The URL can be used to link to this page

Home My WebLink About118 Main St - CofO (7)I, l � i i. CITY OF HI,JNTiNGTO N BEACH 2000 MAIN ST. DEPARTMENT `rF �-' DEVELOPMENT SERVICES HUNTINGTON BEACH, CA. 92648 P.O. BOX 190 - CALIFORNIA 92649 (714)536-5241 PLUM,BIrfiG PE.IZ_l4IT:!' Permit number: P001667 B1dg.Pernit 000000 PC Bldg Address: 118 MAIN Tract NA Lot NA Block NA EXIST. BLDG. Building Use COMMERCIAL Owner Contractor OSCAR TAYLOR VALCO PLUMBING II r' SAME AS ABOVE 5048 VALENCIA DR. ORANGE CA PH. C >538-3450 ,;.-.•. �,•St.'No. 445599";........_ City Lic. A110824' .... .„ Cokiments: OVERFLOW AND ROOF DRAINS )I + A1.Dte 07/21I87 Approved pp , ------ ---------------------------------------.----------------------__---_--_------ I Issu JMS 0'7/21/87 Issue 'Receipt # 223829 -------..---------------.---------------_ , ------------------------------ ------------- FEES a` Desc Qty Amount Desc Qty Amount Water Closet 0 0.00 House Sewer 0 0.00 Bathtub 0 0.00 Shower 0 0.00 Lavatory 0 0.00 Ktch.Sink/Dsp. 0 0.00 c Gas Piping < 6 0 0.00 Gas Piping > 5 0 0.00 Water Heater 0 0.00 Dishwasher 0 0.00. Urinal 0 0.00 Sprinkler 0 0.00 Washing Mach. 0 0.00 Water Softener 0 0,00 Water Distr. 0 0.00 PTr2p/ ntisiph 0 0.00 Roof Drain 0 0.00 rFl,W6p Sink Drn 6 27.00 j Gas Meter 0 0.00` Inspection Fee 27.00 Plancheck 0.00 Processing 10.00 Penalty 0.00 } ' Total 37.00 t , OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from tha. Contractor's. License Law for the following reason. ((Sec.-70315) Business and Professions Code: Anycityor county which requires a WORKER'S COMPENSATION DECLARATION((Sao demolish, or repair any structure, prior to Its ' I hereby affirm that 1 have a. certificate of :consent to self Insure, or a certificate of Worker's permit to construct, alter, improve, issuance, also requires the applicant for such permit to file a signed statement that rj Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C).. he Is licensed Pursuant to the provisions of the Contractor's. License Law (Chapter 9) t Policy No -' Company (commencing with Section. 7000) of Division 3 of the Business and Professions Code, or that he is exempt therefrom and the basis for the alledged exemption. Any ❑ Certified copy is hereby furnished violation of Serfion 703L5 by any applicant for a permit subjects the applicant to a ❑ Certified copy is filed with the city building inspection department. civil penalty of not more than. live hundred dollars ($500).1: L] 1, as owner of the property, or my employees with wages as their sole compansation, will do , . Date Applicant the work, and the structure is. not Intended or offered for sale. (Sec. 7044) Business and CERTIFICATE OF EXEMPTION FROM WORKER'S Professions Code: The Contractor's License Law - .does not apply to an owner of COMPFNSATION INSURANCE property who builds or improves thereon, and whc does such work himself or through his own employees, provided that such Improvements are not intended or offered for 1; - (This section need not be completed if the: permit Is for one hundred dollars (S100) or less.) sale. If, however, the building or improvement Is sold within one. year cf completion, the pI I certify that in the performance of the work for whichthis permit Is issu I shall not cwnerbuilder will'' have the burden of proving that he did not build or Improve for the employ any person in any manner -so as 10 become subject to Worke Comp salior....Laws.. purpose of sale.. Date' Applicant- r '� ❑ G as owner of the property, am exclusively contracting with licensed contractors Io construct n License Law NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you sho dbecoma the project ,(Sea 7044) Business and Professions . Code: The Contractor's P does apply. to an owner of property who builds or improves thereon,. and who subject to the Worker's Compensation provisions of the Labor Code, you must. forthvrith coWracts for such projects with a contractor(s) licensed pursuant to ri a .Contractor's ' comply with such provisions tin this pemdt shall be deemed revoked. License Law. LICENSED CONTRACTORS DECLARATION ❑ I am exempt under Sea , B. fi. P.C. for this . r 1 herebyaffirm that I am licensed under provisions of Chapter 9 (commencing with Section reason Date Owner 9 7000) of Division 3 of the Business and Professions Code, and my license Is in full force. and • CONSTRUCTION LENDING AGENCY f effect 1 .hereby affirm that there is a construction lending .agency for the performance .of the work, 1 License Number Lic. Class 'or whichthis permit is issues fSea 3097, Civ. C.).. ,. } Contractor Date Lender's Name _.. Lender's Address ❑ I am exempt from the licensing requirements as I am a licensed architect or aregistered I certify that. I .have read this application and statethat the above information Is correct, n processional engineer acting in my Professional capacity (Section'7051, Business and agree to comply with allcity ordinances and Ste laws relating to building construction, and city , I nisi upon the above-m�i mod. property for `t -. Professions Code). hereby authorize representatives : of t ' tic. or Reg. No. _ Date Inspection purposes. jar C� �• fin r _—.. ' Signature of Applicant or Agent Date r WHITE COPY - INSPECTOR, BLUE COPY - COUNTY, GOLD COPY = OFFICE, GREEN COPY - APPLICANT INSPECTOR, a