HomeMy WebLinkAbout2270 CAMINO VIDA ROBLE; ; 80-647; PermitCONSTRUCTION LENDING AGENCYlereby affi"m thai there is a construction len-OF THE GRANTING OF THIS PERMIT.APPLICANT'S SIGN AT 6flE' /} OWNERQ CONTRACTOR^] APPROVED BY >V /AGENT ftf BY PHONE QCERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE(This section need nol 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, 1 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 became subjectto the Workers' Compensation provisions of theLabor Code, you must forthwith comply with suchprovisions or this permit shall be deemed revoked.1 HAVE CAREFULLY EXAMINED THE COMPLETED "APHEREBY CERTIFY THAT ALL INFORMATION HEREONFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUCOUNTY AND STATE LAWS GOVERNING BUILDING CCSPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LIABILn o ™ H i = 33n O -r •*. ^ ?3 W "° i lj —
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SIGN PERMIT-WATER SOFTNERRELOCATION OF EA FURNACE/HEATERBUILDING PERMIT—EACH LAWN SPRINKLER SYSTEMMECH EXHAUST - HOOO/DUCTSEACH INSTAL, ALTER, REPAIR WATER PIPEVENT FAN SINGLE DUCTEACH GAS SYSTEM 5 OR MOREBOILER/COMPRESSOR 16-30 HPEACH GAS SYSTEM 1 TO 4 OUTLETSBOILER/COMPRESSOR 3-15 HPEACH WATER HEATER AND/OR VENTBOILER/COMPRESSOR UPTO 3 HPEACH8UILDNG SEWEROVER 100,000 BTUEACHFIXTURETRAPINSTALL FURN. DUCTS UP TO 100,000 BTUHPLUMBING PERMIT-H
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NUMBER OF STORIES^c_\1-TC?DESIGNER'S ADDRESSDESIGNER'S PHONEDESCRIPTION OF WORK ^- S*>LOT BLOCKSUBDIVISIONA55tS_SjOR'S PARCEL NO.Ill 1 1 1 i 1 1 1Ul
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hO nL-^^ no 5^— m LICENSED CONTRACTOR'S DECLARATION' 1 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-fecl.b 'y.^ S
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•k m CITY OF CARLSBAD-BUILDING CAPPLICATION & PERMUSE BALL POINT PEN ONLY 1200 ELM AVENUEEPARTMENTT APPLICANT TO FiLL IN INFOR -(714) 438-5525 MATION WITHIN RED LINES.INSPECTION VALIDATE*