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Home My WebLink About1263 MARIPOSA RD; ; CB030885; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-18-2003 Patio/Deck Permit Permit No: CB030885 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1263 MARIPOSA RD CBAD PATIO 2122204400 $2,403.00 Lot#: 0 Construction Type: NEW VAYNSHTEYN RES 310 SF PATIO GAS & ELECT TO BBQ,ELECT-FUTURE LIGHTS Owner: Status: Applied: Entered By: Plan Approved: . Issued: Inspect Area: Plan Check#: ISSUED 03/26/2003 SB 03/26/2003 03/26/2003 JE VAYNSHTEYN MYRON 2153 VISTA LA NISA CARLSBAD CA 92009 VAYNSHTEYN MYRON 2153 VISTA LA NISA CARLSBAD CA 92009 3166 04/18/03 0002 01 CGP 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 Additional Fees TOTAL PERMIT FEES Total Fees: $123.55 Total Payments To Date: $76.55 FINAL APPROVAL 3 Date: a b ,.-/tf'-?J $45.79 $0.00 $29.76 $0.00 $1.00 $0.00 $0.00 $47.00 $0.00 $123.55 Balance Due: Clearance: $47.00 NOTICE: Please ta proval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively u 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 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 capacity changes, nor planning, zoning, grading or other similar application processing or sen1ice fees in connection with this project. NOR DOES IT APPLY to any f I r h' r i h h i n h v· I 02 47. oo FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.G 06) 7 c> 'i> c.?; EST. VAL '°Z..1'-f 03 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit-________ _ Validated By_d'z~O~------- Date_'.4~--~7~"'9--......,..0'-3-'r---- cSA Busine s Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Name Address City State/Zip Telephone# Fax# ~-fifi/l11tliltii;:Atd, , co . Gi>mrai,jbrif!l!'[JAgeni!t .,;, c:i\'ii1,.,i\Si;,r [lli/p.\,<i~,,' ;: ';O'iti,ii11il<//i,ip,w\iei State/Zip Telephone# State/Zip Telephone# (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ e,, )li),WijJil!Jli$!(lilQlil~lil\1$A110 lllii!'!'I Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D l 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 policy number are: Insurance Company______________________ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker■' compensation coverage la unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundred t ousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. lGNATURE______________________________ DATE 'i4~.Uf(~til0~fflj11:;iJ2,t4,'.·iF~~1~f-0i"#lf~lr1fft'.:zi;/:;J:';.il:~ti?!ft~-'?1t~;;i;;;,_}:!Stt/'.'>t;, ,-zr.,: I hei'eby 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 of proving that he did not build or improve for the purpose of sale}. D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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}. D 1. 2. 3. I am exempt under Section ______ Business and Professions Code tor this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvemen~YES ONO I (have/ have not) signed an application for a building permit for the proposed work, I have contracted with the following person (firm) to pr ide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but_J,,MV~ ed 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, ~-~,--('have ontracted (hired) the following persons to provide the work indicated (include na e I address/ phone number/ type f work): ., PROPERTY OWNER SIGNATURE 'COftlle!.'itli:Ti:!ISllli!CJioliii 'Wi:>Ni upant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D 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? D YES O 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. s., Z;i'<;Ol'l~Tl'IIJCTIOf11lEI\IDING'AGtNCY ,. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ Qo • ii1APPil1¢AfllT;.•c::!!$TIJ'(Cl',JWN 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 Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes, I ALSO AGR SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH' AV ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required f~ye'X;avatio over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issue y the buil g 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 menced thin 180 days from the date of such permit or if the building or work authorized by ch permit is suspended or abandoned at any time after the work is c menced f period of 1 0 days (Section 106.4.4 Uniform Building Code). '\./APPLICANT'S SIGNATU /'1 YELLOW: Applicant PINK: Finance DATEJ'. 2-t:. 11tJ..7 rft.1 City of Carlsbad Bldg Inspection Request For: 06/17/2003 Permit# CB030885 Inspector Assignment: JE ---Title: VAYNSHTEYN RES 310 SF PATIO Description: GAS & ELECT TO BBQ,ELECT-FUTURE LIGHTS Type: PATIO Sub Type: Job Address: Suite: Location: 1263 MARIPOSA RD Lot 0 APPLICANT VAYNSHTEYN MYRON Owner: VAYNSHTEYN LEONID Remarks: FINAL GAS, ELEC AND PATIO Total Time: Phone: Inspector: ----- Requested By: NA Entered By: CHRISTINE CD Description Act Comment 19 29 39 Fina! Structural Final Plumbing Final Electrical Associated PCRs/CVs lnsgection Histoty Date Description Act 04/24/2003 23 Gas/Test/Repairs AP 04/24/2003 53 Electric/Conduit/Wiring AP 04/22/2003 23 Gasffest/Repairs PA 04/22/2003 31 Underground/Conduit-Wiring AP 04/18/2003 11 Fig/Foundation/Piers AP lnsp Comments JE JE JE OUTSIDE OF FOOTING JE JE ADD ELEC & GAS l ' .i ~ -I r-- ~ ~ ~f< A F T f!e P. 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