The URL can be used to link to this page

Home My WebLink About15053 Goldenwest St - CofO (2)i i NO. 091309 CITY OF; HUNTINGTON BEACH 2000 MAIN ST. DEPARTMENT OF i COMMUNITY DEVELOPMENT r HUNTINGTON BEACH, CA 92648 P.O. BOX 190 - CALIFORNIA 92648 ALL INSPECTIQhREQUESTS MUST BE RECEIVED BY4:00 P.M. 714j 53-5241 � ` FOR THE FOLLOWING DAY'S INSPECTION. E L E C T R I C A L P E R M I T Permit Number: E-023825 _f� p E 1da . Permit: B-047976 PC # RD 139 Bldg. Address: 15053 GOLDENWEST ST Tract: NA Lot: NA Block; NA EXIST. BLDG. Building Use: COMM-ILLUMINATED WALL SIGN Owner: Contractor: BUSINESS PROPERTIES SIGNS & SERVICES 17631 F ITCH 10980 BOATMAN AVE IRVINE CA 92714 STANTON CA 90680 Ph. (714)474-8900 Ph. 761-8200 Classes: C45 C61 St.NQ. 624675 City Lic. A076802 Remarks: INSTALL ONE ILLUMINATED WALL SIGN (1.5'X12') -------------------------------------------------------------------------------- Occ. Group: Constr. Type: VN -------------------------------------------------------------------------------- Appl. Date: 12/22/95 Approved: ----------------------------------------------------------------------------------- Processed: 12/22/95 YH #E-023825 Issued: 12/22/95 YH --------------------------------------------------------------------------------- INSPECTION FEES Description Oty Amount Description Qty Amount Signs 1 59.00 -------------------------------------------------------------------------------- r PERMIT FEES r DESCRIPTION AMOUNT ACCOUNT DESCRIPTION AMOUNT ACCOUNT ----------- ------------------------- ------ ------ INSPECTION 59.00 RAACD23430800 ISSUANCE 20.00 RAACD23430800 PLANCHECK 0.00 RAACD23430800 PENALTY 0.00 RAACD23430800 TOTAL FEE 79.00 r FINAL INSPECTI❑N: I 31)ATJq _ Processed: 12t22l45 i'H #E-023825 Issued: 12/22/95 Yhi �+ Lf WORKERS'COMPr-,sATIONDECLARATION OWNa OERDECLARATION �TV�p . I hereby affirm under penalty of perjury one of the to' -Ing declarations: I hereby affirm under penalty of perjuryexempt from Contractors License Law for the following ❑ I have and will maintain a certificate of toner., to self -Insure for workers' compensation, as provided for by reason (Section 7031.5, Business andns Cade: Any city. or countywhich requires a. permit to Section 3700 of the labor Code, for the performance of the work for which this permit Is issued. construct, alter. Improve, demolish, or repair any structure, prior to Its Issuance,also requires the ❑ I have and will maintain workers' compensation Insurance, �s required by Section 3700 of the Labor Code, for applicant for such permit to Sle a signed statement that he or she Is license.' pursuant to the provisions of the pedormance cf the. work for which this permit is Issued. My �orkers'.compensation insurance carter and policy the Contractor's License Law (Chapter 9) [commencing with Section 7000] of Division 3 of the Rosiness number are: and. Professions Code) or that he or she Is exempt therefrom and IN basis for the alleged exemption. Any Carder violation of Section 7031.5 by any applicant for a permit subjects the. applicant to a civil penalty of not more than five hundred dollars ($500).): Policy Number ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, (fhIs section need not be completed if the permit is for one hundred dollars ($100) or less. and the structure is not Intended or offered for sale. (Sec. 7044, Business and Professions Code: The - ❑ I certify that In the performance of the work for which this permit is Issued, i shall not employ any pemon In any Contractor's License Law does not apply to an owner of property who builds or improves thereon, and _ mannerso as to become subject to theworkers' compensation. laws of California, and agree that if 1 should become who does suph work himself or herself or through his or her own employees, provided that such subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with Improvements are not. intended or offered for sale. If, however, the bulding or improvementis sold within those provisions. one year of completion, the owner/builder will have the -burden of proving thathe or she did not build or Improve for the purpose of sale.) Date. Applicant: ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL owner of property who builds or improves theron, and who contracts for such projects with a contractor(s) SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND licensed pursuant to the Contractor's License law.). DOLLARS. ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ❑ 1. am r, imptunder Sec. SECTIO14 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. BARD. for this reason ale Owner THIS BOX FOR REGISTER V�IDAjllN rd 12�1S2 -, CONSTRUCTION. LENDING AGENCY r - - thereby affirm under penalty of perjury that there is a construction lending agency for the performance of _ �q*v w'?'j • " the work for which this permit Is issued (Sao.3097, Div. C). T"r F Lenders Name V Lenders Address CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - (THIS SECTION NEED NOT BE. COMPLETED IF PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 08 LICENSED CONTRACTOR'S DECLARATION A LESS) — applicant r O APP 4.1 rmaking this Certificate of Exemption, you should become subject to the. I hereby affirm under penalty of perjury mat 1 am licensed under provision of Chapter 9 (commencing with Sectionomp ation rcvi ' ns of the Labor Code, you must forthwith comply with such provisions; or 7000) of. Division 3 of the Business and Professions Code, and my license is In hill torte and effect. t sh a dee ed voked. License No. Lcense Class at h ve to it ap mation and state that the above information Is correct. I agree to comply Contractor Data n cou � ina es and State laws relating to building. construction, and hereby authorize ❑ I am exempt from the licensing. as I am a licensed architect or a registered professional engineer acting in mywe of n o enter upon the above -mentioned property for inspection urposes professional capacity (Section 7051. Business and Protessions Code). Lic. or. Reg. No. Date Signata2 of Applicant or Agent ate It work Is not commenced 180 days from date of issue of this permit, or if Work is i abandoned for more than 180 days, this perm$ shall be null and void, NO. 091309 . FORM 140-Rev. 2f95 WHITE COPY - INSPECTOR, BLUE COPY -COUNTY, CANARY COPY - OFFICE, GREEN COPY -APPLICANT, PINK COPY -TREASURER