HomeMy WebLinkAbout2760 EL CAMINO REAL; ; 80-127; PermitCONSTRUCTION LENDING AGENCY1 hereby affirm that there Is a conslructlon lending agency for the performance of the work forOF THE GRANT ING OF THIS PERMIT>
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APPROVED BY ,yN/^~) DATEhs^rU*"*^-/0-.CERTIFICATE OF EXEMPTION FROMWORKERS COMPENSATION INSURANCE(This section need not be completed it ttie permil Is for one hundred dollars ($100) or less}I certify that In the performance of the work for,which this permit Is issued, I shall not employ anyperson in any manner so as to become subject tothe Worker^ Compensation Laws of CaliforniaNOTICE TO APPLICANT if, after making this Certiflcate of Exemption, you should become subjectto tfreWorkers compensation provisions of }fisLabo'^ior'e you must forthwith comply with suchprovisions or this perml! shall be deemed revoked1 HAVE CAREFULLY EXAMINED THE COMPLETED APHEREBY CERTIFY THAT ALL INFORMATION HEREONf U?*TH£f> CEffT.'fY AND AGREE If A PERMIT JS JSSUECOUNTY AND STATE LAWS GOVERNING BUILDING CCSPECIFIED HEREIN OH NOT 1 ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LIABILIPLICATION AND PIS TRUE AND COFD TO COMPLY WlNSTRUCTION WHNDEMNIFY AND KTIES JUDGMENTSEHMIT AND DORECT AND 1TH ALL CITYETHEREEP HARMCOSTS AND•ANOSHA PERMIT IS REQUIRED FOR5 0 DEEP AND DEMOLITION OR COSTRUCTURES OVER 3 STORIES IN HV ?^p] 3?S7
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