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Home My WebLink About2606 JEFFERSON ST; TI; CB973790; PermitCitv of Carlsbad COMMERCIAL TENANT IMPROV Permit No: CB973790 Job Address: 2606 JEFFERSON ST Permit Type: CTI Parcel No: 1552711500 Lot#: Reference No: PC#: Project Title: 480 SF CLASSROOM ADDITION CARLSBAD CHILDREN'S CENTER Applicant: Owner: SENGER, EDWIN 2606 JEFFERSON ST CARLSBAD CA 760 726-2280 SENGER EDWIN Status: EXPIRED Applied: 12/10/1997 Approved: 10/09/1998 Issued: 10/09/1998 Inspect Area: -------------------~-------------------------------- 00136104885 Plan Check $206.00 Fees: $601.40 Additional Fees: $0.00 Total Fees: $601.40 Balance: $395.40 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. Business Name (at this address) ~ u !)J /'I Y 5Lo Pc T[ZA ~.:£ Subdivision Name/Number Unit No. Phase No. Total # of units 2181 .12/10/97 000.1 Ql Lot No. Assessor's Parcf/1 I-/J _,.., / .J .-J!5 ,::J ...-£... I If;>-(}C> Description of Work C: LA :S5 !lJ;;e, /f? A p [) I T/0 /y 2. CONTACT PERSON (If different from applicant) Existing Use Proposed Use £,Qt~ Cf/lL,IJE,/Z..H CAEG SQ. FT.~{) #of Stories / # of Bedrooms # of Bathrooms '2- 206.00 Name Address City State/Zip Telephone # 4 ·do~~~WNERS ~N' 6G,4 7.btfJ& J&rr-Ell.,5t!>fv C./!J!ZLtr!ftf C./J c-zorz~ -:)..~ Name Address City State/Zip Telephone # 5. CONTRACTOR • COMPANY NAME (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 N'4, Address City State/Zip Telephone # State License # ----------License Class----------City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- 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 Code, for the performance of the work for which this permit is issued. 0 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 policy number are: Insurance Company Policy No. 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 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of tha Labor code, Interest and attorney's fees. SIGNATURE DATE_-===::::::===-:::::--= 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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(sl 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 I 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 I address I phone number I 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 I address / phone number I 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 I address I phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY DATE _________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. 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. 3097(i) Civil Code). LENDER'S NAME--------------LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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 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. xcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit iss d by e Building Official under the provisio of this Code shall expire by limitation and become null and void if the building or is no commenced within 365 days from th date of such permit or if the building or work authorized by such permit is suspended he ork is commencedfl~~iod of 1 days (Section 10 4.4 Uniform Building Code).~ '-«_/(/ , DATE ~JtJ, 19:fZ 7 WHITE: File Job Address: 2606 JEFFERSON ST Permit Type: CTI Citv of Carlsbad COMMERCIAL TENANT IMPROV Status: Applied: Permit No: CB961046 EXPIRED 06/10/1996 Parcel No: 1552711500 Lot#: Approved: Reference No: Issued: PC#: Inspect Area: Project Title: 480 SF CLASSROOM ADDITION Applicant: KNOWLES, RAY 821 N. EMERALD DRIVE VISTA, CA. 619 724-7592 00136104885 Plan Check Fees: $206.00 Additional Fees: Owner: GARCIA JOHNNY&JEANETIE $206.00 $0.00 Total Fees: $206.00 Balance: $0.00 u.tf:; ;)_o ~ PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departlll!rlt 2075 Las Pal•s Dr •• carlsbad, CA 92009 (619) 438-1161 1. PERMI'I IYPE From List I (see back) give code of Permit-Type: ------------ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type:--------------------- Net Loss/Gain of Dwelling Units------------------ 2. PRClJECf INmRMATION FOR OFFICE USE ONLY Address 1. ,,&>? .] (!;:. f::'Pc/Z Sc:>I.I ST. Building or suae No. /Y~V c.,GS mt o. 0 2 Energy calcs D 2 Stru_ctural calcs D 2 Soils Report D l Addressed Envelope ASSESSOR'S PARCEL/56 -2 7/-)5~0 EXISTING USE Cl{}~ . ./) ?".4 lG PROPOSED USE c2l1Z12 DESCRJPTION OF WORK ,e C../Z.»1, ,4 /;) /:) /'r/ PM SQ. IT. 4-fftJ # OF STORJES # OF BEDROOMS NAME (last name first) Jr /\I,!) C,,u 1- CllY /: ~ STATE c;<J ~;,/~ DAY TELEPHONE 7Z e/-7 5'J'Z . NAME. (last name. first) ~tf-IV c; e ,e_ ADDRESS 7--6<:1 ~ J € rr tE=/2 > "7 u ~ -r, c11YC::,d,al-S: ftA O STATE CLI 6. CDN"l'RAcmR ZIP CODE 9.:Z?7t? ,.Y DAY TELEPHONE NAME (last name first) ADDRESS CllY STATE ZIP CODE DAY TELEPHONE STATE UC.# UCENSE CLASS CllY BUSINESS UC. # DESIGNER NAME (last name hrst) '1( No W L..65 CllY V !-S j1.J STATE ./1 ZIP CODE ADDRESS R.:C.I /"I, .?JW/;12 ;J l-/,) PR ::r DAY TELEPHONE 7Z~ ATE UC.# 2f If J Workers' Compensauon Dedarauon: I hereby allmn that I have a cerubcate of consent to sell-insure issued by Lhe Director ol IndustnaI Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POUCY NO. EXPIRATION DATE Ceruhcate of Exemption: I certify Lhat in Lhe performance of Lhe work for which this permit 1s issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of califomia. SIGNATURE DATE 8. OWN'ER-BUilDER DECLARA'MbN Owner-Builder Declaration: I hereby alhrm 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 I am exempt under Section-------Business and Professions Code for this reason: (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, commencing 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 [$500]). SIGNATIJRE DATE COMPLETE TI-Its SEcMON FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required co submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES D NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 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 TIIB ANSWERS ARE YF.S, A FINAL CERTIFICATE OF OCDJPANCY MAY NITT BE lSSUED AFI'ER JULY 1, 1989 ~ TIIB APPUCANT HAS MET OR IS MEETING TI-IE RF.QUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND TI-IE ADl POU.lfllON CDNTilOL DlSTIUCT. 9. CDNSI R0Ci10N 1£.ND!NG AGENcY I hereby affirm that ifiere 1s a construcuon lending agency for the performance of the work for which thtS permit 1s issued (Sec 3097(1) C1vtl Code). IO. APPUCAN I CEit IUICA N LENDER'S NAME O CJ t16G 12.. LENDER'S ADDRESS I ceruly that I have read the apphcauon and state that the above mlormauon 1s correct. I agree to comply wtlh au City ordinances an<l :::itate laws relating to building construction. I hereby authorize representatives of the City of earls bad to enter upon the above mentioned property for inspection purposes. I AL'iO AGREE 10 SAVE INDEMNIFY AND I<EEP HARMLESS TI-IE CJ1Y OF CARI.SBAD AGAINST AIL UABilillES, JUDGMENTS, CDSfS AND EXPENSES WIIlCH MAY IN ANY WAY Aa:RUE AGAINST SAID CJ1Y IN CDNSF.QUENCE OF TI-IE GRANTING OF 1lilS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. building or work authorized by such such permit is suspended or abando APPUCANTS SIGNATURE