HomeMy WebLinkAbout2225 CAMINO VIDA ROBLE; ; 80-188; PermitS
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:CONSTRUCTION LENDING AGENCYi h&fBhv affirm that there is a construction len-OF THE GRANTING OF THIS PERMIT.sPIVHv^* ^.v
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APPROVED BYDATEICERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE(This section need not be completed if the pet-mil is for one hundred dollars ($100) or tessj.I certify that in the performance of the work forwhich ihis parmil is issued, I shall not employ anyperson in any manner so as to become subject tothe Workers' Compensation Laws of California.NOTICE TO APPLICANT: If, after making (Mis Cer-llflcateof Exemption, you should become subjectto the Workers' Compensation provisions of theLabor Code, you must forthwith comply with suchprovisions or Ihis permit shall be deemed revoked.1 HAVE CAREFULLY EXAMINED TH£ COMPLETED "AfHEREBY CERTIFY THAT ALL INFORMATION H£HEONFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUtCOUNTY AND STATE LAWS GOVERNING BUILDING C(SPECIFIED HEREIN OR NOT. 1, ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL UABILPLICATION AND PERMIT, AND DOIS TRUE AND CORRECT AND 1D:TO COMPLY WITH ALL CITY,JNSTRUCTJON, WHETHERINDEMNIFY AND KEEP HARM-TIES, JUDGMENTS. COSTS AND•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OV5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OFSTRUCTURES OVER 3 STORIES IN HEIGHT.4? A - -S? ^ ^SCHOOL FEES: 'ER\/.OO
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oo ISAVO OE) AONVdimO dH31STRONG MOTION:-DCopy is filed wilh the city. tDCertified copv is hereby furnished.i
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•»rr iWORKER*. COM PENS ATI ON DECLARATION1 hereby afffwfltfjf 1 rtave a certificate of con-sent to self- insult; or a certificate of Workers'Compensation Insurance, or a certified copythereof (Sec, 3800, Labor Coda).REMODEL/ALTER PER CIRCUIT>
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CONTRACTORl CONTRACTORALL INCLUSIVE PERMITr\. H,TOTAL PLUMBING \.TOTAL MECHANICALPLAN CHECK-Issue \o(- >IssueLA
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>—WATER SOFTNER \^lltfOOiaU3N OF EA FURNACE/HEATER ^BUILDING PERMIT-EACH tAWN SPRINKLER SYST*^MECH EXHAUST - HOOD/DUCTS "^s^EACH IHSTAL., ALTER, RE>*t£ WATER PIPEVENT FAN SINGLE DUCT "X.^EACH GAS SYSTEftfoqR MOREBOILER/COMPRESSOR IG^JPEACH GAS SVSXM * TO 4 OUTLETSBQILER/COMPRESSba4;16 HPEACH WAtfcg HEATER AND/OR VENTDaO
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PRIME CONTRACTOR ' '$Jget>tU<> &oss, ^2 LL.STATE LICENSE-548&ot\LICENSED CONTRACTOR'S DECLARATION1 hereby affirm that 1 am licensed under provi-sions of Chapter 9 (commencing with Section7000) of Division 3 of the Business and Profes-sions Code, and my license is in full force and ef-fect.\
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DATE OF APPLICATION•Z/3/60BUS, LICENSEI&5J4^_*\ c CITY OF CARLSBAD-BUILDING DEPARTMENTAPPLICATION & PERMIT APPLICANT TO FILL IN INFOR-USE BALL POINT PEN ONLY UQQ ELM AVENUE (7U) 438,5525 MATION WITHIN RED LINES.INSPECTION VALIDATE*