HomeMy WebLinkAbout2010 PINTORESCO CT; ; CBR2021-2715; Permit
(Cityof
Carlsbad
( City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check ---------
Est. Value
PC Deposit
Date
Job Address2010 PINTOR ESCO CT. CARLSBAD 92009 Unit: _____ .APN: 216-481 -33-00
CT/Project #: _________________ Lot #: ____ Vear Built: _19_7_8 _______ _
Fire Sprinklers:(!)YE0No Air Conditioning:(!}YESQ No Electrical Panel UpgradeOYEs(!)No
BRIEF DESCRIPTION OF WORK: J?ef(&Cc J''f/atdf:R. f tt:-t\J ~ ±ti E U)A_(/ 5
0 New SF : _____ Living SF,~~--Deck SF, ____ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? O v O N New Fireplace? o vo N' if yes how many? ---
~Remodel: SF of affected area -----Is the area a conversion or change ofuse?Ov (!)N
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? NO ------------
0Solar: ___ KW, ___ Modules, Mounted:O ootO;round, TiltO vO N, RMA:O vO N,
Battery:Qv Ot Panel Upgrade: Q v C'-J
D Reroof: -----------------------------------□ Plumbing/Mechanical/Electrical
0 Only: Other:
PRIMARY APPLICANT PROPERTY OWNER
Name: Renovation Realty Inc. Name:Sugg William E Rosemary P Family Trust
Address:4830 Vieridge Ave. Ste D
City:San Diego State:_C_A ___ Zip:92123
Address: 2010 Pintoresco Ct
City: Carlsbad state:CA Zip:_9~_o_o_9 __ _
Phone:858 -634-1011 Phone: __________________ _
Email: griffin@renovationrealty.com Email: ___________________ _
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: Business Name:C & M Partners lnt'I., Inc -------------....... ---Address: Address:2541 Muirfields Dr.
City: _______ State: ___ Zip: _____ City:Carlsbad State:CA Zip:_9_20_0_9 ____ _
Phone: Phone: 760-579-9066
Email: Email: RENOVATIONS@CANDMPARTNERS.COM
Architect State License: ___________ CSLB License #:_97_3_9_3_3 ____ Class:_B _____ _
Carlsbad Business License# (Required): _______ _
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 Stat ws relating to building
construction. A
NAME (PRINT): Carlos Orellana SIGN:~~:.+-,:c_:__...LL;.i~L:...---DATE: 09/03/2021
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
REV. 07/21
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON
SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I herebyaff irm under penalty of perjury that I am licensed under provisions of Chapter 9 ( commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the
following declarations(CHOOSE ONE):
Q1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the labor Code, for the performance of the
work which this permit is issued. Policy No .. _____________________________________ _
-OR-
r.'11 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
"1v(y workers' compensation insurance carrier and policy number are: lnsuranceCompany Name: _o_A_K_R_1v_ER_IN_su_R_A_N_C_E_co_M_P_A_N_v __________ _
Policy No. REWc121774 Expiration Date: _0_310_1_12_02_2 ___________ _
-OR-O 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 $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code,
interest and attorney's fees.
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ____________________ Lender's Address: ___________________ _
CONTRACTOR CERT/FICA TION: 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 ordi nonces a~nd State laws relating to building
construction. /) /
NAME (PRINT): Carlos Orellana SIGNATURE: L'tviJ DATE:0910312021
Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead.
-OR -
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason: Q 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, t he 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).
-OR-O 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 Licens~ 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).
-OR-O \ am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is
submitted or at the following Web site: http:I/www.leginfo.ca.gov/calaw.html.
OWNER CERT/FICA TION: 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.
NAME (PRINT): SIGN: __________ DATE: ______ _
Note: If the person signing above Is an authorized agent for the property owner include form B-62 signed by property owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
2 REV. 07/21
RENOVA ION rea tv.
August, 8th 2015
To Whom It May Concern:
Carlos Orellana {C & M Partners) is hereby authorized to pull permits for Renovation Realty with any
municipality in the County of San Diego.
Sincerely, C------~ Chris'an
President
Corporote Office
4830 Viewridge Avenue Suite D San Diego, California 92123 Tel 619-741·3905 Fax 619-741·3943
RenovationRealty.com
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