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Home My WebLink About2153 VISTA LA NISA; ; CB994656; PermitCity of Carlsbad 12/16/1999 Plumbing Permit Permit No:CB994656 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 438-3101 2153 VISTA LA NISA CBAD PLUM 2552621 100 Lot #: 0 Construction Type: NEW INSTALL GAS LINE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/16/1999 GMF 12/16/1999 12/16/1999 7271 12/16/99 0001 01 02 Applicant: VAYNSHTEYN MYRON&LYDIA 5219 SCOTT CT MINNEAPOLIS MN 53345 Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES Owner: C-PRHT 27 • 00 VAYNSHTEYN MYRON&LYDIA 5219 SCOTT CT MINNEAPOLIS MN 53345 Total Payments To Date: Balance Due: Fl NAL APPROVAL Date: /_"""+--h,,......,+-.<....-f-Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 E that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exacti s. • 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 proced es set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordan 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 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 <:?AS. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. c.,gez-q't~Bv CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. ________ _ Plan Ck. Deposit ________ _ (760) 438-1161 Validated By__,.~,/4/1....!.'1--_______ _ Date 1?..-/,~/q;11 tL ( f Lot Na. Subdivision N1m1/Num CA-rtl s 1,. 4-d II of Bedrooms II of Bathrooms • N Fax, ;, Na e Addrua City St■t■/Zip Telephone II • -~---~··--·--...... -., ••• ~l~~-~ -~::M~i~ttt™'~~-~~~!J~;;~;;~~~~=•»•~~::'"'--~-;7:· -~~---- Nim~ b 7.r ~ CrtY St■t•~~ • Tel~p~.~~-~.' .... ,-. . ··-.,..~• -~~ . fl'e;!:'.ct)~~.tj~"lm I'!':.'· ..:~C:..:#tl:, ,k1,i v.,.., ,_,,_ ___ .._, • ·• (Sec. 7031.5 BusinHI and Professions Code: Any City or County which raquil'N ■ parmit to construct, ■1t1r, improv1, de~o.lish or r1p1ir ■ny stru~ure •. prior to Its issuance, also r■quir■s the applicant for such permit to file ■ signed statement that he is lic-•d pursuant to the prov1s1ons of the Contract~• s License L■w (Chapter 9, commending with Section 7000 of Division 3 of tha Business and Profusions Code) or. thllt he 1s exempt therefrom, and the besrs tor the alleged exemption. Any violation of Section 7031.5 by any applicant for• permit aup;,cta the applicant to• civil penalty of not more than t1va hundred dollars ($5001). ~ed LI~ /5,..Ly.,,4 ----11 • II N'~~ k,dreas City State/Zip Telephone I State License , ---~------.--License Cius --------r..,-City Business License ,,.,.....,,.,. _____ _ 'J1.h¥11d J~ LS t.-t.-, d ][ I ("' A>;signiW.me ~ YAddress ,.f" n City State/Zip State ~1cense I -------,,,-.., -,., -.._-.,,, -,.,.. €~.3'Ni<JR~i'COMP£NtA'no~~~...-.1:.!i~~~~..,;_s:~~~~~==-a:=E~.!~:~~~.·~t r.; '· ·: Telephone :::, W9rker3/ ~ompl's-.ti991~',!:lar■tion: I hereby affirm under penalty of perjury one of the following declarations: ~-1 fl.,e q n~ m~ini-certific■t• of cons■nt to self-insure f1,,--..01 ke,s' com,illDUlion ■s provided by Section 3700 of th■ Labor Cooe, for the performance ~. work tor which this ~\Jiit is iaaued. O I h■ve end will maintain workers' compensation, ■s r■quired by Section 3700 of the Labor Code, for the performance of the work for which this permrt 1s issued. My worker's cornpens■tion insurance carrier ■nd policy number ■re: Insurance Company_____________________ Policy No. Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE F'ERMIT IS FOR ONE HUNDP.EC D01-LAP.!: !110(1! oq l!:S!::) ~ CERTIFICATE OF EXEMPTION: I certlfy that in the performance of the work for which this permit is issued, I shill not employ ·any person in ■ny manner ao ■s ~ecome subject to the Work■rs' Com ns■tion Laws of Califomia. . . WARNING: Failure to utlon coverage la unlawful, ■nd ■h■n subject ■n employer to criminal penaltiu ■nd civil fin■• up to one hundred to hi COft of com '~~~.:::~;~=~-::'.:i:::::~~,~~ .. r.:~::Y:• fNs •. I hereby a irm that I ■m exempt from the Contractor's Lice e Law for the following reason: /P-_ I, as owner of the property or my employees with wages. H their sole compensation, will do the work and the stru<:1ure is. not Intended or offered for Hie (Sec. 7044, Business and Prof■u1ona Code: The Contr■ctor'a LicenH Law does not apply to ■n owner of property who builds or 1mprov■s thereon, and who does such work himself or through his own employHs, provided that such improvements ■r■ not intended or offered for Hie. If, however, the building or improvement is sold within one y■■r of completion, the owne,-builde, will hllv■ the burden of proving that h• did not build nr Improve for the purpose of -■I•>. 0 I, as owner of the property, am ■xcluaiv■ly contracting with licensed contrectors to construct the project (Sec. 7044, Busin■■s and Prof■uions 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 conttactorls) licensed pursuant to the Contractor's Uc■nae Law). 0 I am exempt under Section ______ Buainess and Professions Cod■ for this rHson: 1. I personally plan to provide the major labor and materials for construction of the propoHd property improvem■nt. Js(' YES ONO 2. I lhave / have not) signed an application for I building permit for the proposed work. 3. I have contracted with the following !)tlrson (firm) to provide the proposed construction (include name / address / phone number / contractors license number): . 4. following parson 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 hir di the following persona to provide the work indicated (include name / address / phone number / type of workl: ___________ r-r---,,-r---,,-.-r--+--7¥---:,,"t-----------------+---,,,-------------- PROPERTY OWNER SIGNATURE COMPLETE~IS.'SECTf0"1=0R' Is the applicant or future building o cupant required to cubmit a business plan, aeut■ly hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pruley-T■nner Haz■~ous S~st•nc• Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain• permit from the ■ir pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 fnt of the out■r boundary of :. school aite7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A AN.U CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUii'IEMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POUUTION CONTROL DISTRICT. 1• .s.':".:~~oNsmuCTtoN.:wmm'C'Ma(~~~~-"'~.,:;.~M:t~;::;;:~~rt'~i.;;:;;.~,;:;r4.-:1;;~,.: _ ... .:. • I hereby affirm that there is a co ction lending agency for the performance of the work tor whlc • permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME,::=:::::=c;;;::;;;:;;;;;::;;;:;;;;;:;;:;:;;;;::;;:~ LENDER'S ADDRESS. ____ .,__ __ ,4. ___________________ _ :s·.:..~APf'LiCANl';CEA:nRCAJib~~~;w.i:,~~~~~-,t~~~~:\ol~T,\l:,;:,;:,·,:,~,. •• ··r-·· I certify that I have read the application and state thllt the above Information Is correct and that the information on the plans is accurate. 1 agree to comply wrth all City ordinances and State laws r■l■ting to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentroned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 1xc1v■tions over 5'0" dnp and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buildi icial under the provisions of this Code ahall expire by limitation and become null and void if the building 0 , work authorized by such permit is ad in 365 days from the d■t• of s:J.:h permit or If the building or work authorized by such permrt rs suspended or abandoned at any time after for I eriod of days (Section 106.4.4 Unito~=ildi~A~:del. (J.../ 2 /4 tJ I I ' PINK: Finance City of Carlsbad Inspection Request For: 12/21/1999 Permit# CB994656 Title: INSTALL GAS LINE Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2153 VISTA LA NISA Lot 0 APPLICANT VAYNSHTEYN MYRON&LYDIA Owner: VAYNSHTEYN MYRON&LYDIA Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604367712 Inspector: Requested By: MYRON Entered By: CHRISTINE 21 Underground/Under Floor vJ2--; ____________________ _ 23 GasfTest/Repairs f>(:L ____________________ _ Associated PCRs Inspection History Date Description Act lnsp Comments