HomeMy WebLinkAbout2100 COSTA DEL MAR RD; ; 81-121; 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)CERTIFICATE OF EXEMPTION FROMWORKERS COMPENSATION INSURANCE(This section need not be completed If the permit is for one hundred dollars ($100) or isss)I certify that in the performance of the work forwhich this permit is issued I shall not employ any _person 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 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 LIABILEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSOF THE GRANTING OF THIS PERMITc)
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NM PLICATION AND PERMIT AND DOIS TRUE AND CORRECT AND I.D TO COMPLY WITH ALL CITYINSTRUCTION WHETHERINDEMNIFY AND KEEP HARMTIES JUDGMENTS COSTS ANDAN OSHA PERMIT5 0 DEEP AND DESTRUCTURES OVE/ /7(// ^/~~~-7*&>^t) (<fZS.k. " O T
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-TEMP OCCUPANCY!30 DAYS)-( 'Copy is filed with the city \ /fcW'r: Certified copy is hereby furnished ™OVER 200 AMPS-TEMP POLE 200 AMPSTOTAL MOr-m
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*X^ °PRIME CONTRACTOR^/•f^^~STATE LICENSE?206G T1LICENSED 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 effeetP°
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