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Home My WebLink About2907 CAMINO SERBAL; ; CBR2021-3545; PermitPERMIT REPORT Residential Permit Print Date: 05/19/2023 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Project Title: 2907 CAMINO SERBAL, CARLSBAD, CA 92009-2901 BLDG-Residential Work Class: 2552831800 Track#: $0.00 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: NEW BUILT IN FIREPLACE (8' MAX) Applicant: Property Owner: Alteration ANTONIO RIOS CO-OWNERS FAULKNER JOHN M JR AND 1175 INDUSTRIAL AVE, #STEM ESCONDIDO, CA 92029-1431 (760) 504-4091 FEE BUILDING PLAN CHECK FIREPLACE REPAIR/REPLACE RACHEL 2907 CAMINO SERBAL CARLSBAD, CA 92009 SB1473-GREEN BUILDING STATE STANDARDS FEE Total Fees: $733.60 Total Payments To Date: $0.00 (city of Carlsbad Permit No: CBR2021-3545 Status: ,.0o!ed-E'xplred Applied: 11/23/2021 Issued: Finaled Close Out: Final Inspection: INSPECTOR: Contractor: RIVERS LANDSCAPE CONSTRUCTION INC 1123 INDUSTRIAL AVE ESCONDIDO, CA 92029-1423 (760) 504-4091 Balance Due: AMOUNT $288.60 $444,00 $1.00 $733.60 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 capacity 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov \._ City c)f Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 / Plan Check C0f\tot,I -3f'1~ Est. Value 13,873 • Ob PC Deposit J{ ).JR].@ Date i \-'Z.3 ~~o-z._ l Job Address 2907 CAMINO SERBAL CARLSBAD, CA 92009 Unit: APN: 255-283-18-00 -----· CT/Project #: __________________ Lot #: ____ Year Built: _________ _ BR! EF DESCRIPTION Of WORK: PROPOSED BUil T IN FIREPLACE 8' H □ New SF: Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? QY ON New Fireplace? O YON, if yes how many? ___ _ D Remodel: _____ .SF of affected area ls the area a conversion or change of use? 0 Y 8 N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ □Solar: __ ~KW, ___ Modules, Mounted:QRoof QGround, Tilt: 0Y0 N, RMA: 0Y ON, Battery:OYO> N, Panel Upgrade: Oy ON Other: PRIMARY APPLICANT Name: ANTONIO RIOS Address: 1123 INDUSTRIALAVE City: ESCONDIDO State:_C_A ___ Zip: 92029 Phone: 760 504-4091 Email: GABRIEL@RIVERSLANDSCAPE.COM PROPERTY OWNER Name: JOHN FAULKNER Address: 2907 CAMINO SERBAL City: CARLSBAD State:_C_A __ .Zip: 92009 Phone: 858-761-2639 Email: john.faulkner@ey.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: __________________ Business Name: RIVERS LANDSCAPE CONSTRUCTION INC. Address: Address: 1123 INDUSTRIAL AVE City: _________ state: ___ .Zip:_____ City: ESCONDIDO State: CA Zip:_9_2_02_s ____ _ Phone: Phone: 760 504-4091 Email: Email: GABRJEL@RIVERSLANDSCAPE.COM Architect State License: ___________ _ CSLB License #: 933076 Class: C-27 --------------- Carlsbad Business License# (Required): _______ _ APPLICANT CERT/RCA T/ON: I certify that I have read the application and state that the above information is correct and that the information of the plans is accurate. I agree to comply with all City ordinances and State Jaws relating to building construction. NAME (PRINT): ANTONIO RIOS 1635 Faraday Ave Carlsbad, CA 92008 SIGN: DATE: 11/16/2021 Ph: 760-602-2 719 Fax:-76-0--6-02--8-5-58--/l-,, ... +-t:1n-·,-o-R ... i_c,_S __ Email: Buildi11g(ii.fra1 lsbadra,gov REV 10121 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 firmunderpenaltyof perjurythat I am licensed underprovisionsof Chapter9 ( commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ful/forceandeffect. I a/so affirm underpenaltyof perjuryoneof the following declarations (CHOOSE ONE}; Ii] 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._M_w_c_o_,3_9_11_3_D3 _________________________________________ _ -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: _M_A_R_K_E_L_I_Ns_u_R_A_N_C_E_C_O_M_P_A_N_Y _____________ _ Policy No. Mwco13944303 Expiration Date: _1_2_11_4_12_0_21 ______________ _ -OR- I!) 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 $1CJ0,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. ~Q.l'!_5_TRU_QI_QN_.LEf\J[)ING AGENCY,_!LANY: 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: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utHities/util ity easements.. Al I proposed modifications and/or additions a r-e dea1 ly labeled on the site plan. Any potentia l!y existing detail within these plans inconsistent with the site plan are not approved for construction and niay be required to be altered or removed. The city's approval of the application is ba:.ed on the premise that the submitted documents and plans show the correct dimensfons of; the property, buildings, -structur·es and their setbacks from property lines. dnd from one another; access roads/easements., and utilities. The existing and proposed use of each bu ildlng 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 existing on the property were completed in accardar1ce with all regurations in existence at the time of their construction, unless otherwise noted. NAME (PRINT): ANTONIO RIOS SIGNATURE: Al'\+t>YliO Rios DATE: 11/16/2021 --------------Note: If the person signing above is an authorized agent for the contractor rovide a letter of authorization on contractor letterhead. (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: DI, 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 prnperty 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- DI, 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 Lawl. -OR-01 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 fo1 any permit issued to a property owner l:!y my signature below I acknowledge that, except for my personal residence in wl11ch I must have resided for dt 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 ova ii ab/ e upon request when th is appi ica t ion is submitted orat the following Web site: http:! /www.ieginfo.ca.gov/caiaw.html. OWNER CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately shaw all existing and proposed buildings, structures, access mads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the s.ite plan. Any potentially existJng 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 an the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from o.ne 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 a, all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unJes.s otherwise noted. NAME (PRINT): SIGN: __________ DATE: ______ _ Note: If the erson si nin above is an authorized a ent for the ro ert owner include forrn B-62 si ned b ro ert owner. 1635 Faraday Ave Carlsbad,CA 92008 Ph: 760-602~2719 Fax: 760-602-8558 2 Email: lluildi11g~i1c,nlsbadca,gov REV. 10/2