HomeMy WebLinkAbout2001 CUMBRE CT; ; 81-105; PermitCONSTRUCTION LENDING AGENCY1 hereby affirm that there is a construction lending agency for the performance of the work forwhich this permit is issued (Sec 3097 Civil Code)(
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/CERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE(This section need not be completed if the permit is for one hundred dollars ($100) or less)I certify that in the performance of the work forwhich this permit is issued I shall not employ anyperson in any manner so as to become subject tothe Workers Compensation Laws of CaliforniaNOTICE TO APPLICANT If after making this Certificate of Exemption, you should become subject 'to the Workers Compensation provisions of theLabor Code you must forthwith comply with suchprovisions or this permit shall be deemed revoked1 HAVE CAREFULLY EXAMINED THE COMPLETED AFHEREBY CERTIFY THAT ALL INFORMATION HEREONFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUCOUNTY AND STATE LAWS GOVERNING BUILDING CCSPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LIABILEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSOF THE GRANTING OF THIS PERMITc/1
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^^>PLICATION AND PERMIT AND DOIS TRUE AND CORRECT AND I= D TO COMPLY WITH ALL CITYINSTRUCTION WHETHERINDEMNIFY AND KEEP HARMTIES JUDGMENTS COSTS ANDl\;
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—TEMP OCCUPANCY (30 DAYS):— Copy is filed with the cityD Certified copy is hereby furnishedOVER 200 AMPS:TEMP POLE 200 AMPSTOTAL MOfr—m
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:COMPANYWORKERS COMPENSATION DECLARATION1 hereby affirm that 1 have a certificate of consent to self insure or a certificate of WorkersCompensation Insurance or a certified copythereof (Sec 3800 Labor Code)POLICY NOREMODEL/ALTER PER CIRCUITFENCE OVER 6j
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f.OWNER BUILDER DECLARATIONDl hereby affirm that 1 am exempt from the Contractor s License Law for the following reason(Sec 7031 5 Business and Professions Code) AnvoSz
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STATE LICENSE1LICENSED CONTRACTOR S DECLARATION1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section7000) of Division 3 of the Business and Professions Code, and my license is in full force and effeetM
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•^B CITY OF CARLSBAD-^^ APPLICATUSE BALL POINT PEN ONLY 1200 ELM-BUILDING DEPARTMENT j^HB ^^BION & PERMIT ^"^ APPLICANT TO FILL IN INFOR- ^PAVENUE (714) 438-5525 M ATION WITH|N RED LINESINSPECTION VALIDATES
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;UPANCY ISSUEDUO;iL-oh-a:
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REQUEST F
INSPECTOR-
OWNER
INSPECTION TIME
PERMIT NO
ADDRESS.
BUILDING
EH FOUNDATION
EH REINFORCING STEEL
EH MASONRY
EH GROUT-GUNITE
EH FLOOR AND CEILING FRAME
EH SHEATHING
EH FRAME
EH EXTERIOR LATH
EH INSULATION
EH INTERIOR LATH OR DRYWALL
EH FINAL
PLUMBING
CD UNDERGROUND PLUMBING
EH UNDERGROUND WATER
LJ ROUGH PLUMBING
CD TOP OUT PLUMBING
a SEWER AND PL/CO
C] TUB OR SHOWER PAN
CH GAS TEST
n WATER HEATER
Q FINAL
ELECTRICAL
1Z1 TEMPORARY SERVICE
(Zl ELECTRIC UNDERGROUND
CD ROUGH ELECTRIC
CH POOL BONDING
EH ELECTRIC SERVICE
CH CEILING HEAT
a G F i
CD SMOKE DETECTOR
d FINAL
MISCELLANEOUS
EH PLENUM AND DUCTS
CD COMBUSTION AIR
CH PATIO
a SIGN
CD GRADING
CH DRIVEWAY
ED CONDITIONED AIR SYSTEMS
EH REFER PIPING
EH FINAL
READY FOR INSPECTION DMONDAY
DAM
DPM
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SPECIAL INSTRUCTIONS.
REQUESTED BY..PHONE NO
PERSON TAKING REPORT.
Attention Property Owner:
An "owner-builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information in the envelope provided at your earliest
opportunity to avoid unnecessary delay in processing and issuing your building permit.
No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) u^~^
2. I (have/have not)
for the proposed work.
signed an application for a building permit
3. I ha^e contracted with the following person (firm) to provide the proposed con-
struction:
Name
Address
City
Phone
Contractors License No.
4. I plan to provide portions of the work, but I have hired the following person to
coordinate, supervise and provide the major work:
Name
Address
City
Phone
v\ V
Contractors License No.
5. I wz.
sons
provide some s
provide the
* me work but I have contracted Chared) the following per-
srx indicated: . . ,
.-.--ress Phone Type of Work
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Sign vl :
Social Security Numbr
Date