HomeMy WebLinkAbout122 ACACIA AVE; ; 79-753; PermitA
. .." " TOTAL FEES $1 j 1 -&
WHEN PROPERLY VALIDATED IIN Tnts SPACE) Tnls IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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I.
THIS PERMIT BECOMES NULL NOTICY AND OID IF WORK OR CONSTRUC-
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVk AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TION AUTHORIZED IS NOT COMME~CED WITHIN ~~OOAYS.OR IF
I I I I I
INSPECTOR
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 729-1181
CERTIFICATION
employ any person in any manner so as to become subject to the workers' compensation
I certify that in the performance of the work for which this permit is issued I shall not
laws of California. If, after making this certificate, I become subject to the workers' compensation pro-
visions of the California Labor Code, I will forthwith comply with Section 3700 of the Labor Code.
shall be deemed revoked. I understand that if I fail to comply with the workers' compensation laws, this permit
firm or company, to do all or part of the work for which this permit is issued, I shall assure I further certify that if I should contract or subcontract with any person, including any
compliance by that contractor or subcontractor with Section 389epCthe California Labor Code.
SIGNED:
DATED: 2 "0-77