HomeMy WebLinkAbout2012 CIMA CT; ; 80-4; PermitCONSTRUCTION LENDING AGENCY1 hereby affirm that there is a construction lending aaencv for the performance of the work forOF THE GRANTING OF THIS PERMIT (A/PLICANT S SIGNATURE OWNERQ CONTRACTORQAGENT Q^"^~^ BY PHONE Q^T0r1 >
|s which this permit is issueperson in any manner sothe Workers CompensatNOTICE TO APPLICANTtificate of Exemption yoito the Workers CompenLabor Code you must forprovisions or this permit :d 1 shall not employ anyas to become subject toon Laws of CaliforniaIf after making this Cershould become subjectsation provisions of thethwith comply with suchhall be deemed revoked1 HAVE CAREFULLY EXAMINED THE COMPLETED AFHEREBY CERTIFY THAT ALL INFORMATION HEREONFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUfCOUNTY AND STATE LAWS GOVERNING BUILDING CCSPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LIABIL3 7 -D O -^ >
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AN OSHA PERMIT IS REQU50 DEEP AND DEMOLITISTRUCTURES OVER 3 STO/^~_ ^Y^7^
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<I/ "WORKERS COMPENSATION DECLARATION1 hereby affirm trrat 1 have a certificate of consent to self insure or a certificate of WorkersCompensation Insurance or a certified copythereof (Sec 3800 Labor Code)pni inv NOREMODEL/ALTER PER CIRCUIT\
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NUMBER OF STORIES-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) Anycity or county which requires a permit to construct alter improve demolish or repair anystructure prior to its issuance also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor s License Law (Chapter 9commencing with Section 7000 of Division 3 of/DS3QRIPTION OF WO~*&Ti-£> *t~ /V *.
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Jim ILICENSED CONTRACTOR S DECLARATIONI hereby affirm that I 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 effeet-^
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RDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS 3 V
CiTY OF CARLSBAD
PLANNING DEPARTMENT
70NE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
, FRONT SETBACK
ALLOWED
PROVIDED
SIDE SETBACK
INTRUSIONS
LANDSCAPE & IRRIGATION PLAK COMMENTS
_PROVIDED_
PROVIDED
PROVIDED
REAR SETBACK
ENVIRONMENTAL PROTECTION
.SCHOOT-DISTRICT.AMOUNT;
ADDITIONAL COMMENTS
ISSUE DATE A 7^^) OK TO FINAL DATE
ENGINEERING DEPARTMENT
ROW INDUSTRIAL WAC,TE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAV LOCATIONS
EASEMENTS DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO ISSUE \Jll W/ DATE I" 3 '" <!>(/ pwi OK TO FINAL DATE
FIRE DEPARTMENT
3P*IT<KLING SYSTEM
FIRE ALARMS
_FIRE PROTECTION EQJIP
EXITS
FIRE HYDRANTS LOCATION
ADDITIONAL COMMENTS
OK TO ISSUE DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE