HomeMy WebLinkAbout2646 UNICORNIO ST; ; CB040740; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-04-2004 Mechanical Permit Permit No: CB040740
Building Inspection Request Line (760) 602-2725
Job Address: 2646 UNICORNIO ST CBAD
MECH Status: Permit Type:
Parcel No: 2153505100 Lot#: 0 Applied:
ISSUED
03/04/2004
YK
03/04/2004
03/04/2004
Valuation: $0.00
Reference #:
Project Title: FRUMILHET RES -REPLACE FAU
Applicant:
EXCEL AIR CO
2045 CAMINO DR
ESCONDIDO CA 92026
760 480-7557
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps Fee
Fireplace Installation Fee
Exhaust Fan Fee
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 15HP Fee
Other
Additional Fees
TOTAL PERMIT FEES
1
0
0
0
0
0
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
DROUILHET MICHAEL J&RICKARDS KRISTINE F
2646 UNICORNIO ST
CARLSBAD CA 92009
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00
6828 03/04/04 0002 01 02
CGP 24-00
EXPIRED PERMIT
PERM Ii H ~ (' r 'RED IN ACCORDANCE WITH U.B.C
SECTION 1 Ul'.J.4.4
01\TE >1.J-S\ ~b~ SIGNATil~F ~----~-
PERMIT APPLICATION
C'~TY QF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. CB64 Ol:4o
EST. VAL. __________ _
Plan Ck. De~p~
Validated B ________ _
DateMov 4:
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Existing Use Proposed Use
SQ. FT. #of Stories II of Bedrooms II of Bathrooms
Name City State/Zip Telephone II Fax II
Name
[6.• C.9.filBAl,;T.Qfhl&P__MeANYi f#'W,g, __ .,_..._..._
(Sec. 7031. 5 Business and Professions Code: Any City or County which requires a permit to coristruct, 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
e~ption. An~i~o~ of Section 7031.5 b~ a'Jf apP. • ant f a permit subjects the ap an_;;o,i& civil per::plty of ;Wt~ore~an five hundred dollars l$5001).
t:;;,; e.-f' /ft7' /L IV J. . '/1)/o 'D✓ v?T 7?pz. ?~ 7. l
Name
State License II _7,-=--=~'--'-/_,;;}_S-_9-'----
Address
/--~ License Class __ L...-_______ _
State/Zip Telephone II
City Business License# / Z.., { f 7'6 '2..
Designer Name Address City State/Zip Telephone
• :.1,.£ •
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 1$100) OR LESS)
"21' 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
,,(;;-become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage la unlawful, and shall subject an employer to criminal panaltlaa and civil fines up to ona hundred
thousand dollars ($1 O 0), In addition t a co of mpanaatlon, damages ea provided for In Section 3706 of the Labor code, Interest and attomey'a feea.
SIGNATU ~~~~~~:;::;;;~~~~~~~~2:;:;;~;;;;:;;;:::;::;;:;;:::;:-;;:;-::;;:;:--::;;;;;;-DATE "J -'-f -C) 'f
" _ , ............ ...;.;...,..""" ~ .... 4.:.f:61.!iil-~'
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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
--•-< ,.,; • ..,,n nn• vAAr of comoletlon, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
• • ,.._ __ -."",. o ..... : ... ..,e. •'"'rt PrnfAJa.ions Code: The
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