HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; 80-45; Permit«31VaiTYA NOIlD3dSN!IEPARTMENT <^H i^MT ^F APPLICANT TO FILL IN INFOR- ^F(774) 438-5525~"N MATION WITHIN RED LINES-BUILDING CON & PERMAVENUE| ij^M CITY OF CARLSBAD-LICENSED CONTRACTOR S DECLARATION IICP RAI I pniYr PFKJ nwi v APPLICAT1 hereby affirm that 1 am licensed under provi UiC D ALL. rUIIH 1 rtlNUINLT 1200 ELMsions of Chapter 9 (commencing with Section.^UJ ^J^^
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WORKERS COMPENSATION DECLARATION1 hereby affirm that 1 have a certificate of consent to self insure or a certificate nf VwprtersCompensation Insurance or a cerVfeolJropythereof (Sec 3800 Labor Code) , JV.f^ A /pnnr.YNO W\ » V\ *«/•••3
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1 HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PHEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND COFFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED TO COMPLY WlCOUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION WHSPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVEINDEMNIFYANDtLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTSEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COOF THE GRANTING OF THIS PERMITCERTIFICATE 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 subjectto the Workers Compensation provisions of theLabor Code you must forthwith comply with suchprovisions or this permit shall be deemed revoked•
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