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Home My WebLink About1988 EAST POINTE AVE; ; CB082084; Permit11-14-2008' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB082084 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1988 EAST POINTE AV CBAD PLUM 2073832600 Lot #: Construction Type: CZYPINSKI RES REPLACE WTR HTR 0 NEW status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/14/2008 KG 11/14/2008 11/14/2008 Applicant: FAST WATER HEATER COMPANY Owner: CZYPINSKI MARIE A 12601 132NDAV NE KIRKLAND WA 98034 425 814 3124 1988 E POINTE AVE CARLSBAD CA 92008 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 Brealcer 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 Inspector: Clearance: NOTICE: Please take NOTiCE that approvai of your project Includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter coiiectiveiy refen-ed to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions, if you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and fiie the protest and any other required information with the City Manager for processing In accordance with Carlsbad Municipai Code Section 3.32.030. Failure to timely foliow that procedure wiii bar any subsequent Iegai 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 f?g?/gxacti9n? 9f which m hav? emmU l?^n qivgn a NQT'CE mM t? this, or as f? whigh tk statute of limitatiws has mm\)i othgwise gxclrgd, fern-11/14/2008 14:34 ff741 P.002/005 Fax #760-602-8558 PERMITSAPPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 421457 PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date 1988 E POINTE AVE Address (Include BIdg/Sulte #) Business Name (at this addiess) Lagil DescrlptlOT LotNo. Subdiviaion Name/Number UnitNo. Phase No. Total # of untts Assesaor's Parcal # ExlsUng Use Proposed Use DaacripttonofWofk Remove/Replace Gas Water Heater saFT. #ofSlDi1as tfofBedrooms # of Battirooms Name Addiess City SlalBdp Telaphoiw# Fax# FAST WATER HEATER COMPANY ' glJjyjJg^lsISs'X 153 Name Addiess city stale/ZIp Telephone • CZYPINSKI. ANN CARLSBAD, CA 92008 (760)420-9616 Name Address StitalZIp Telaphans# <Sac. 7031.5 Budness and Profsssions Code: Any City or Courts whicii reqidrae a psnnR to oonsfnid, aHsr, Impnvs, demolish or rapair any structure, prior to Bs issuance, also requires Vie appHcant for such pecmit to file a signed staternent ttiat he Is ilDensed pursuant to the provisions of the Contractor's Lksree Law [Chapter 9, commending with Section 7000 of Division 3 oi the Businesa and Professions CoOe] or that he Is exempt liieiefram, and the basis ior the aDeged exempdon. Any vtolatton of Sectfon 7031.5 by any appiicant tor a penult eubjects Ihe applicant to a dvll psnsl^ of not mora flian llva hundred dollars I$500]). FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND. WA 98034 800-454-8955 Name Address Stata/Zip State Ucenae # 877489 Ucense Class C36 C^ Busineas Ucenaa # Telephone # 1222302 Designer Name Address State Licsnss # City State/Zip Telephone* Wofkere* Compensaaon Dadaiaaoii: I hereliy afUrm under penalty of petfuiy one ofthe foflowing dedarations: • I have and wffi msMain a osrtHlcate of consent to self-Insure tor woriters' compensaSon as pmvided by Sectbn 3700 of the Labor C^s, for the perfomiance of ths work forwhlch this pennit Is Issued. I have and wiS maintain woriter's compensallon, as required by Seclion 3700 of the labor Code, for the perfbrmance of the work for which this pennit is Issued. My woricei's compensation Insuianoe canier and policy number are: ma Insumnce Company California State Fund Policv No. 1761660 ExpliaaonPala 12/1/08 (THIS SECTiON NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (tlOO} OR LESS) • CERTIFICATE OF EXEMPTION: I certily that in the peribrmance of the woric for which this pennil Is isaued, 1 shal not employ any person In any manner so as to become subject to the Woricers' Compensation Laws of California. WARramOi Faiure to cacm walkers' compensation coverage is untowiiil, and ahali sublaet an employar to orimlnal penatllas and cMi linea up to ona hundred thousand dollara(t100,000), in addition to ths cost of compansaUon, damages ere providad for in Sectian 3706 of Uia Labor Code, intarast and attorney^ faas. SIONATURE e3»^*^=!^^-5a—^fc-a" DATE 11/14/08 I hareby aflimi that I am exempt fiom 9ie OxitractoPe Ucenae Law for fiie foilowing reason: • i, as owner of the property or my smployess wfth wages as ttidr sole compensatton. win d tbe woric 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 Siereon, end who doss such woric himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, howevisr, the building or improvement is sold within one year of completion, Ihe ownsr-twiider will have the burden of proving that tie did not buld or improva tor the putpose of rale). • I, as owner of the property, am exclusively contracling with Icensed conlractore to constiuct the project (Seo. 7044, Business and Protesstons C^ode: The Contractoi's Ucense Law does not apply to an owner of properiy who builds or Improves thereon, and oonlracts tor such projects with contiactor(s) Bcansed pursuant to the Contractoi's Ucense Law). • I am exempt under Sedton Business and Professtons C^de fbr this reason: 1. I personally plan to provide the miliar labor and materials for constnictton of the proposed property Inprovsment. • YES DNO 2. I (heve/have not) dgned an applcalon for a buikling pennit tor the proposed woric 3. I have contractad with the foitowing pereon (fimi) to provide the proposed oonstnicSon (Indude name / address / phone number / contractora lk»nse niniber): 4. i plan to provide portkms of the woric but I have hired the toltowing peison to coonllnato, supeivise and provide Ihe major woric (Include name / addrsss / phone number / /ontTHCtDTS license numtwi): 6. I win provida some of the worii, but i hsve contracted (hked) tin fbltowkig peisons to provids the woric indicated (indude name / address / phone number / type of worit): PROPERTY OWNER SIGNATURE . DATE. Fj4iiii PERMIT APPLICATION CITY 01^ CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlebad CA 92008 Page 2 of 2 11/14/2008 14:35 11741 P. 003/005 la lha appltoart or MnitiMiv csxMNliI leqMM to a^^ Saeflens2SH)B,2BS»3ora6merihaPi«alay^Taiinarltenrdous8ubstHNaAaao)intAot7 O YES • NO Is file appitoant or1UinbuMiioaceivwKiwM>M ID obuina pannit (him Bw • YES a Np tofiwfttoWytoiwooralnialidwnikiljnOfMtarihaoiilirlNWK^ IF ANY CW'ne ANnMBW AIC YEit A nuL CBmqcA're OF OCCU^ REOMMIIBIWWTHB^^ IhS^rtSBfiiSlSJhBooS!^^ L»IDeirSNAME LBNOEireADDRBBS. . 1 earoy «iat I hava read Iw ^ipkafion and stMs Owt tlia Aeva kikcnaton k eonaet and <wl fiw Mbmialton on ttw plans la amwalB. I aoma to eomply uMi aB CHy cinllnancaa and Stata law rriaing to iwMngeanaliuolton. I haraby wifiwrfewfapnamiafiMaorfiw CNy of Cartilwd to antar upen the abOM purposes. I ALSO AGRS TO SAV^ IUDBMMFY AND KEEP HARMLBSS TW OrY OP CARLSBAD AOIAINST ALL LIABUnES, JUDQBMBITS, COSTS ANO EXPBISES WHICH HAY m Alfir WAY ACCRUE AOAIIOT SAD Cirr m CONSSQUHNIS OF TW OSHA: AncaSHApannfilawqufcadtbraiaaMafioMafWdBapanddemeiaoncrccniftiicSonofsfciB^^ EXPIRATION; e«eorpanBHlHKWdb/lwbl«db«Ollfcla)un(iBrawpr«iWonaaffiiheadsahal<i^ by such pennfi is not ooiMiMiiaad wttiin 180 dw ftM tha (Ma or aM^ ttw vmric to comnwnead tor a parted of 180 days (Saeflon 1IMbim 8u«dk« CM APPUCANrSSIONATURE. <3m'€pft^^£^'t^a^v£x^ B^TE. 11/1472008 City ofCarlsbad BIdg Inspection Request For: 12/23/2008 Permit# CB082084 Title: CZYPINSKI RES REPLACE WTR HTR Description: Inspector Assignment: Type: PLUM Sub Type: Job Address: 1988 EAST POINTE AV Suite: Lot: 0 Location: OWNER CZYPINSKI MARIE A Owner: CZYPINSKI MARIE A Remarlcs: Plione: 7604209616 Inspector: Total Time: CD Description 25 Water HeaterA/ents Act^ Comments (3 Requested By: MARIE CZPINSKI Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection Historv Date Description Act Insp Comments