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HomeMy WebLinkAbout2778 CARLSBAD BLVD; 304; CB080754; Permit04-24-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No CB080754 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2778 CARLSBAD BL CBAD St 304 MECH 2031722501 Lot# $000 SCHILLING RES-REPLACE A/C UNIT Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/24/2008 RMA 04/24/2008 04/24/2008 Applicant TELFORD JONES INC STE13A400 25920 IRIS AV MORENO VALLEY CA 92551 951 486-0337 Owner Mechanical Issue Fee Install/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 1 0 0 0 0 0 $1500 $900 $000 $000 $000 $000 $000 $000 $000 $2400 Total Fees $24 00 Total Payments To Date $24 00 Balance Due $000 Inspector FINAL APPROVAL Date ,M?~- 3-3 Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, i/r other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/sxactions If you protest them, you must follow 'he protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required I'iformation with the City Manager for processing in accordance with Cartsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar nny subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water <jnd sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which YOU have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 7gO-602-2717 / 2718 / 2719 / 7541 Fax 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS 'DESCRIPTION OF WORK Include Square Feet of Affected Area(s) SUITL#/SPACE#/UNITK ^£1 vj » BATHROOMS I TENANT BUSINESS NAME CONS IR TYPE "I OCC GROUP EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ^ fj/ /jT jf ^JJTjt^' SS ^ S ^ l&ty^*~ r f f-^E,^^ «•>• iM^t /^f ff r r S^ ff ADDRESS / CITY STATE ZIP urf£'t'5"&3'<-2 Crf &£(1C$ PHONE FAX "EMAIL '=*~ "" ARCH/DLSIGNLR NAME & ADDRESS STATE LIC If PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES[~1# N0| | YESQNOJ^] YESJ | NO| , APPLICANT NAME ADDRESS CITY STATE ZIP PHONE i FAX i EMAIL CONTRACTOR BUS NAME . Srj2gj>:fesG&Q*'j&*/r<S'-> /*SC' ADDRESS ^ /•> ,,, ,-. CITY STATE ZIP^ &#•£&&$ t-^tz&r &?' <?£$3'7 PHONE IFAX - EMAIL STA"L'c*#.s£>y£ Ifo^jr TiXtW^-v'.P (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 " "~ "-••- • • . . .. ... . . . erg TOmmcn(j|ngW|tfigoct|0n 7000 of Division 3 of'...- j by any applicant for a permit subjects the applicant to a lot^v. rvo-i. *j LJUOII icoo a i lu riun^ooiui ia v^uuu m ly vuy ui v^uuiiiy wi MUI I I ct.)ui[ t:s d pui i IIJL LU ULtl I^Li UUL duel Illlpiuvc UUIIIUMc>ll Ul (UUall aliyo applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License Law jcnapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code) orthat he is exempt therefrom and the basisfor the alleged exemption Any violation of Section 7031 5 by a ~ ' --• ' ' ' • ' civil penalty of not more than five hundred dollars (S500)) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations |j 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 IS/11 have and will maintain workers' compensation as required by Section 3700 of the Labor Code for the performance of the work for which trns permit is issued My workers compensation insurance carrier and policy number are Insurance Co Policy No J2.^f> ~£l£ifji^'//T-)/'' Expiration Date 3> ~7'~£>J>' This section need not be completed if the permit is for one hundred dollars (3100) or less I | Certificate of Exemption I certify that m 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 provided form Section 3706 of the Labor code, interest and attorney's fees JS$ CONTRACTOR SIGNATURE ^" ^fZsi^—V DATE / hereby affirm that I am exempt from Contractor's License Law for the following reason | | I as owner of the property or my employees with wages as their sole compensation will do the work and the struclure 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) I | 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 contractor(s) licensed pursuant to the Contractor's License Law) ] ) 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 I |Yes | ]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 City of Carlsbad Bldg Inspection Request For 10/22/2008 Permit* CB080754 Title SCHILLING RES-REPLACE A/C UNIT Description Inspector Assignment Type MECH Sub Type Job Address 2778 CARLSBAD BL Suite 304 Lot 0 Location APPLICANT TELFORD JONES INC Owner KIRKHAM REMY Remarks 1st inspection of the day Sam - 8 30am Total Time CD Description 43 AirCond/Furnace Set Act Comments A. OAi Phone 7604361144 spector Requested By JILL Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments PLOT PLAN Name Phone Site Address Rear Property line O,s •S Front Property line CALIFORNIA ALL-PURF JSfc ACKNOWLEDGMENT s^SSRSsgPSSSSSgSSSPSS ,1 State of County of On before me, Date Name and Title of Officer (e g Janp Doe Notary Public") personally appeared NTIMI/S) ,,i Sianer(s) f D personally known to me - OR -C^proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument hand and official seal Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document L/C, Document Date /fl/lfO*?Number of Pages»•' Signer(s) Other Than Named Above Capacity(ies) Claimed by Signer(s) Signer's Name Individual 'Corporate Officer Title(s) D Partner — D Limited G General D Attorney-m-Fact D Trustee D Guardian or Conservator D Other . Signer Is Representing Signer's Name ! : Individual L ; Corporate Offipe'r Title(s) Partner -^T .1 Limited LJ General Attorneys-Fact / or Conservaror Trustee i Signer Is Representing RIGHT THUMBPRINT OF SIGNER Top of thurr'o here © 1994 National Notary Association-8236 RemmetAve PO t J4 • Canoga Park "A91309718J Prod No Reorder Call Toll Free 1 800 876-6827 Date M State of California f, Glenn Jones, licensed contractor, authorize Manna Lemond, Rick Lemond, and Chrisi Hard to act on my behalf for the purpose of obtaining building permits for all properties and permit applications with no limitations This authorization includes signing the permit and all supporting documentation on my behalf I am named on the contractor's license listed below and have the authority to authorize those persons listed above to act as agent Signed under penalty of perjury' Contractor Sigrjjature TELFORDJONES, INC 25920 IRIS AVE , STE 13 A- 400 MORENO VALLEY, CA 92551 LICENSE 8569fcB (951)486-0337 04/15/2008 09 52 19514860393 JONES PLUMBING POLICYHOLDER COPY PAGE 01 SK COMPENSATION INSURANCE PO BOX 420807, SAN FRANCISCO.CA 94142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 03-01-2008 GROUP- POLICY NUMBER 3009370-2003 CERTIFICATE ID 19 CERTIFICATE EXPIRES. O3-01-2009 03-01-2006/03-01-2009 CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT P 0 BOX 26000 SACRAMENTO CA 95826 SK LIC INCEPTION DATE:03-01-2008 DO:SK This i$ to certtfy that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below tor the policy period indicated This policy is not subject to cancellation by the Fund except upon 19 days advance written notice to the employer We will also give you JQ days advance notice should this policy bo cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions of such policy PRESIDENT UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER, EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING CALIFORNIA WORKERS' COMPENSATION BENEFITS, EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' COMPENSATION LAW i EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS' $1.000,000 PER OCCURRENCE EMPLOYER TELFORDJONES INC DBA JONES PLUMBING HBATNG & AR CNDTNNG 25920 IRIS AVE STE 13A-400 MORENO VALLEY CA 92551 (REV 2-051 PRINTED 02-16-20O8 M0409 Check A License Contractor's License Detail Page 1 of2 Skip to CSLB Home | Content | Footer | Accessibility [ Search Department of Consumer Affairs — , ,GOV Contractors State License Board BU1LDIKG OFFICIALS 07 GENERAL IHFO About CSLB CSLB Newsroom Board and Committee Meetings Disaster Information Center CSLB Library Frequently Asked Questions Online Services o Check A License or HIS Registration o Filing ci Construction Complaint o Processing Times e Ciu;c;k Application Status Compensation Company How to Participate £IA DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be awar 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 Business Information Entity Issue Date Expire Date License Status Classifications 856936 Extract Date 04/24/2I TELFORDJONESINC 25920 IRIS AVE STE 13A 400 MORENO VALLEY, CA 92551 Business Phone Number (951) 486-0337 Corporation 04/05/2005 04/30/2009 This license is current and active All information below should b reviewed B C10 C20 C36 GENERAL BUILDING CONTRACTOR ELECTRICAL WARM-AIR HEATING. VENTILATING AND AIR- CONDITIONING PLUMBING Bonding This license filed Contractor's Bond number 1039361 in the amoui $12,500 with the bonding company SURETY COMPANY OF THE PACIFIC Effective Date 01/01/2007 Contractor's Bonding History http //www2 cslb ca gov/General-Information/mteractive-tools/check-a-hcense/License+ 04/24/2008 Check A License Contractor's License Detail Page 2 of2 Workers' Compensation 1 The Responsible Managing Officer (RMO) GLENN ROBERT JONES certified that he/she owns 10 percent or more of the \ stock/equity of the corporation A bond of qualifying individual not required Effective Date 04/05/2005 This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 238-0005911 Effective Date 03/01/2008 Expire Date 03/01/2009 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses Consumers | Contractors | Applicants | Journeymen | Public Works | Building Officials | General Info CSLBHome | Conditions of Use | Privacy | Contact CSLB Copyright © 2007 State of California http //www2 cslb ca gov/General-Infonnation/interactive-tools/check-a-hcense/License+ 04/24/2008