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Home My WebLink About101 Main St - CofO (100)No. 072527 [:A,Me CITY OF HUNTINGTON BEACH ; ZOOO MAIN ST. DEPARMENT OF COMMUNITY DEVELOPMENT EVELOPMENT ) HUNTINGTON BEACH, CA 92648 P.O.ROx190-CALIFORNIA 92648 4 (714)536-5241 ALL INSPECTION REQUESTS MUST BE RECEIVED BY 3:30 P.M. 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-021438 Bldg: Permit: B-040329 PC Ik 138 RD M461 Bldg. Address: 101 MAIN 3A Tract: NA Lot: NA Block: NA NEW BUILDING Building Use: TI -FIRE ALARM Owner. Contractor: PRIME FINANCIAL CORP HONEYWELL INC SAME HONEYWELL PLAZ MINNEAPOLIS MNN 55408' Ph. 547-9357Classes: CIO St.No. 052926 City Lis. A011744 Remarks: FIRE ALARM SYSTEM FOR T.F. (OWNER-ABDELMUTI DEV CO) ---------------------------------------------------------------------------------- Occ. Group: Be Constr. Type: 11 FIR SP -------------------------------------------------------------------------------- Appl. Date; 09/07/94 Approved: JFM --------------------------------------------------------------------------------- Issued: 09/29/94 GHG #E-021438 Released: 09/29194 GHG -------------------------------------------------------------------------------- INSPECTION FEES Description aty Amount Description aty Amount i Outlets 1-20 16 17.60 Subpanel 1 16.50 s -------------------------------------------------------------------------------- PERMIT FEES DESCRIPTION AMOUNT ACCOUNT DESCRIPTION AMOUNT ACCOUNT INSPECTION 34.10 RAACD23430800 ISSUANCE 20.00 RAACD23430800 PLANCHECK 24.55 RAACD23430BOO PENALTY 0.00 RAACD23430800 PC CD298238 15.00* PAID #* TOTAL FEE 78.65 s Issued: 09/29/94 GHG #E-021438 Released: 09/29/94 GHG cl� "jlep CERTIFICATE OF EXEMPTION FROM WORKER'S COMPENSATION INSURANCE OWNER -BUILDER DECLARATION (This section need riot be completed if the. permit is for one hundred dollars (S100) or less.) I hereby affirm that I am exempt from the Contracturs License Law for the following mason. ](SM I certify that. in the performance. of the wod, for which this permit is issued, I shall not employ any In :o become to Workers Compensation Laws. 7031.5) Susines, and Professions Code: Any city or county which requires a permit to construct, Person any manner so as subject alter, improve, cemolish, or repair any structure. pnpr to its issuance, also requires If,- applicant Date pplicant A for such permit to file a signed statement that. he is licensed pursuant to the provisions of the NOTICE TO APPLICANT: !t, after making this Certificate of Exemption; you shoultl become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provision the Contractor's License Law (Chapter 9) (commencing with Section 7000) at Division 3 of the this permit shall eemed revoked. Business and Professions Code, or that he is exempt themliom and the basis for the alleged LICENSED CONTRACTORS DECLARATION exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant. I hereby allirrr f I m licensed under provisions Chapter 9 (commencing with Section 70001 of to a civil penalty of not more than Gve hundred dollars Division 3 of ih Busin ss d Prolessions Codan 9cease is in full force and effect. ❑ i, as owner of the properly, or my employees with wages as their sole compensation, will do the License N r work, and the structure is not intended or offered for sale. (Sec. 7044) Business and Professions Code: The Contractor's License Law does not aapN to an owner of properly who builds or Improves thereon, 2CQntract / ( and who does such work himself or through his own employees, provided that such improvements I am exe pill Iron the licensing re me is as I am a licensed architect or a registemd professional El are not intended or offered tor. sale. ll, however the building or improvement is sold within one en^,ineeessions Cade). citing in my professional pacify (Section 7051. Business and Prof year of lefion, the owner'budder wilt have the burden of proving that ha did not build or improve Lic. or Reg. tJO. Date ,far.NtcpuF�rpose of sale. THIS.BO'FFOR REGISTER VALIDATION ONLY ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sea 7044) Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds ar improves thereon, and who c0/Iaacts for such Projects aith acontract or(s) licensed pursuant to the Contractor's License Law. i ❑ 1 am exempt under Sec. 8, & P.C. for this meson Date Owner CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performan_e of the work for which this permit is issued (Sec. 3097. CIv. C.). u * 32'2;2'5 29Sa:)'?4i• i1.��Z P?'3,�J loft?�;pj F{i17L9PERYix! Lender's Nam Lender's Ad ess1 I certify th- ! havelead this application artd state that I ove information Is correct t agree to comply with ail t omJ'hjanc and Slate ws 0/[7�a','Et',�Iidin cons ruction.1d hereh authodze y rep" e ti es o thisu the boo a Gam. p d+rcrsp2�idl gp_wya WORKER'S COMPENSATION DECLARATION I hereby of that I have a certificate of consent to self insure, or a certificate of Workers ompensal' Insurance, or a certified copy thereof (Sea 380. Leh C). ` LC- {{ Y1 ignature of Applicant or gent Dale (J v Polic Company _ .Certified cony 1s hereby ed. �, ■op 072527 IVI Certified. copy is filed with the city building inspection department. hthe (l�1GY 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 huff and void. - WHITE COPY - INSPECTOR. BLUE COPY - COUNTY, CANARY COPY -�OFFICE, GREEN COPY- APPLICANT, PINK COPY - TREASURER FORM 140-Rev:121e9 INSPECTOR -