HomeMy WebLinkAbout2265 CAMINO VIDA ROBLE; ; 80-105; PermitCONSTRUCTION LENDING AGENCY1 hereby affirm that there is a construction len-ding agency for the performance of the work forOF THE GRANTING OF THIS PERMIT.\ ^>
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^CERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE(This section need not be completed if the per-mil Is IDT one hundred dollars j$100) or less).I certify Ihat in the performance of the work forwhich this permit is issued, t shall nol 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 Workers' Compensation provisions of lha "Labor Code, you must forthwith comply with suchprovlsionsof this permit shall be deemed revoked.I HAVE CAREFULLY EXAMINED THE COMPLETED "AFHEREBY CERTIFY THAT ALL INFORMATION HEREONFURTHER CERTIFY AND AGUES IF A PERMIT IS ISSUCOUNTY AND STATE LAWS GOVERNING BUILDING CfSPECIFIED HEREIN OR NOT. I. ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LIABILPLICATION AND PERMIT. AND DOIS TRUE AND CORRECT AND ID.'TO COMPLY WITH ALL CITY,INSTRUCTION, WHETHERINDEMNIFY AND KEEP HARM-TtES. JUDGMENTS, COSTS AND•AN OSHA PERMIT5'-0" DEEP AND DESTRUCTURES OVEs?s3) J W
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^*5TATE LICENSE'5&?c*c>f1LICENSED CONTRACTOR'S DECLARATION1 hereby affirm that 1 am licensed under provi-sions of Chapter 9 (commencing with Section7000) ot Division 3 ot tne Business and Profes-sions Code, and my license (S in full force and ef-fect.^Ki&*?r^1g^&•S,^.^ °i\ •>o_ Ds*sS\iwd"
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"I CITV OF CARUSBAD-BUILDING CAPPLICATION & PERMUSE BALL POINT PEN ONLY 120Q E|_M AV£NUEEPARTMENTT APPLICANT TO FILL IN(714) 438-5525 MATION WITHIN RED Llh^zC/i Tl• o•73
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INSPECTION VALIDATE*
INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT
BUILDING ADDRESS:
DATE:JAM p 1980
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
PROVIDED
_PROVIDED
PROVIDED
SIDE SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ:
SCTfCVafr TEES: ^ . .DISTRICT .AMOUNT
ADDITIONAL COMENTS:/
OK TO DATE //f^A OK TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W.INDUSTRIAL WASTE
SEWER CONNECTION
GRADING PERMIT
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IMPROVEMENTS
DRIVEWAY LOCATIONS
EASEMENTS DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
FIR E DEPARTMENT
SPP3 NKLING SYSTEM
FIRF ALARMS
FIRE PROTECTION EQUIP.
EXITS
FIRT , HYDRANTS LOCATION
ADT -TIONAL COMMENTS
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O1 TO 1980 OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE