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HomeMy WebLinkAbout2153 VISTA LA NISA; ; CB994715; PermitCity of Carlsbad Patio/Deck Permit Permit No:CB994715 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: 2153 VISTA LA NISA CBAD PATIO 2552621100 Status: Lot#: 0 Applied: Valuation: $1,740.00 Construction Type: NEW Entered By: Reference #: Project Title: Applicant: VAYNSHTEYN RESIDENCE 240 SF PATIO COVER VAYNSHTEYN MYRON&LYDIA 5219 SCOTT CT MINNEAPOLIS MN 53345 Plan Approved: Issued: Inspect Area: Owner: VAYNSHTEYN MYRON&L YDIA 5219 SCOTT CT MINNEAPOLIS MN 53345 ISSUED 12/23/1999 MOP 12/23/1999 12/23/1999 7446 12/23/99 0001 01 02 Total Fees: $66.65 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee TOTAL PERMIT FEES Inspector: Total Payments To Date: FINAL }{;ful Date:~ C-PRMT 66-65 Balance Due: $66.65 Clearance: $39.79 $0.00 $25.86 $0.00 $1.00 $0.00 $0.00 $0.00 $66.65 NOTICE: Please take N TICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as ·tees/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 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 PE~MIT APPLICATION PLAN CHECK NO. rr· '0 1~ EST. VAL. ( ( 7 '{,(.) 1 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 Plan Ck. Deposit ________ _ (760) 438-1161 Validated By __________ _ Date, _____________ _ Addr•ss Cinclude Bldg/Suite I) ' Businus Name Cat this address) ,PA , • ti )i-SJ.. {J.. fl 0 (.) . Legal Description Subdivision Name/Number Unit No. Phase No. Total II of units 4 :z_s-n. G2 II oo Assessor's Parcel I Existing Use Proposed Use +>AT10 cov..e f?.. ~2-YO Description of Work SQ. FT. lot Stories I of Bedrooms I of Bathrooms . •t,7t -y !,(, ·:..·,? /2__ Name Telephone I Fax II ;jf[!Aiieti"c:Am'~ Name Address City State/Zip Telephone I .-... ~ ...... ... :i6_;_77/c. Telephone, -~· , .t,:~~Q,afA~~li~~-1'.t. ~~*~ ~----, ~-~-·~ ............ - (Sec. 7031.5 Business and Professions Cod■: Any City or Countv which requirei ■ permit to construct, etter, improve, demoHsh or repair any stru~ure,_ prior to Its issuance, also requires the applicant for such permit to file ■ signed statement that he is lic-•d pursuant to the provisions of the Contractor s License Law (Chapter 9. commending with Section 7000 of Division 3 of the Business and Profusions Code) or_ that he 11 exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for ■ permit subjects the applicant to • civil penalty of not more than five hundred dollars IS 50011 - Name Address City State/Zip Telephone# State License , _________ _ License Class _________ _ Citv Business License , _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ €?v-")WCJ.RKEJW•tf:OMPENtA1'1ClN£~S-~Z.Sf~=:.~~=-=fi="~°1t~~~.~;t;.:r:~ -~~~~"t-;..~-~~~.!. :~~':.7-;"" ~:;; ,~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will mliintain I c■"ificate of consent to Hlf-in1ure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance ot the work for which this permit is issued. O I have and will maintain workers' compensation. as required by Section 3700 of the Labor Code, for the performance of the work tor which this permit is issued. My worker'• compensation insurance carrier and policy number are: Insurance Company _____________________ Policy No. Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 19 FOR .. ONE HUNDRED DOLLARS 1•1001 OR LESS) O CERTIFICATE OF EXEMPTION: I ce"ifv that in th• performance of the work tor which this permit is issued, I 1h1II not employ any person in any manner 10 11 to become subject to the Workers' Compensation Laws of Calitomia. WARNING: F■llunt to ■■cure wortian' compenaatlon coverage la unlawful, and ■haft aubject an ·employer to criminal penalties and civil fine• up to one huncll'9d thousand dollars ($100.000), In addition to the coat ot compenution. demagu u provided for In Section 3708 of the Labor code, lnterHt and attorney'■ fN■. SIGNATURE;;;::;:;;::::;::::==::::=:::=::::-;:=:::::==:=:::;:::::;;::::;::::;:::=::;::::;:::::;;;;:;;;;,;:;:;::_::;:::;;::::;:: DATE ________ _ 7: ::-r:owtfai,iiuIm£R'.DECOOl)l1fbfil.~d:.;'!!il,:!,;;:z.,,..,;,..,,•c,'.•,u:-_,:;,~,:.;;,_,..,~1_;'£:~;-:-;, i_TI';-;':;:~:::-.~~~:,:;s:•, .S:"':·;--.:; ;:::::-:-•• ·-... •~ • •·: -· I hereby affirm that I am exempt from the Contractor's License Law tor the following ra■aon: 0 I, as owner ot the prope"y or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered tor sale (Sec. 7044, Business and Proteuions Code: The Contractor'• Licenn Law does not apply to an owner of prope"y who build• or improves thereon, and who does such work himselt or through his own employHs, provided that such improvements ■re not intended or off■red tor sale. If, howev■r, the building or improvement is sold within one ya■r of completion, the own■r•builder will heve the burden ot proving that he did not build or Improve for the purpose of sale). 0 I, as owner of the prope"y• am exclusively comr■cting with licensed contractors to construct the project (Sec. 7044. Business and Professions Coda: The Contractor's License Law does not apply to an owner of prope"V who builds or improve& thereon, and contract■ for auch proj■cts with contractor(s) licensed pursuant to the Contractor's License Llwl. 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 propo1■d prope"y improvement. 0 YES ONO 2. I (have I have not) signed an application for I building permit for the proposed work. 3. I have contracted with the following ~rson Cfirm) to provide the propoHd construction (include name I address I 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)=-------,,-=>r--------------------------------------- • ed) the following persons to provide the work indicated (include name / address / phone number / type 5. I will provide some of the work, but I of workl: __________ -7'~~~.,...,c......-..,,...""'--:----------------------....J.:...__....J. ___________ _ PROPERTY OWNER SIGNATURE COMPt:ETE:.ntlS.'SECTIOl'{llOW'N Is the applicant or future building occup■m required to submit I buainess plan. ■ cutely hazardoua materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous S~stance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain ■ permit from the air pollution control district or air qualitv management district? O YES O NO Is the facility to be constructed within 1,000 fNt of the outer boundary of a school aite7 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POU.UTION CONTROL DISTRICT. 1•·.li:-:-'.:'""CO.NSTRUCTION'U:NDING'A ••• :~"G~~{J~~ ... ;;,;"~f;.;t#:¼;}.;,;;~~;:,:;-;;:;,~~~;;,;;;;,." ;-:_J.,:~;.:~;~-.... .:: .• it is issued CSec. 3097(il Civil Code). LENDER'S NAME -:::=:::::::-::';:t;::;::=:;;:=::::;:;:::::=::;;::::;;:'.::;:: LENDER'S AODRESS ____ ....t..;::;..,,c.......c.....:. ________________ _ '9,:;~APPUCANT--CERtlFICA:rio -:gf~~~~:i"~f~~,k't-•.~~~-~~~~,,;.~,;;!J~~':::-• ··r_-·· 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. 1 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 ANO 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" dHp and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buildin Official under the provision■ of this Code ■hall expire by limitation and become null and void if the building o, work authorized by such permit is not comm d • hin 365 d■vs from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the d for a period of 180 davs (Section 106.4.4 Uniform Building Code). / !- APPLICANT'S SIGNATURE _,,c.-.....,,~,11--.,...c;.~:.c._~,.__-,'._____________ DATE / J-(2 ~/!t ,f YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 5/26/2000 Permit# CB994715 Title: VAYNSHTEYN RESIDENCE Description : 240 SF PATIO COVER Type:PATIO 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: DM Phone: 7604367712 Inspector: Requested By: HOMEOWNER Entered By: CHRISTINE 19 Final Structural f5£_ ______ _ Associated PCRs lnsgection Histor:y Date Description Act lnsp Comments 12/29/1999 11 Fig/Foundation/Piers AP PK 12/29/1999 15 Roof/Reroof CA DM 12/27/1999 11 Fig/Foundation/Piers co PK ON JOB CARD