HomeMy WebLinkAbout1119 Main St - CofOCITY OF HUNTINGT
01Y BEACH
2000 MAIN ST. DEPARTMENT OF
HUNTINGTON BEA( H, CA 92648 COMMUNITY DEVELOPMENT
P,0.80X 190 - CALIFORNIA 92648
(714)536,5241
EL ECTRICALL
P E R M I`T
Permit number: E005890 B1dg.Permit :
Bldg Address:
000000 PC,#
1119 MAIN
Tract NA Lot NA Block NA
EXIST. BLDG. Building Use : SFD
Owner
..
' LINDA COWAN
Contractor
CAME
POWELL CONSTRUCTION
H.B CA
476 S. CHATHAM C,IR .
' PH. (714)536-5790
ANAHEIM CA 92806
PH. (71HE632-3906
' Comments: CONSTRUCT INTERIOR CLOSET AND
St.No. 474137 B-1 CitY Lie. A121142
INSTALL METAL
ICBO # NER 181
FIREPLACE
APpl.Date 10/07/88 Approved+ ---------
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-------- - ---- ----------- --
---------------- ---- __ ._ __. ____
----•IssueMU i0/0 88 Issue Receipt I
234538
- -
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INSPECTION FEES
- ---"-"-----`
Dese QtY Amount
---- --- - -
Dese Y Amount
Fixtures 1-20 2 1 10
__r_
OL:tlets 1-20 -2- __ -
110------------------------------------------------------------------------------------
Tot inspection 2.20
Tot Inr,pet AdJ 7.80
Plancheck 0.00
Processing 10.00
Total Fees 20.00
WORKER'S COMPENSATION DECLARATION
OWNER -BUILDER DECLARATION
I.hereby affirm that I am exempt from the Contractors. license Law for the fo0owing
I hereby alarm that I have a certl(icate of conseht to *Off insure, or a certificatenf. Wgrkais
_ Compensation insurance, ora cenitied copy. thereof (Sec.380C. Lab.. C _
f.
reason.
fSec 703f.5) Business and Professions _Code, Any `city or. county which, requires a
permit to . constnrct, allot. improve, demolish, or . repair any structure,.. prior In : its
Policy No Cu pare/
iszuence, also requires fire applicant for such permit to file 'a Sit statement that
he Is licensed pursuant to the previsions of ilia Contractor's. License Law (Chapter.51
❑ Certified copy is hereby furnished. _
Q
(co.�rrmancing with Section '70001 of ^Ahslon. 3 of the Business and Professions Code,
or tr.gt he is exempt therefrom and ` the basis the alledged exemption
Certified copy Is hied with the city building inspection department
.for Any .'
vielshOl, of Section 70,115 by any applicant for a permit subjects the applicant to a
-
Date,Appucsnt, �.
civil penahy of not. roam than five hundred dollars ($500) ;:
111, as 'wrier of the property, or my employees with wa es as r' _' g pit solo compensation, Will do
CERTIFICATE OF EXEMPTION FROM WORKER'S
- COMPENSATION INSURANCE
the Work, and rho $Wcture Is not Intendedor offered rot ^ale. (Sea 70441 Business and
Plafessians Code, The Contractor's License Law 'does not apply to
(This section neat' Trot be completed it the permit is for one hundred dollars ($100) or !ass.)
an owner of '
Property who buf/ag or improves thereon, and who does such work himself or through
his awn employees, provided that such improvements are not. intended
i certify that in the .performance of. the Work tot which this. permit I$ issued, I shalt not
employ any person in any manner so as to become subject to Worker's Compen>atfon Laws
or .offered for
sale. IL however, the building or improvement is sold. wYhtn one year of compl- tion, the
ownerbuilder will have the burden of proving that he did
... :Data
not build or improve for the
purpose. of Sale.
Applicant
NOTICE TO APPLICANT, 4 after making this Cerbbcate of Exemption, you should become
Subject to the Worker's Compensation
_
the ❑ L. as owner of file P-Deny: am exclusively contracting with licensed contractors. to construct
project (Sea 7044) Juslnoss and Protasaiona Code: The Contractar r License Law
provisions of the ! abor Code, you must forthwith
- comply with such provisions or this permit shall be deemed revoked.
does not apply to an ownerof property who builds or improves thereon, and who
contracts for such projects tractorls)
- LICENSED CONTRACTORS DECLARATION -
with a CZa licensed pursuant. to the Contractor's
License . Law
I hereby affirm that I am licensed under P g
provisions of Cfia ter 9 ( commenem W'ih Section
7000) Of Division 3 the Business.
3 am exempt under Sec, 113, & PC. for this
reason
at and Professions Code, and iy license is in full force and
Date Ownereffect,
License Number Uc: Class
'
CONSTRUCTION LENDING AGENCY
1 hereby affirm fact there is a construction lending agency for the performance of the work
Contractor
for
for which this permit IS. issued ( Sea 3057, Civ. CL )•
Len-r's Name
I am exempt tram the Ace ^ quirements as I am a licensed architect 5r a registered
professional encore• actin n m professional capa ity {section 70F' Business and
Lenders A4dress _...-... _
I citify that I have read this application and staid that .Ilia aboya intorma};an is coneC4 I
Professions Code •.
Ua or Reg No.. if !Date ""' -
'X
agree to comply with all rdinance5 and State laws relating to building conseuceon, and
hereby authorize 1e entabvo of Ibis city 10 enter on the above -mentioned property for
v '
inspection Pit
lido pi nt 6r ;may Data.
WHITE COPY'- INSPECTOR, BLUE COPY - COUNTY, GOLD COPY - OFFICE, GREEN COPY - APPLICANT
INSPECTOR