HomeMy WebLinkAbout1857 TULE CT; ; CBR2022-0338; Permit
(Cityof
Carlsbad
cbr2022-0338 ~ Cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check ________ _
Est. Value
PC Deposit
Date 2-2-22
Job Address 1857 TULE CT. Unit: APN: -----------------
CT /Project #: __________________ Lot #: Vear Built: _1_9_78 _______ _
BRIEF DESCRIPTION OF WORK: REMOVE EXISTING ROOF SYSTEM, INSTALL NEW STANDING SEAM METAL ROOF SYSTEM
NEW ROOF WILL BE SIGNIFICANT REDUCTION IN WEIGHT. C o\ o ~ v-J', I \oe. c.,"'-c-.n:_oc:,\ \c,.._c:,\::
□ New SF : Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _
Is this to create an Accessory Dwelling Unit? O Y o N New Fireplace? O YO N, if yes how many? ___ _
D Remodel: _____ SF of affected area Is the area a conversion or change of use? 0 YO N
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
0Solar: ___ KW, ___ Modules, Mounted:QRoofOGround, Tilt: 0Y0 N, RMA: OY ON,
Battery:OYO N, Panel Upgrade: Ov 0>N
Other:
PRIMARY APPLICANT PROPERTY OWNER
Name:ARMANDO GUTIERREZ Name: RYAN DILS
Address:2230 LA MIRADA DR. Address: 1857 TULE CT
City: VISTA State: CA Zip:_92_0_8_1 __ City: CARLSBAD State: CA Zip:_9_20_1_1 __ _
Phone: 760-727-6000 Phone: 760-685-2372
Email:ARMANDO@DILSROOFING.COM Email: RYANDILS@GMAI L.COM
DESIGN PROFESSIONAL CONTRACTOR OF RECORD
Name: __________________ Business Name: TRU PRO INC . OBA DILS ROOFING
Address: Address:2230 LA MIRADA DR.
City: ________ State: ___ .Zip:_____ City: VISTA State:CA Zip:_92_0_8_1 ____ _
Phone: Phone: 760-727-6000
Email: Email:ARMANDO@DILSROOFING.COM
Architect State License: ___________ _ CSLB License #:639961 Class:C39, B ------
Carlsbad Business License# (Required): _______ _
APPLICANT CERT/FICA T/ON: I certify rhot I hove read the application and 5tate that the above Information is correct and that rhe information of rhe plans Is accurate. I
'::::m;;;:•:~)'."~;:;~;~,~~~;;;;~;';"'"":::;~ DATE: 01/28/2022
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-SSSS Email: Bulldlng@carlsbadca.gov
REV. 10/21
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 herebyaf firm under penal tyof per jury that I am licensed under provisionsof Chapter9 ( commencingwi th Section 7000) of Division 3
of the Business and Professions Code, and my license is inf ull force and ef feet. I also of firm under penalty of perjury one of the
following declarations (CHOOSE ONE):
D I 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. PolicyNo., __________________________________________ _
-OR-
(] I 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.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: _zu_rich-a_· _m_= __ • _n_1nsu-__ a_noe_com_.;..pany.....;. _____________ 1
Policy No. we 09-94-34!f.OO Expiration Date : _1_213_1122 ________________ 1 -OR-
D 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 c.lvll 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'sAddress: ______________________ _
CONTRACTOR CERT/FICA T/ON: The applicant cer11fies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and
utilities/utility easements. All proposed modifications and/or addiUons are clearly labeled on the site plan. Any potentially existing detail within these plans Inconsistent with the site plan are
not approved for construction and may be required 10 be altered or removed. The city's approval of lhe application is based on the premise that the submitted documents and plan, show
the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed
use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all ori-slle gradln6fslte preparation.
All Improvements existing on the property were completed In accordance with all regulations In ex e t the time of their co rnetion, unless otherwise noted.
NAME (PRINT}: ARMANDO GUITERRE;SIGNATURE::,::: ~~~~::::=::=;z:...__DATE: 1/28/22
Note: If the person signing above Is an authorized agent for the contr
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from 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).
-OR-
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).
-OR-
DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM 8-61 "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./ understand that a copy of the applicable low, Section 7044 of theBusinessondProfessions Code, isovoilobleupon request when this application is
submitted or at the following Website; http://www.leginfo.ca.govlcolaw.html.
OWNER CERTIFICATION: The applicant cer1lfies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilit,es/utilily
easements, All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved
for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that I.he submitted documents and plans show the correct
dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each
building as stated Is true and correct: all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All
improvements exis·ting on the property were completed In accordance with all regulations In existence at the tlme of their construction, unless otherwise noted.
NAME (PRINT): SIGN: DATE: -------------------------Note: If the erson sl nln above is an authorized a ent for the ro ert owner include form 8-62 si ned b owner.
163S Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8.558
2
Email: Bullding@carlsbadca.gov
REV. 10/2
{city of
Carlsbad