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Home My WebLink About15222 Pipeline Ln - CofO (5)�CITY GF IwlUNTINGTON BEACW F 2000 MAIN ST. DEPARTMENT OF ,, ' HUNTINGTON BEACH, CA 92648 NT COMMUNITY 190 - CALIFORNIA926 P.O. BOX 190 - ALIFURIA. rJ2648 ///""' (714) 5363241 c ;01 E L E C T R I C A L P E R 14 I r' Permit number: E009033 B1dg.Permit 000000 PC # Bldg Address: 15222 PIPELINE Tract NA Lot NA Block NA ;`- EXIST. BLDG. Building Use INDUSTRIAL Owner Contractor RAVEL' t4OLD DENNISON ELECTRIC SATE 317 W. 16TH E NEITP ORT BEACH CA 92663 PH.-( )892. 953 PH. (714)548-4405 St.No- 400498 C"110 City Lic. A116730 Co"mments:-ELECTRIC ONLY Appl.Da_te 09/07/89 — ---- Approved ----------------------------•------R--•------------------------ — ,---- Issued GH 09/07/89 Issue Receipt # 280719 _ -..---------- ------ ----------------------------- €; 1 � INSPECTION FEES r t Description Qty Amount Description Qtp Amount Fixtures 1-20 20 11.00 Fixtures > 20 19 6.65 Outlets 1-20 20 11.00 Outlets > 20 --- —----------- — 25 8.75 _------------- — -- —-------------------- Tot Inspection -------- - 37.40 _lancheck 0.00 Processing 10.00 Total Fees _ 47.40 r j i f C 1 is I zt OWNER -BUILDER DECLARATION G: I hereby affirm ._that .I am exempt from the Contractor's License Laws for the following reason ?y WORKER'S COMPENSATION DECLARATION ((See 7031.5) Business .and :Professions Coder Any city or county which requires a I hereby affirm 'hat 1. have a certificate of consent to self insure, a a certificate of Worker's permit to construct, alter, improve, demolish, or repair anystructure, prior to Its Compensatkn h,urence,or a certified copy thereof (Sec.3900, Lab. C). issuance, also requ,„s the applicant for such permit to file a signed statement that -( he is licensed pursuant to the provisions of .the Contractor's License Law. (Chapter 9) 1. 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 Section 7031-5 by any applicant for a .permit subjects the. applicant to a ❑ Cerlif'Bd copy in filed withthe city building inspec0on department civil penalty of not more than five hundred. dollars.. ($500).1: D f Applicant 111, as owner of the property, or my employees wi:h wages as their. We wmWansatbrl, will do k nd the smlcture is not intended or olfered for sale. (sec.. 7044) Business .and 1 a e. CERTIFICATE OF EXEMPTION FROM WORKERS the wor , a Professions Code: The Contractor's. License Lawdoes not apply to an owner of himself or through ?� 1 COMPENSATION. INSURANCE property who builds or improves thereon, and who does such work his own employees, that or offered �, lent sold are not.: intended (Thin. section need net be completed if the t is for one hundred: dollars ($100).or Isss.) ompkt petite path Is of thefor sale. If, however, if•e building or improvement !s sold within one year o! completion, the building I certify that in the performance of the work for which thIs permit is Issued, I .shall not ownerbuilder will have the burden of proving that: hedidnot build or improve for the employ ny. person many manner so as to become subjoc o V�\ark/g�.)s CompensatiQh Laws:: - purpose of sale: ❑ the am exclusively contracting with licensed contractors to construct ate L-v, Applicant — Y of lion. rwstloukl become i' to b.Improves, -T0 APPLICANT: U after making his Cart ix:a P Y A - 1, as owner, of property, the. project (Sea 7044). Business and ProfessionsCade: The Contractor's. License Law F to of P Y who builds. or thereon and who 1 NOTICE ,. the Workers anon uvisions of .the,, Labor Code, You.. must. .forthwith:. sub .E to Compensation A 1e, does not o 1 owner property PP Y ro p actor's r acts with a contractor(s) licensed pursuant to the Contractor's for such o ) ..: contracts projects - with or ttus permit sfta!1 be deemed revoked om .vth such provisions e W WY M � w ... Li La license , - UCEKSED CONTRICTORS DECV'iATION ❑ I am exempt. under Sea-- , B. & P.C. for. this I hereby affirm that I .am licensed under provisions of C'aptar 9 (commencing with Section mason Date Owner - 7000)'of Division 3 of the Business and Professions Cd ons ot .and my license is In full 6orce and .CONSTRUCTION LENDING AGENCY effect: `^ la lk. C ss construction lending agency for the performance of the work t them Is c a9 9 Y - e aflirto the he hereby 'v. .. for this sea 3097 Ci C ) LkenseNu bet _ _ i�• which ,l permit P Lender's Name_.. Contract{te� ``y.Date Lerldet's Address information Is I s .. a kcerued arofxtec t or a r .,tare x r, lr re rements as I ag a am l eme zr 4x.. this and state that the a bone correct, r that I have read application ,;. Ice Id Y professional. engineer .acting. in my professional capady (Section 7057, Business and l sneer ague to comply with all city ordinances and .State laws relating to building construction, and - Professions Code). hereby authorizer esentatives of tNs city to enter upon f abavo-mentioned property for. Date _�__ utposection s pp Llc. or Reg. No. f� . Sl lure at Applicant or Agent Date WHITE COPY - INSPECTOR, BLUE COPY - COUNTY, GOLD COPY - OFFICE, GREEN COPY - APPLICANT FORM 140-Rev, e/es INSPECTOR lt, _ Permit number Address INSPECTION APPROVAL 6UILDING PERMIT APPROVALS Approval Init Date Foundation ELECTRICAL PERMIT APPROVALS` Approval Init Date Conduit Floor Slabs Wiring Sheathing Fixtures Framing Power Lath/Drywall Fin Brown Coat Jtil. Not Parking PLUMBING PERMIT APPROVALS Approval Init Date - - - - - - --- - - - Grnd. Plm. Landscaping Landuse Cond. Final Rough Plm. Utility"Rel. Gas Piping Grnd. Water SWIMMING POOL PERMIT APPROVALS Approval Init Date ------ --- O. K. Gunite Cesspool Septic Tank Rough Elec. Sewer Gas Test Gas Test P Trap Final Elec. Final Utility Rel. Fencing/Gate MECHANICAL PERMIT APPROVALS Approval Init Date - - - - - - --- - - - Rough Heat O. K. Plaster Pool Final J-Boxes, Cover Gas Test Final Utility Not. R I t t t r f" r j i s { i : ELECTRICAL PLAN} CHECK WAIVER REQUEST I understand that the project described below requires electrical. ?' plan check. In lieu of submitting plans, I request that the;; electrical permit be issued subject to the following conditions: (v 1. Any and all code violations identified by the electrical inspector shall be corrected if required. 2. The electrical installation shall comply with the adopted° National Electric Code and the City of Huntington Beach amendments thereto. 3. This agreement shall be part of the permit and all subsequent permits which may be required. 4. The project in question consists of either: a. A new single family dwelling or a residential addition. b. Modifications to office or retail uses, including tenant improvements excluding motors, panels and services. p 4 4 Applicant ]Cate S�o2 Ii! S� Can Q1 P Job Location: Brief Description of work:n� fl i r