The URL can be used to link to this page

Home My WebLink About101 Main St - CofO (91)No. 070048 i. CITY OF HUNTINGTON BEACH OF 2000 MAIN ST. rN,,Y DEVELOPMENT COMMUIJRY DELOPMENT I T HUNTINGTON BEACH, CA 92648 P.O BOX 1190-CALIFORNIA 92648 ` 1714) 536-52,11 ALL INSPECTION REQUESTS MUST BE RECEIVED BY 3:30 P.M. FOR THE FOLLOWING DAY' S is +SP'ECT ION , P L U M B I N G P E R M I T Permit Number: P-016562 Bldg. Permit: B-040329 PC # 38 RD #4.61 Bldg. Address: 101 MAIN 3A Tract: NA Lot: NA Block: NA NEW BUILDING Building Use: COM - T.I. Owner: Contractor: PRIME FINACIAL CORP K P C PLUMBING SAME 17332 APEL HUNTINGTON BEACH CA 92649 Ph. 840 1917 Classes: C36 St.No. 456587 City Lic. A137488 Remarks: TENANT IMPROVEMENT (OWNER-ABDELMUTI DEV CO) i INSTA-HOT WATER HEATER & LAV 1 I' -------- -----------------------------------"------------------- Occ. Group: B2-.nstr. Type: I1 FIR SP -- ---- ---- -._ ----- ---- -------- -- - APpl. Datca 06/23/94 Approved: 1K -------------------------- --- --------- --------------------- -------------------- ' h-- - Is5ul 08/24/94 ECD #P-016562 Released: 08/24/94 ECD ------------------ ---- ------------------------ -------------------- INSPECTION FEES Description Qty Amount Description Qty Amount ----- -- Kitchen/Sink Disp. 1 8.00 Water Heater 1' 10.00 --------------------------------------------------------------------------------- is PERMIT FEES 7 0990ft. Iff I9 AMUNT ACCC T DESCRIPTION AMOUNT ACCOUNT INSPECTION 20.00 RAACD23430700 ISSUANCE 20.00 RAACD23430700 PLANCHECK 7.20 RAACD23430700 PENALTY 0.00 RAACD23430700 t, PC CD297596 15.00 * * PRA I D r TOTAL FEE _ 47.20 1 1 Issued: 08/24/94 ECD #P-016562 Released: 08/24/94 EC�j�, 3D_33 i CERTIFICATE OF EXEMPTION FROM WORKER'S COMPENSATION INSURANCE OWNER -BUILDER DECLARATION [(Sec. (This section need not be completed if the permit is for one hundred dollars (S 100) or less.) I hereby affirm that I am exempt tram the Contactors License. Law for the following reason. ( certify that in theperformance: of the work for which this permit is issiit:l I shall not employ any 7031,5): Business and Professions Code: Any city or county which requires a peel( toconstruct, person in any manner so as to become subject to Workers Compensation Laws.. alter, improve; demolish, or repair any structure, prior to its issuance, also requires the ,:ppllcani Data -Applicant for such parmll to file a signed statement that he is licensed pursuant to .the provisios of the ' NOTICE TO APPLICANT: If, after making this Certificate of F_xemption. you should become subject to Contractor's License Law (Chapter 9) (commencing with Se9lion 7000) of Division 3 of the the tYorkers Compensation. Provisions of the Labor Code, you must f:rtlwith comply with such provision and the basis for Ihe alleged Business. and y violations Code, or that. he is exempt therefrom r 4 or this permit shall be deemed revoked. for exempfin.. Airy violation. of Section 703L5 by any applicant !n a permit subjects Ors applicant t .LICENSED CONTRACTORS DECLARATION I hereby affirm that 1 am licensed wrier provisions- of Chapter 9 (commencing with Section 700C) of to civil penalty of not more than five hundred dollars (5500).]: . effect. 1, as owner of the property, or my employees with wages as their sole compensation, will do the Professions Code, and my license Is in full force and ❑ Division 3 of the Business and work, and the structure is not intended or offered for sale. (Sea 7044) Business and Professions Cede: Lc ense Number ,�. Lic.Class The. Contractor's License Law does not apply to an owner of property who builds or improves. thereon, r Lid i. �� Contractn14 Date and who does such work himself or through his own employees, provided that such improvements i ❑1 am exempt fmm the licensingmquirements asl am a licensed architect or a registered professional are not intended or offered .for safe. !!, however, the building or. improvement: is sold within one engineer acting m rap capacity (Secton 7051. Business and Professions Code). year of completion, the ownegGilder will have the buenn of proving that he did not build or impre(re ? r professional Lfc, or Rea. No. Date Ix eurpose of sale. ❑ I, as owner of the property, am exclusively contracting w„n licensed contractors to construct the I + THIS BOX FOR REGISTER VALIDATION ONLY project, (Sec. 7044) Business and Professions Code: The Contractor's License Law does not apply i. to an owner of property who builds Ol Improves .(:ierl.. and who contracts for such pro]ects with i " a cnfrectiol licensed pursuant to the Contractors License Law. . B. P.C. for this reason El am exempt under Sec. ^, Date Owner CONSTRUC.fION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which i. this permit is issued (Sec. 3097, Civ, C.). f Lenders Name 2236/122 24Aua94 001/12 $4�7.20 P016562 $UTLD iF I certify that i have. read t "s application and state that the above information is correct, I agree to comply ER LendersAa Ihav with. al cot oniinanoe and Stale laws retailing to building construction, and hereby uthonze -.. ,epr rtaf es f is city enter upon the above mentioned property for trap ratlbn gryose L " WORKER'S COMPENSATION DECLARATION ? i hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers Signature of Applicant or Allow Date rr ompensation Insurance, or a. certified copy thereof (Sec. 3800. Lab. C). r+ 1, Policy No. Company Certified copy s hereby furnished. . . No.070048 _ , rtified copy is tiled Wdh the city building inspection dep n Date APplicant ,J If Work is not commenced. 180 days from dateof issulf this permit, or if work is %+A 6 abandoned for more than 180 days, this permit shall be null and void INSPECTOR. BLUE COPY - COUNTY, CANARY COPY —OFFICE, GREEN COPY - APPLICANT, PINK COPY - TREASURER / WHITE COPY - INSPECTOR .FORM 14a•Re.�. 12789 r ,l