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Home My WebLink About101 Main St - CofO (76)1 NO .022398 1 CITY OF HUNTINGTON BEACH 2000 MAIN ST, DEPARTMENT OF HUNTINGTON BEACH, CA 92648 COMMUNITY DEVELOPMENT - P.O. BOX 190. CALIFORNIA 92648 (714) 536.5 41 bB U I L D I N G P E R M I T Permit Number: B022231 PC # RD #461 Bldg. Address: 101 MAIN Tract: NA Lot: NA Block: NA 5XIST. BLDG. Building Use: COMMERCIAL BLDG wner: Contractor: AHMliD H. ABDELMUTI (NO CONTRACTOR) 13900 DAKOTA \ �) FOUNTAIN VALLEY CA 33270C Ph. (71ti)963-3990 Architect or Engineer NA t -. — — ——.—.—.— —.— - — — —.- — —.— — — - —.—.— - — -.— — -. — —.— - — ——.—.-.-.— —.— — — — —. -..—.. - — — - - — — — — —. M —.-. i.. -.— --'--- ------------- — Comments: DEMO 2 STORY BRICK BUILDING Public Building? YES Sq. Ft. Living: No. Stories: 2 Valuation: _ k y Garage: No. Families: Bldg. Code: DEMOLISH Desc.: Occ. Group: Constr. Type: Occ. Load: Zone: Census Code: 649 Bldg. Use: COMMIL Park. Spaces: ' Planning Action: Coastal Permit? NO I` -- -------------------------------------------------- Appl. Date: 05ACL7/91 Landuse: MA 05/07/91 Authorized: GK 05/07/91 y-- -------------------------------P-------------------------------------------- Plancheck: PC Receipt # f h i f� ------------ y------------------------------------------------------------------ Issued: ECD 5/07/91 Permit/Receipt #3-022231 ----------- - i ----------•-------------------------------------------------------- PERMIT FEES tf DESCRIPTION AMOUNT ACCOUNT DESCRIPTION AMOUNT ACCOUNT ----------- ------------------------ ------------- INSPECTION 0.00 RAACD23430600 PROCESSING 15.00 RAACD23430600 1 PLANCHECK _ 0.00 RAACD23470500 PENALTY 0.00 FAACD23483000 LIBRARY 0.00 RAACD23471100 PARKS & REC. 0.00 RSKCD23435500` 1 CONSERVATION 0.00 GAA 00020116 DEMO FEE 15.00 RAACD23430600 TOTAL FEE 30.00 _Issued:i ECD-05/07/91 Permit/'Receipt # B-022231 CO Q f - CERTIFICATE OF EXEMPTION FROM WORKER'S COMPENSATION INSURANCE OWNER -BUILDER DECLARATION -" (This sectionineed net be completed d the permit is for one hundred dollars. ($100) or less.) 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason, l certify that of the work for which this permit Is issued; I shall not employ any Pelson m so as to become ffSec. 7031.5) Business and Professions. Code: Any city or county which requires a permit any manner so as to become subject to Workers Compensation Laws. to construct, alter, improve, demolish,. or repair any structure. prior to its :issuance,: also Date requires the applicant for such permit to file a signed statement that he is. licensed to of NOTICE TO APPLICANT Il; after making this. Certificate of. Exemption, you should become. suhlect to. the pursuant to. the provisions of the Contractor's License .Law, (Chapter 9) (commencing lidw Worker's Compensation provisions of the Labor Code, you must forthwith comply with such prowsions or 9 ,l this permit shall be deemed revoked. Section 7000) of Division 3 of the Business and Professions Code, or that he is exempt I LICENSED: CONTRACTORS DECLARATION therefrom and the basis for the alleged .exemption. Any violation. of Section 703t.5 by any I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division applicant for a permit subjects the applicant to a civil penalty of not more than five 3 of me Business and Professions Code, and my license is in full force and t effect. hundred dollars. ($500).Jr License Number Llc. Class. of . as owner of the property, or my employees with wagesas their sole compensation, Contractor Data will do the work, and the structure is not intended or offered for sale. (Sec. 7044) i t am exempt Iromithe licensing requirements as 1 am a licensed architect or c registered professional Business and Professions Code: The Contractor's License Law does not apply to an owner engineer acting in my piolessional capacity (Section 7051. Business. and Professions Code), of property who builds or improves thereon, and who does Such work himself or through {{}t Uc: or Reg. No. Date his own employees, provided thatsuch improvements are not intended or offered for save. f" - THIS BOX FOR REGISTER VALIDATION ONLY It, however, the building or improvement is sold ainhm one year of completion,the ownerlbudder will have the burden of proving that he did not build or improve for j the purpose of sale. ❑ 1, as owner of the property, am .exclusively contracting with licensedcontraclars to 1. i construct. the project. (Sec.. 7044) Business and Professions. Code. The. Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who •:' '` contracts for such prolects with a. contractorts) licensed pursuant to the Contractor's License I ..Law r.. i ❑ I am exempt. under Sec. B- & P.C. for this reason 3127/66 r%Rag91 00s/ .0 3a d.00 BG 22 ateBU 1_0 L ,Kt� 1.. ner CONSTRUCTION LENDING AGENCY i hereby affirm thatthere is: a. construction lending agency for the performance of the work .' for which this permit is issued .(Sec. 3097. Cw C.). ' Lender's Name t - Lenders .Address r I WORKER'S COMPENSATION DECLARATION I certify that Ihave read this application and slate that theabove information is correct. f hereby affirm matI have a certificate of consent to selhnsure, or a cemfcate of Workers Compensation Insurance. I agree to comply with ail city ordinances and State laws relating. to building construction. + - or certified copy thereof lSec 3800, tab C) and hereby a Ihonze reprpae� tativps of this city to enter uponthe above mentioned property POLty No f Company for .so Im our csas (5-'l� �— �_�� ❑Certified copy is hereby furnished i i Certified copy is filed win the city building aisPectmn department. Signature of Applicant 1 Date Dale. Applicant t' If work is not commenced 180 days from date of issue of this permit, or if Nd". V 3 9 8 1' work is abandoned for more than 180 days,- this. Permit shall be null and void ( WHITE COPY - INSPECTOR, BLUE COPY - COUNTY;. GOLD COPY - OFFICE, GREEN COPY - APPLICANT, PINK COPY - TREASURER 9 FORM 140•132v.'i2a9 INSPECTOR