HomeMy WebLinkAbout101 Main St - CofO (53)a
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NO. 046710
CITY OF HUNTINGTON BEACH
2000 MAIN aST. .DEPARTMENT OF
(n COMMUNITY DEVELOPMr-NT
HUNTINGTON BEACH, CA 92648 RO,13OX 1a0-CALIFOR14I1. 92848
UUU ) (714)53b-52A1 j
BUILDING PERM IT
ermit Number: B030676 PC # 3042 RD #461
1dg. Address: 101 MAIN Tract: NA Lot: NA Block: NA
,NEW BUILDING Building Use; COMM NEW 4-STORY BUILDING t
Q Owner : Contractor • €
ABDELMUTI DEVELOP.BIRTCHER.CONSTRUCTION
r 2727 NEWPORT BLVD. 101 24051 SHELLEY,RD.
NEWPORT BEACH CA 92663 LAGUNA NIGUEL CA 37100
Ph (714)536-6567 Ph (714)643-2938 �i
St. No. 614920 B-.1 City Lic. A1505G Cr
Architect or Engineer ,
f LANG LAMPERT ARCH. Vp
r _ 149 TECHNOLOGY 110
IRVINE CA 92718
Ph. (714)753-0201
St. No. C10538 t.
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1 Comments: NEW 4-STORY BUILDING IST FLOOR - RETAIL./RESTAURANT
2ND, 3RD, & 4TH FLOOR - OFFICE USE
Sq. Ft Living: 47050
Garage: No. Stories: 4 Valuation: 3016802
Misc. No. Families: Bldg. Code: NEW
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Desc. FOUNDATION PERMIT ON SEPARATE PERMIT a>
Occ. Group: B-2 Constr. Type: 2F Occ. Load: 470
Public Building? NO Zone:
Census Cones 437 Bldg. Use: COMM. Park. Spaces:'
Planning Action: CUP 91-39 Coastal Permit? NO
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Appl. Date: 10/26/92 Landuse: SM 10/26/92 Authorized. GK 10/26/92
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PI check: JMS 04/14/92 PC Receipt # r290887 ----- ,
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E Is JMS 12/08/92 Permit/Receipt # B-030676 `
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I PERMIT FEES x`
DESCRI TION AMOUNT ACCOUNT DESCRIPTION AMOUNT ACCOUNT
`----------- ------------------ -- -- -------
INSPECTION 9590.50 RAACD23430600 ISSUANCE 15.00 RAACD23430600
PLANCHECK 6233.83 ** PAID ** PENALTY 0.00 RAACD23483000
_ LIBRARY 7057.50 RAACD23471`100 PARKS & REC. 000 RSKCD23435500 n
CONSERVATION 633.53 GAA 00020116 P/PLANCHECK 2162.07 ** PAID **
ADD'L. PL.CK 45.51 RAACD23430600 MICRO COPY 49.00 GUU 00022555
TOTAL FEE 17391.04
Issued: JMS 12/08/92 Permit/Receipt # B-030676
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k ; CERTIFICATE OF EXEMPTION FROM WORKER'S COMPENSATION INSURANCE OWNER -BUILDER DECLARATION -
(This Section need not be completed if the permit is for one hundred dollars IS 100)or loss.) I hereby affirm that I am exempt hem the Contractors License Law for ffie following reason. ((Sec (;
i I certify that in theperformance of the work for which this permit is issued, I shall not employ any 7031.5) Business and Prolesslom; Code: Any city. or county which requires. a permit to construct,
person in any manner so zs to become subject to Worker's Compensation Laws. alter, Improve, demolish, or repair any structure,. prior to its. Issuance, also requires the applicant
Date - Applicant for such permit to file a signed statement that he, Is ficensed pursuant to the provisions of the ,.
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should. become subject to Contractor's: License Law (Chapter 9) (commencing with Section 7000) of Division 3 of the -
Y the Worker's Compensation provisions of the labor Code, you must fanlrvrith comply with such prevision Business and . Professions Code„ or that he 15. exempt therefrom and the. basis for the alleged 111r,
or this permit shall be deemed revoked. exemption. Any violation of Section 7031.5 by any applicant
for. a permit subjects the applicant.
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am. licensed under previsions of Chapter 9. (commencing with Section 7000) of to a civil penalty of not more than five hundred ddom ($500).):.
. Division 3. a, the Business and Professions Code, and my license Is in full force and effect (� 1, as owner of the properly, or my employees with wages as their sale compensation, will de the
work, and the structure Is not intended or offered for sale. (Sec. 7044) Business and Prclassions Code.'
i License Number The Contractors License. La,v does not apply to an owner of property who binds orimproves thereon,
Ua Class ¢,
' Contractor - Date and who does such work himself or through his own employees, provided that such Improvements f4
i I ere exempt the licensing iequfrements. as I am a licensed . architect or a registered professional am not intended or offered for sale.. If, however, the bi'tldbg Or improvement k sold wOh(n one
`! engineeracting in my professional capacity (Section 7051, Business and Professions Code), year of completion, the owner/builder will have the burden of Proving that. he did not build or improve
Lic. or Reg. No: Date for the purpose Of sale, '
THIS BOX FOR REGISTER VALIDATION ONLY D I, as owner of the property. am ezdus vely contracting with licensed contractors to construct the
project (Sec. 7044) Business and Professions Code: The Contractors License Law does not apply (`
to anowner of property. who builds or I n woves thereon, and who contracts for such projects with j
a contractor(s) licensed pursuant to the Contractors License Law. R & P.C. for this reason
I am exgapt under Sec.
Date _ Own3r
g}
CONSTRUGTfON. LENDING AGENCY t*
I hereby affirm that them is a construction lending agency for the performance of the work for which
334 /h6 BDEC9E 001110 $1i3? .04 030gAth�@a,�p2T�!lssuye�61� .3097,CN.c.).
YanSarS't551Ite- [•
� Lender's Address
Ice ify at. have read this a placation end slat that the ve information Is correct.I agree locompN �_;
i '. wi r d onfinances taws flog ( gilding. eonstructlen, and he bY.. uthodze
of this eity a ov m pmPeRY for Inspec n Pu A
WORKER'S COMPENSATION DECLARATION _ v
1 I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Worker's i nature of Applicant or Agent Da e
ompensatan Insurance, or a cenilied copy thereof (Sec.3800, Lab:.).
k Policy No. Co a� NO.046710
❑Certified copy Is hereby: lumished..
1 -
l ❑ Certified copy Is filed wi the c building inspection
€ — Applicant f
i Date tf
' If wank is not core enced 1 0 days from date of issue of this permit, or if work is
abandoned for more than 180 days, this permit shall be null and void. t�
WHITE COPY INSPECTOR,.BLUP- c npv, ro( Ihiry SOLD PPY - OFFICE, GP -EN COP`' -APPLICANT, PINK COPY -TREASURER
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FORM IAe•R.v.12/89 � `• -� •:. • •- ••,, •.� -
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