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PO Boxes are not allowed
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Enter a Valid US State
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Mailing Address same as Business Address
Minimum 10 digit phone required.
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Please, enter valid e-mail address.
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List the TOTAL NUMBER OF ALL PEOPLE (including owners, officers, partners, fulltime, part-time, seasonal and 1099 independent contractors) that work in the City of El Segundo during any part of the calendar year. Use of Full-time equivalents IS NOT acceptable.
List the total of all floor space leased (rentable square footage) in the City. Exclude elevator shafts, stairwells, uncovered courts or atriums, building equipment rooms, and parking areas.
Are you the General Contractor on this job*
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Will you be using Subcontractors*
Yes
No
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Storage of Hazardous Materials*
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Planning to install or operate an Alarm System?*
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Are you sharing location with another business? *
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Is facility SIC code regulated by the IGP: *
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Opt for Paper Only (You can still renew and pay online)
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Please select the method you would like to recieve renewal notifications
Under federal and state law, compliance with the disability access laws is a serious and significant responsibility that applies to all California building owners and tenants with building open to the public. You may obtain information about your legal obligations and how to comply with disability access laws at the following agencies:
The Division of the State Architect at www.dgs.ca.gov/dsa/Home.aspx
The Department of Rehabilitation at www.regab.cahwnet.gov
The California Commission on Disability Access at www.ccda.ca.gov
Please sign your name below, using the mouse or your touch screen enabled device. To use mouse, left click and hold while dragging the mouse over the signature line.
The City of El Segundo takes your privacy seriously. Pursuant to the California Public Records Act, some of the information requested on this form will become a matter of public record once submitted. However, this form asks you to provide the City with certain personal information that is being requested and will be utilized by the City for the specific and limited purpose of future City correspondence. Unless you expressly indicate to us otherwise or unless compelled by a court order, it will not be shared with other agencies, businesses or individuals. The remaining information on this form will be kept confidential to the maximum extent permitted by law.