HomeMy WebLinkAbout101 Main St - CofO (47)R C N0.070739
CITY OF HUNTINGTON BEACH
DEPARTMENT OF �
2000 MAIN ST. COMMUNITY DEVELOPMENT
HUNTINGTON BEACH, CA 92648 PO BOX 190-CALIFORNIA 92648
(7141536-5241
AL �l L INSPECTION REQUESTS MUST BE RECEIVED BY 3:30 P.M
fZ. 1
FOR THE FOLLOWING DAY' S INSPECTION. '
M E C H A N I C A L P E R M I T
Permit Number: M-015784 Bldg. Permit: B-040329 PC # RD #461
Bldg. Address: 101 MAIN 3A Tract: NA Lot: NA Block: NA
NEW BUILDING Building Use:. TI -FIRE SPRINKLERS
Owner: Contractor:
PRIME FINANCIAL CORP ALL PRO FIRE PROTECTION
SAME 1905 HENNESY
PERR IS CA 92571
Ph. 909-943-9263 Classes: C16
St.No. 629993 City Lic. A146770
Remarks: FIRE SPRINKLER SYSTEM FOR T.I.
(OWNER-ABDELMUTI DEV CO)
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' Occ. Group: B2 Constr. Type: II FIR SP =
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Appl. Date: 08/29/94 Approved:
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issued: 08/29/94GHG #M-U15784 Released: 08129s'44 GH
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I INSPECTION FEES
Description Get-y Amount Description Qt_ Amount
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Sprinkler System 45 438.75
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PERMIT FEES
DESCRIPTION AMOUNT ACCOUNT DESCRIPTION AMOUNT ACCOUNT
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CD REVIEW 13.00 RAACD23433800 ISSUANCE 20.00 RAACD23433800
PLANCHECIf 0.00 RAACD23430900 PENALTY O,OU RAACD2343U9U0
FIRE P:tOTECT 438.75 RAAFR30170500 FARE COPY 1.00 GUUFR30122526
TOTAL FEE, 472.75
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Issued: 08/29/94 GHG #M-015784 Released: 08/29/94 GHG fj, �55 _T
CERTIFICATE OF EXEMPTION FROM WORKER'S COMPENSATION INSURANCE OtiVNER•BUI ER DECLARATION
(This section need not be completed if the permit is for one hundred dollars. IS 100) or less.). I hereby affirm that I amexempt from the Contractors License taw for the following reason. [(Sea
I certify that in the performance of theworkfor .which this permit is issued,! shall .not employ any 7031.5) Business and Professfons Code: Any city or county which requires a. permit to construct,
person in any mannsr so as to becomesubject to Workers Compensation Laws. alter,. improvo, .demolish, or repair any structure, prior toits issuance, alsorequires.. the applicant
Date Applicant for such permit to file a signed statement that he is licensed pursuant tothe provisions of the
NOTICE TO. APPLICANT: If, after making this Certificate of .Exemption, you should become subject to Conhactors License Law (Chapter 9) (commencing with. Section 7000) of Division 3 of the
the Workers Compensation Provisions of the Labor Cede, you must forthwith comply. with such provision 8
or this permit shall be deemed revoked,. Business .and Professions -Code,. a bias he is exempt therefrom and the basis for Ihe..al/eg n I ;
I LICENSED-0ONTRACTORS DECLARATION exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the apPit I
1 ftereby affirm that t am .licensed. under prarisi0ns of Chapter 9 acommencing. with Section 7000) of to civil penally of not more than five hundred dollars (5500).];
`. Dlviston.3 of the Business and Pmfessfons Code, and my license is In full force and effect I, as owner of the property, or my employees will, wages as their solo compensation, will do the .i
Lic. Cias work, and the sln'cture is cot.. intended. or offered for sale. (Sec, 7044) Business and Professions Code:
License Numba / The CorY,mclor's I. erase' Law does not. apply to an owner at property who builds or improves thereon,
nlram r A' r Date__ and'who does uch vrak himself or through his own employees, provided that such improvements _
1 am exempt tram the licensing requirements as I am a iicersed architect or a registered professional are not i ded a offerad for sale, If, how_ver, the building or improvement is sold within one
eniiineer acting in my professional capacity (Section 7051,'Justness and Professions Code). yeas omplelion, the amer/builder will have the burden of proving that ne did not bond or improve iY
Lic. or Reg. No... Date re purpose of sale. -
L esowner of the property, am exclusively contracting with licensed contractors to construct the lF
_ �. project. (Sec. 7044) Business and Protesslons Code. The Contractor's license Law does not apply
THIS BOX FORflE015TER VALIDATION ONLY 1
to an owner of properly who buildsar improves thereon, and who contracts for such projects ;Will
a conhacfor(s) licensed Pursuant to the. Contractor's License Law.
❑ I am exempt under Sec. , B. & P.C. for this reason s
Date Owner.
CONSTRUCTION LENDING AGENCY O -
I hereby affirm that there is a construction lending agency for the performance of the workfor which
this permit is issued (Sec. 3097, Cw. C.). i
enders".Name._
3241/69 J90ug94 001/12 $47E.75 M015784 Bl1IL PER enderaAddreee;
S a i tT -: a, q I certify that.I have. read this application and state that the above information is cortectl agree to comply
icy .,.^ xr .t; ► w� f with'ali city ;ordinances and State laws relating to construction, and hereby authonze
represenlati;es of IN r,y rater u a e nod -pert for inspect! ur
WO R'6 CbMP 14SI�ld*ECLARATION �� P Y c ` �' g
jj$$ Signature. pplfcent or Agent Date
I hereby alfi that I have a certtficatther ofo self hsure, or a certificate of Workers
ompensatlo nsurence, or. a cartdted copy thereof (Sec: 3800 Lab. C).
PoIKy]rl >ti bT£F'tp'F rr' e4231.+.any 1 1 ,??" &rf
rtdred copy Is hereby furnished NO- 07073Q a 1
Certified copy is filed with the city building inspection department. �J .J a J a 1
Date Applicant
If work is not commenced 180 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.
1 WHITE COPY - INSPECTOR. BLUE COPY - COUNTY, CANARY COPY OFFICE, GREEN COPY -APPLICANT, PINK COPY -TREASURER
FORM 140-Rar12189 'NSPEC 1yR