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Home My WebLink About111 CHANNEL RD; ; CBR2021-1693; PermitPrint Date: 06/30/2021 Permit No: CBR2021-1693 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 111 CHANNEL RD, CARLSBAD, CA 92011-3221 BLDG-Residential 2146000904 $0.00 Work Class: Lot #: Project #: P/M/E Status: Applied: Issued: 06/10/2021 06/10/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled CRenf Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:06/30/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: GAS LINE REPAIR (E-REVIEW)Description: Project Title: Contractor: TM BENNETT PLUMBING AND DRAIN INC PO BOX 4417 CARLSBAD, CA 92018-4417(760) 458-1824 AMOUNTFEE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00 Total Fees:$175.00 Total Payments To Date:$175.00 Balance Due:$0.00 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. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2021-1693 6/10/21 ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check ________ _ Est. Value PC Deposit Date Job Address 111 Channel Rd Suite: _____ .APN: __________ _ CT/Project #:. __________________ Lot #: ____ Year Built: _________ _ Fire Sprinklers: QvEs{!) NO Air Conditioning:Q YES 0 NO BRIEF DESCRIPTION OF WORK: Electrical Panel Upgrade: QvEs0 NO Capped gas line to island, converting to electric, SDGE lock out 0 Addition/New: _____ living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? Ov ON New Fireplace? Ov ON, if yes how many? __ D Remodel: SF of affected area -----Is the area a conversion or change of use ? Ov ON Additional Gas or Electrical Features? □ Pool/Spa: ____ SF ------------ □solar: ___ KW, ___ Modules, Mounted:ORoof OGround, Tilt: 0 vO N, RMA: Ov ON, Battery: Ov ON, Panel Upgrade: Ov ON D Reroof: ------------------------------------Iii Plumbing/Mechanical/Electrical 0 Only: Other: Converting gas leak to island to electric This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 Name: Nick Manzi Name: ___________________ _ Address: 111 Channel Rd Address: __________________ _ City: Carlsbad State:_C_A __ Zip: 92011 City: __________ State: __ ...,;Zip: ____ _ Phone: 760-909-0020 Phone: -------------------Em a ii: _________________ Em a i I:-------------------- DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT Iii Name:. ________________ _ Address: ________________ _ City: _______ State: ___ Zip: ___ _ Phone: ________________ _ Email: ________________ _ Architect State License: __________ _ Name: T.M. Bennett Plumbing & Drain Inc Address: po box 4417 City: Carlsbad State: CA Zip:_9_20_1_8 ___ _ Phone:7604581824 Email: chaneltmbp@gmail.com State License/class:_C_3_6 ____ Bus. License: 985357 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 08/20 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR {OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm 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 Cade, and my license is in full force and effect. I also 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 provided by Section 3700 of the Labor Code, for the performance of the work which this permit Is issued. Policy No. _______________________________________ _ ~ 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: _F_a1_1s_LAk_e_F_1re_&_c_asu_a_11y ______________ _ Policy No.FLA007562-03 Expiration Date: _11_12_02_02_1 _________ _ 0 Certificate of Exemption: I certify that in the performance of the 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 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}. l ender's Name: _____________________ lender's Address: ____________________ _ CONTRACTOR PRINT: Chanel Bennett SIGNC½,10Q~ J.i DATE: 6/10/2021 {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). 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 Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: D •owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. D Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behalf. 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 low, Section 7044 of the Business and Professions Code, Is ovoiloble upon request when this application is submitted or at the fallowing Web site: http.//www.leginfo.co.gov/colow.html. OWNER PRINT: SIGN: __________ DATE: ______ _ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf I certify that I hove 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 Jaws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE C/7Y 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. OSHA: An OSHA permit is required for excavations over 5101 deep and demolition or construction of structures over 3 stories in height. APPLICANT PRINT:_C_h_a_n_e_l B_e_n_n_e_tt ____ SIGN:~ DATE: 6/10/2021 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 08/20 Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-1693) BLDG-Residential 06/10/2021Application Date:Permit Type:Owner: P/M/E 06/10/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#99-02 POINSETTIA COVE 12/08/2021Expiration Date:Status: IVR Number: 33894 Closed - Finaled 111 CHANNEL RD CARLSBAD, CA 92011-3221 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 06/11/2021 06/11/2021 BLDG-23 Gas/Test/Repairs 159536-2021 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes 06/30/2021 06/30/2021 BLDG-Final Inspection 160885-2021 Passed Chris Renfro Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final Underground gas line to kitchen cooktop at Island repair. Yes BLDG-Structural Final Yes Wednesday, June 30, 2021 Page 1 of 1 {cityof Carlsbad