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Home My WebLink About1590 CHESTNUT AVE; ; CB110887; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-28-2011 Plumbing Permit Permit No: CB1 10887 Building Inspection Request Line (760) 602-2725 Job Address: 1 590 CHESTNUT AV CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2051302200 Lot#: 0 Applied: 04/28/2011 Construction Type: V Entered By: LSM Reference #: Plan Approved: 04/28/201 1 PC #: Issued: 04/28/201 1 Project Title: OAKES RES- REPLACE WTR HTR Inspect Area: Applicant: Owner: FAST WATER HEATER CO DZIEKQNSKI STEVEN P (DP) 12601 132ND AVNE 1590 - KIRKLAND WA 98034 CARLSBAD CA 92008 4256367084 Plumbing Issue Fee $20.00 Fixture or Trap : 0 $0.00 Building Sewer , 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0|00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00 FINAL APPROVAL IInspector: r*7"' 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 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 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application 536490 Plan Check No. (2£> \ Est. Value Plan Ck. Deposit Date JOB ADDRESS 1590 CHESTNUT AVE 5urrE#/spACE#/uNrr# PHASE # # OF UNITS ft BEDROOMS fi BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feat of Affected Area(s) Remove/Replace Gas Water Heater EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE N0| | AIR CONDITIONING YES[INO!""] FIRE SPRINKLERS APPLICANT NA]f AST WATER HEATER COMPANY ADDIlREtl601 132NDAVENE ADDRESS 12601 132NDAVENE CITY KIRKLAND STATE WA ZIP98034 CITY KIRKLAND STATE WA ZIP 98034 PHONE:425-636-7054 FAX425-636-7055 PHONE425-636-7054 FAX 425-636-7055 EMAIL EMAIL PRO!CONTRAOTORrer§VATER HEATER COMPANY ADDRI ESS1590 CHESTNUT AVE ADDRESS 12601 132NDAVENE CITY CARLSBAD STATE CA ZIP CA 92008 CITY KIRKLAND STATE WA ZIP 98034 PHONE (760)720-1830 FAX PHONl'125-636-7054 FAX 425-636-7055 EMAIL EMAIL carolr@fastwaterheater.com STATE UC.»ARCH/DESIGNER NAME & ADDRESS STATE UC.II 931237 CLASS C36 CITY BUS. LJC.K 1222302 (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 theapplicant 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 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 a pplicanffor a permit subjects the applicant to acivil penalty of not more than live hundred dollars ($500}). Workers' Compensation Declaration: / nereoy affirm under penalty cfpeijuty one of the fbSawing declarations: LJI have and will maintain a certificate of consent to self-insure tot workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which (his permit is issued. Lflj 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 numberare: Insurance Co Truck Insurance Exchange Mcy No. ^09304455 IScpirationData. This seclion need not be completed IF Hie permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that In the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become suoject to the Workers' compensation Laws o! California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand dollars (&100,DDO), In addition to the cost of compensation, damans* as nnnilrfatl far in Soriinn TfflR nf ihn Labor code, Interest and attorney's fees. JS$ COHTRACTOR SIGSATURE NJl\ \ I\A— DATE I hereby affirm thai t am exempt (mm Contractor's License Law for the lollcning mason: I | t, as owner of the properly 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 improvement 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 I, as owner of the property, am exclusively contracting wilh 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 conlrador(s) licensed pursuant to the Contractor's License Law). I [ I am exempt under Seclion Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for consbudton of the proposed property improvement | lYes | iNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted wilh Ihe following person (firm) to provide the proposed construction (include name address I phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise end 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 536490ms acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of theIs the applicant or Mure building occupant required to submit a Presley-tanner Hazardous Substance Account Act? |[Yes , ,..- Is the applicant or future building occupant required to obtain a peimlt From the air pollution control district or air Quality management district? LJYes f| No Is the fadity to be constructed within 1,000 feel of the outer boundary of a school site? I |Yes [~JNo 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 npunx^ 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 lor excavations over 5'Q1 deep and demolition or constiudbn of structures over 3 stories in helghl EXPIRATION: Every permit Issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if Die building or work authorized by such permit is not commenced within 160 days from the dale of such permit or if the building or work authorized by such permit is suspended or abandoned at any tune after the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). ^APPLICANTSSIGNATURE I llf A A /\rs-Mj \]\j ^DATE City of Carlsbad Bldg Inspection Request For: 08/16/2011 Permit# CB110887 Title: OAKES RES- REPLACE WTR HTR Description: Inspector Assignment: 1590 CHESTNUT AV Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER DZIEKONSKI STEVEN P (DP) Owner: DZIEKONSKI STEVEN P (DP) Remarks: Phone: 7607201830 Inspector: Total Time: CD Description 25 Water Heater/Vents Act Comments Requested By: RAYMOND Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments