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