HomeMy WebLinkAbout2225 CAMINO VIDA ROBLE; ; 80-477; Permitwhich This permit Is Issued (Sec. 3097, Civil CodeJ.CONSTRUCTION LENDING AGENCY1 hereby affirm that there is a construction len-OF THE GRANTING OF THIS PERMIT.TJ
LlC*ANT'S SIGNATURE- OWNERQ CONTRACTORDAGENTjg]^' BY PHONE QAPPROVED BY DATEfCERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCEfThls section need not be completed If the per-mit 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 California,NOTICE TO APPLICANT: If, after making this Cer-tificate of Exemption, you should become subjectto the Warkers' Compensation provisions of theLabor Code, you must forthwith comply with suchprovisions or this pefmit shall be deemed revoked.M/<:;T7f7fe1 HAVE CAREFULLY EXAMINED THE COMPLETED "AFHEREBY CERTIFY THAT ALL INFORMATION HEREONFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUECOUNTY AND STATE LAWS GOVERNING BUILDING CCSPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LIABIL5 " ? i o 3 j,
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•AN OSHA PERMIT IS REQUIRED FOR5'-0" DEEP AND DEMOLITION ORCOSTRUCTURES O V ER, 3 STl6 R 1 ES W H Ei >??SV ^5,5
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Oo£TJ>Z*a.f\1 WORKERS' COMPENSATION DECLARATflBl1 hereby affirm thai 1 have a certiticate^llon-sent to self-insure, or a certificate of Wallers'Compensation Insurance, or a certified reopythereof (Sec. 3800, La6or Code)- ^ / *POLICY NO. tJC- f 7 a / »REMODEL/ALTER PER CIRCUIT ^^-nmZom
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HECH EXHAUST.XHOOD/DUCTSEACH INSTAL., ALTER, REPAIR WATER PIPEVENT FAN SINGLE OUefEACH GAS SYSTEM 5 OR MOREBOILER/COMPRESSOR 16-30^0"EACH GAS SYSTEM t TO 4 OUTLETSBOILER/COMPRESSOR 3-15 HP ^^EACH WATER HEATER AND/OR VENTBOILER/COMPRESSOR UP TO 3 HP ^^EACH BUILDING SEWEROVER 100,000 BTU\EACH FIXTURE TRAPNSTALL FURN. DUCTS UP TO 100,000 BTUOPLUMBING PERMITP
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GNER'S PHONENot VaHd Unless Mtchin CertifiidDESCRIPTION OF.WORK «OHO>f~OnSUBDIVISIONASSESSOR'S PARCEL NO.1 1 1 1 1 1 1 1 1 1•DESIGNERSTATE LICENSESiER'S MAILINGMA/ /^mIV "J
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PRIME CONTRACTOR(Lo/nc - fivt^^LLSTATE LICENSE3 /84J? H1LICENSED 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.$t^ ?E-^Hs>iy$M
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<^ "CITY OF CARLSBAD-BUILDING CAPPLICATION & PERMUSE BALL POINT PEN ONLY 120Q E|_M AVPNME/? . , -* s? /*J?EPARTMENTT APPLICANT TO FILL IN(714) 438-5525 MATION WITHIN RED Llh55• o
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