HomeMy WebLinkAbout2380 CAMINO VIDA ROBLE; G; 81-4; Permitwhich this permit is issued (Sec. 3097, Civil Code).CONSTRUCTION LENDING AGENCY1 hereby attirm that there is a construction len~CERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE(This section need not be completed If the per-mit Is tor one hundred dollars ($100) or less).I certify that In the performance of the wont forwhich this permit is issued, I 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 theLabor Code, you must forthwith comply with suchprovisions or this permit shall be deemed revoked.COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHERSPECIFIED HEREIN OR NOT. (.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE C1T-* OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIQ CITY IN CONSEQUENCE :Of THE. GRANTING OF THIS PERMIT. /"APPLICANT'S SIGNATURE* OWNERQ CONTRACTORSAGENT D BY PHONE QT>XO
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