HomeMy WebLinkAbout1848 COTTONWOOD AVE; ; 84-572-3; PermitDECLARATIONS
LENDER
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n l hereby affirm mat tr-lending agency 'of me peric*ntch irns pe'mii is ssued1 onrtor <; Nam*1 f"Wlt" * Artrtr*»«i<i ,m
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WORKER'S COMPENSATION
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NOTICE TO APPLICANT Kdcale of Exemption you shethe Workers CompensaiionCoOe you must forth* illprovisions or this permit shi= ^ c £an § a£
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Sl?3?D t certify that m the perlowhicri this permit is issuedperson m any manner so a:the Workers Compensationrmance o' me *t shall not empii to become subLaws ot Caiitorri*5 J
£•? 9 CERTIFICATE OF EXIWORKERS COMPENSA(This section need not be cis 'or one hundred dollOPTION FROMiTION INSUPANIompleted if me ;lars ($100) or -es1.— %, *• '5 -n3 G Certilted copy is herebyc"
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1 POLICY NOCOMPANYO Copy is filed with the cit1 1
C 1 hereby alfirm lhal 1 ha<eto self insure or a ceiCompensaiion Insurance or{Sec 3800 Labor Codela certificate ol o•tilicale ol W(a certified copy tfsiO^U) 3 u 1 am exempt under Secfor this reason03
•oo •I; As a homeowner I am improvintng conditions exist1 The work is being peril2 1 have lived m myprior to completion of t:3 i have not claimed ttlast three yearsg my home and theormed prior to salehome for twelve ihis workus exemption dun« g |
IT 5 s r 1 as owner of the property ;with licensed contractors to constrBusiness and Professions CodeLaw aoes not apply to an owner otproves thereon and who contractcontractor! s) license pursuant toLaw)am exclusively contuctthe project (SecThe Contractor s Iproperty who buildss lor each projectsthe Contractor s Ito =1 "• n o Jl
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LOT # jCITY OF CARLSBAD *-^==d-
INSPECTION RECORD
BUILDING( *
FOUNDATION V
REINFORCSD STEEL >>.
MASONRY
GUNITE OR GROUT
SUB FRAME ( ) FLOOR ( ) CEILING
SHEATHING ( ) ROOF ( ) SHEAR
FRAME
INSULATION
EXTERIOR LATH ^ _ -
INTERIOR LATH & DRYWALlT^ /1/3///T/
PLUMBING
( ) SEWER & BL/CO ( ) PL/CO
UNDERGROUND ( ) WASTE ( ) WATER
TUB & SHOWER PAN x?
GAS TEST '
( ) WATER HEATER ( ) SOLAR WATER /
TOP OUT ( ) WASTE ( ) WATER fiJli-fiff
ELECTRICAL
( ) ELECTRIC UNDERGROUND ( ) UFFER
( ) BONDING ( ) POOL /}
ROUGH ELECTRIC
ELECTRIC SERVICE ( ) TEMPORARY
MECHANICAL
( ) DUCT & PLEM, , ( )REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
] COMPLETE BUILDING FINAL
1 DATE:7 7 T-
CLEARED WITH GAS AND ELECTRIC
DATE: