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Home My WebLink About101 Main St - CofO (89)0 / Njo. 067782 �. CITY OF HUNTINGTO N BEACH 2000 MAIN S7 DEPARTD E OF COMMU"!ITY DEVELOPMENT HUNTINGTON BEACH, CA 92648 P.O. Boa 100 • CALIFORNIA 92648 1 (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-020830 Bldg. Permit: B-039631 PC # 81 RD #461 Bldg. Address: 101 ___C7L� MAIN 109 Tract: NA Lot: NA Block: NA EXIST. BLDG. Building Use: COM - T.I. Owner: Contractor: HAAGEN-DAZS ICE CREM CUESTA CONSTRUCTION CO WHAKDC, INC 3400 W WARNER AVE B SANTA ANA CA 92704 Ph. t )557-5877 Ph. 557-5877 Classes: 81 St.No. 568466 City Lic. A160438 Remarks: TENANT IMPROVEMENT (OWNER, W.H.A.K.D.C.,,INC) App1•., Date.- 05/r13/94 ,,Oppirroved: JFM - ---------------------- --------------------------------- Issued: 06/07/94 ECD ---------------------------------------------------------------------------------- #E-020830 Released: 06/07/94 ECD INSPECTION FEES Description Qty Amount Description Qty Amount Outlets 1-20 12 13.20 Meters 200 54.00 Subpanel 1 16.50 PERMIT FEES DESCRIPTION AMOUNT ACCOUNT DESCRIPTION AMOUNT ACCOUNT 'INSPECTION 83.70 RAACD234301300 ------- ISSUANCE 20.00 RAACO23430BOO PLANCHECK 60.26 RAACD23430800 PENALTY 0.00 RAACD23430800 PC CO297269 15.00 ** PAID ** TOTAL FEE 163.96 Issued: 06/07/94 ECD #E-020830 Re leased : 06/07/94 ECD 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 ($100) or less.) I hereby affirm that I am ex—iol tram the Contractors License Law for the following reason. [(Sea . ertity that in the performance of the work for which this permit, is issued, I shall not employ M I certify, 7031.5) Business and Professions Code: Any city or coepiy wh2fi requires a permit to construct, person (n any manner so as. to become subject to Worker's Compensation laws. alter, Improve, demo.'ish, or repair any structure, prior to ifs issuance, also requires the applicant Date Applicant - for such permit to file a signed statement that he is licensed pursuant to the provisions Of the NOTICE TO APPLICANT: It, after making this Certificate of Exemption, you should become subject to Contractor's License Law (Chapter 9) (commencing with Section 71300) of Division 3 of the the Workers Compensation prwislons of the Labor Code, you must forthwith comply with such provision Business and Professions Code, or that he is exempt therefrom and the basis for the alleged or this permit shal a deemed revoked. exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant LICENSED CONTRA ORS DECLARATION I hereby affirm t t I m licensed under f Chapter 9 (commencing with Section 70001 of to a civil penally of not more than five hundred dollars ($500).]:. their sole compensation; will do the Division 3 of the sina s and Prot .. ode, an y license Is in full force and effect. ❑ I, as owner of the property, or my employees with wages as for (Sec. 7044) Business and Professions Code: License Nu mb r Lic. Class V work, and the structure is not Intended or offered sale. The Contractor's License Law does not apply to an avner of property who builds or Improves thereon, . Contractor Date ° and who does such work himself or through his own employees, provided that such Improvements lam axe from the lice ing requireme is as I am a licensed architect or a registered professional ' Professions Code). are not intended or offered (or sale. If, however, the building or improvement is sold within one have the burden of that he did not build or Improve engineer acling in MY Proles ai oaped (Section 7051. Business and year of completion, the owner(builder will proving Uc. or Reg. No. .Date for the purpose of sals. THIS BOX FOR REGISTER VALIDATION ONLY ❑ i, as owner of the property, am exclusively contracting with licensed contractors to construct the protect. (Sec. 7044) Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts (or such projects witF. a. a contmctor(s) licensed pursuant to the Contractor's License Law. ❑ I a a exempt under Sec.. B. ti P.C. for this reason Date Owner CONSTRUCTION LENDING AGENCY I hereby affirm that there is a coi struction lending agency for the performance of the work for which t' this permit Is issued (Sec 3097, Civ C.). Lenders Name 3158/97 7JUn94 001/12 $163.96 E020830 BUILDPERMI Lenders Addr a I certify that 1 eve d this applica.ian and at that the abo Information is correct. I agree to comply with all city rdina ces and State e1� ,rat hog uild const•uchon, a here aultlortce representatives f city I r D 6th I, e mentic d rop y forlrIn., .i._ urpo WORKER'S COMPENSATION DECLARATION \ p to' I hereby affirm that I have a certificate of consent to self it its, or a certificate of Worker's - Signatu In licant or) gen ompensation insurence,or a. certified copy thereof (Sec 3800, Lab. �h Policy No. Compa Q ❑ Certified copy is eb to., shed, ®, Q 6 7 7 8 2 E14rtified copy t. (lied lit the Ity building inspection departm L Dat Applicant If w k is not Om need. 180 days from date of issue of this per it. or if ork is abandoned for more than 180 days, this perm('. shall be null and void. WHITE COPY - INSPECTOR. BLUE COPY - COUNTY, CANARY COPY - OFFICE, GREEN COPY - APPLICANT, PINK COPY - TREASURER FORM 140.Rev, IV 9. INSPECTOR , I