HomeMy WebLinkAbout2269 VISTA LA NISA; ; CB990884; Permit..
03/18/1999·
City of Carlsbad
Patio/Deck Permit Permit No:CB990884
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Building Inspection Request Line (760) 438-3101
2269 VISTA LA NISA CBAD
PATIO
Lot#: 0 2552701400
$5,009.00 Construction Type: NEW
Status:
Applied:
Entered By:
Plan Approved:
Issued:
FIREPLACE PER CITY SPEC Inspect Area:
60SF PATIO COVER PER CITY SPECS-224SF DETACHED
Owner:
ISSUED
03/08/1999
DT
03/18/1999
03/18/1999
Applicant:
AMNON YASKIL SANSCHAGRIN ANDRE R&ELLEN M
2269 VISTA LA N ISA
PO BOX 831
DEL MAR CA 92014
619-509-0517
Total Fees:
Building Permit
$157.66
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
TOT AL PERMIT FEES
CARLSBAD CA
92009
Total Payments To Date:
Date:
Balance Due:
$78.58
$0.00
$51 .08
$0.00
$1.00
$0.00
$0.00
$27.00
$157.66
Clearance:
$157.66
NOTICE: Please take NOTIC at approval of your project includes the 'Imposition' f fees. dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." ou 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 Ca~sbad 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 capactiy
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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
PLAN CHECK NoLB q ftJ8'l34
EST. VAL. :zOO CZ
Plan Ck. Deposit _________ _
(760) 438-1161
1. PROJECT INFORMATION 1 ..f. ~64 V ISjq
Address (i11c:/ude Bldg/Suite If)
Q2...eStd.--£!V\c.p
Business Name (at this address)
Legal Description
Assessor's Parcel If :J 5 5
Lot No.
Exis
Subdivision Name/Numb0 -· q ~ ~NoB fuase No. Total II ot urnts
Description of Work
2. CONTACT PERS
rY)t")O n
Name Address
3, /\ APPLICANT ~ C~t~,ctor O Agent for Contractor c➔rvonon ya<~~-Lc.;nc:!.scape
Name Address
4. PROP
5. CONTRACTOR • COMPANY NAME
0 Owner
City
0 Agent for Owner
City
State/Zip
State/Zip
State/Zip
Telephone II Fax II
Telephone If
Telephone If
(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
!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
exR_mption. Any violation 91_ Se tion 7031.5 by any ap licant for a permit subjec~he a'plicp!'t to a civil penalty of not more than five hundred dollars 1$500]).
nrnnol") <Ki' o , , u__; Aeir -t;o -DsJ -
Name City State/Zip Telephone If
State License If '=§i-19 ~ ~ 9 License Class C d :f City Business License If A-ff { '( , -3/&,/'1'1
Designer Name Address City
State License If _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers· compensation as provided by Section 3700 of the Labor ~ode, for the performance
of the work for which this permit is issued. "EJ 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 worker's compensation insurance carrier and policyKumber are: ~
---'"' I ,-. • \ • -J .,r ' ') -----.. Insurance Company <--,u ( ,ibf'O 19 M\AEJMI'\ I l LnS. Policy No. J 3,(..')Y J:9'=> SU:.. Expiration Date __ ~-----
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
0 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 aecure workers' compensation cover e ia unlawful. and ■hall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($1 0), in addition to the cost of co en tion, damages as provided for in Section 3706 of the ~abor/oda, interest and attorney's fees.
SIGNATU ' DATE ~/2 {CjC(
7. OWNER-BUILDER OECLARA TION
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 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 ot proving that he did not build or improve for the purpose ot sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the proiect (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).
0 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. 0 YES ONO
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 number / 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
number/ 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 number / type
of work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE ________________________ _ DATE __________ _
COMPLETE THIS SECTION FOR NON-RESIDENT1AL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business pion, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 ot the Presley-Tanner Hazardous Substance Account Act7 0 YES O 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? 0 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, 3og7(i) Civil Code).
LENDER'S NAME ______________ _
9. APPLICANT CERTIFICATION
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 Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY 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 OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permit is not commenced within 365 days from th date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time efter ~rk is commenced for a period of 180 ars Section 106.4.4 Uniform Building Codef, I l
APPLICANT'S SIGNATURE -DATE ~ 8 9 q
WHITE: File YELLOW: Applicant PINK: Finance
~-
'1:1
City of Carlsbad Inspection Request
For: 7/7/99
Permit# CB990884 Inspector Assignment: PY
Title: FIREPLACE PER CITY SPEC
Description: 60SF ALUM PATIO COVD-224SF DETACHED ALUM PATIO
COVER ICBO #5038
Sub Type:
---
Type:PATIO Phone: 6198401925
Job Address:
Suite:
Location:
2269 VISTA LA NISA
Lot
APPLICANT AMNON YASKIL
0
Inspector: -----
Owner: SANSCHAGRIN ANDRE R&ELLEN M
Remarks:
Total Time: Requested By: AMON ?
Entered By: C HRISTINE
CD Description Comments
19 Final Structural
Inspection History
Date Description Act lnsp Comments
4/1/99 11 Ftg/Foundation/Piers AP PY FIREPLACE/PATIO COVER
3/31/99 11 Ftg/Foundation/Piers AP PY PATIO COVER ONLY
3/31/99 23 Gas/Test/Repairs AP PY
3/31/99 31 Underground/Conduit-Wiring AP PY CONDUIT ONLY