermitB required for excavations over SO dr^ and demditxxi or condructoncjfstnjcturK over 3 stones in height EXPIRATION Eveiypemit issued by the Building Offralurrfe^tbe provisions cif the M I by suiti rjenriit Bafieend^ wabandoned atarry time afb^ DATE>£f APPLICANT S SIGNATURE City of Carlsbad Bldg Inspection Request For 01/23/2008 Permit* CB080145 Title REPLACE GAS LINE FROM NETER TO Description UNIT B APARTMENT AT REAR OF PROPERTY Inspector Assignment PD 2655 CARLSBAD BL B Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT TOWN & COUNTRY PLUMBING Owner PHILLIPS JACK D Remarks Phone 7605804221 Total Time CD Description 23 Gas/Test/Repairs Act Comments Requested By LUCKY Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Check A License Contractor's License Detail Page 1 of 2 Skip to CSLB Home | CpnteQt | Footer | Accessibility CONTRACTORS STATE LICENSE BOARD F L ii i,i.i ii01 - CONSUME! mill!'f »* FJ •1 1 1 1 1 1 L02 - •* CONTRACT Mill II 54 ?!,*«! TTTTTTT 03 ' * APPLECAH1 1 1 1 IJTT•i,1 4 s * ». 1 1 1 II 1,1 04 * JOURNEYW TTTTTTT& T* IEN TmTTTrn 1 1 1 1 1 05 u -| *" ^ * PUBtIC WQBO » TTTTnT flgM, t 1U1LDIHB TTTTTTT IffiCMLS* Tllllll 07 GENERAL 1 Illll NFO About CSLB CSLB Newsroom Board and Committee Meetings Disaster Information Center CSLB Library Frequently Asked Questions Online Services e Check A License or HIS Registration • Filing a Construction Complaint • Processing Times o Check Application Status o Search for a Surety Bond Insurance Company o Search for a Workers Compensation Company How to Participate £la DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be awai the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject to pu complaint disclosure a link for complaint disclosure will appear below Click on the link oi obtain complaint and/or legal action information • Per B&P 7071 17 only construction related civil judgments reported to the CSLB are disc • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitr • Due to workload there may be relevant information that has not yet been entered onto th license database License Number 382814 Extract Date 01/22/21 Business Information TOWN & COUNTRY PLUMBING REPAIR PO BOX 1925 ESCONDIDO CA 92033 Business Phone Number (760) 749 5614 Entity Issue Date_ Reissue Date _s£l£5w!!?I?hJR_ 10/26/1979 02/05/1999 Expire Date 02/28/2009 License Status This license is current and active All information below should b reviewed Classifications CLASS DESCRIPTION^ C36 PLUMBING 'CONTRACTOR'S'BONO This license filed Contractors Bond number 138180 in the amount $12 500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 01/01/2007 Contractors Bonding History Workers This license has workers compensation insurance with the Compensation PR_EF£RRE_D EMPJLO_YEES_INS_U_RANCE COMPANY Policy Number WKN1119826 Effective Date 08/01/2007 Expire Date 08/01/2008 http //www2 cslb ca gov/General-Information/mteractive-tools/check-a-hcense/License+ 01/22/2008 ACOR& CERTIFICATE OF LIABILITY INSURANCE TO&CD-IDF PRODUCER Murria £ Frick Insurance 380 Stevens Ave , First Floor Solatia Beach CA 92075 Phone 858-259-5800 Fax 858-259-6069 INSURED Town & Country Plumbing PO Box 1925 Escondido CA 92023 BATE (MM/DO/YYYY) 08/16/07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A. Golden Eagle Insurance INSURER B Praforrod Bnployam Ins Co INSURER C INSURER D INSURER E NAIC* COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR A B A A NSRC TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | | OCCUR GEN L AGGREGATE LIMIT APPLIES PER AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY 1 ANY AUTO EXCESS/UMBRELLA LIABILITY _] OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below OTHER Property Section Equipment Floate POLICY NUMBER BA8112667 WKN1119826 CBP8051958 DATEOlJgjggJYYr 02/11/07 08/01/07 07/31/07 POLICY EXPIRATION DATE(MMfl)0/YY) 02/11/08 08/01/08 07/31/08 LIMITS EACH OCCURRENCE UAMA^t 1 U KtN 1 tU PREMISES (Ea occurence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT 01> AU1 IER THAN ^ OONLY ACC AGG EACH OCCURRENCE AGGREGATE X EL EL EL WC STATU- TORY LIMITS EACH ACCIDENT OTH" ER DISEASE EA EMPLOYEE DISEASE POLICY LIMIT $ $ $ $ $ $ $ $1,000,000 $1,000,000 $1,000,000 $ $ $ $ $ » $ $ * 1000000 $1000000 $1000000 $1000 dad $6,300 RC $1000 ded $16,662ACV DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 notice of cancellation for non-payment of premium CERTIFICATE HOLDER CANCELLATION ******* SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AQENT3 OR Proof of Insurance AUTMOTaZEOfJEPReSEIrtATIVE^ I (l ^/ ^^f ACORD 25 (2001/08) F oI 11 JfpI I '?in i 2 I Lz O 3 s!om o § 5 60c01 5 I « 3 § § g