MEMBERSHIP APPLICATION FORM

 

 
Category 1
 
Category 3
 
Category 4
 
S C B A
7740 Painter Avenue Suite 205
Whittier, CA 90602
Phone: 562-320-3600
Fax: 562-320-3603
E-Mail:  SCBA@SoCalBuilders.org
 

Please fill out the form for Membership. Someone will be contacting you as soon as possible.
* indicates Required Fields.

*Company Name
*Business Address
*City *Zip Code
*Name of Contact
Mailing Address (If Different)
City Zip Code
*Phone:
( )   - Ext.
Fax Number
( )   -
*Email *Verify Email
Name of Officers/Partners
Contractor's License #
*Classification Code(s) (See Chart Below)
Number of Employees Years in Business
Worker's Comp Provider

Membership

Auxiliary Membership:  Fees are $50.00 pr year.  An Auxiliary Member shall not be entitled to vote, hold office in the Association, or have any other priviledges except as expressly determined by the Board of Directors.  In order to be an Auxiliary Member you must (1) Have a State Fund Workers Compensation Policy, (2) Be a licensed contractor, (3) Meet the criteria for our group program, which is a loss ratio of 50% for the two most recently completed policy years and an experience modification of 110% or less.  (Exceptions are at the discretion of the State Fund), and (4) A loss of your State Fund policy is grounds for non-renewal of your auxiliary membership; you may convert it to another class of membership.

MEMBERSHIPS ARE SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS:
1.  Membership shall be for one year.
2. This application is subject to the approval of the Membership Committee and the Board of Directors.

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Additional Comments

California Contractors License Classification Codes (list all that apply)

A GENERAL ENGINEERING
C36 PLUMBING
D28 DOORS, GATES & ACTIVATION DEVICES
B GENERAL ENGINEERING
C38 REFRIGRATION
D29 PAPERHANGING
C39 ROOFING
D30 PILE DRIVING & PRESSURE FOUNDATION JACKING
D31 POLE MAINTENANCE
C2 INSULATION & ACOUSTICAL
C42 SANITATION SYSTEMS

D32 POWER NAILING & FASTENING

C4 BOILER, HOT WATER HEATER & STEAM FITTING
C43 SHEET METAL
D34 PREFABRICATE EQUIP
C5 CARPENTRY, CABINETS
C45 ELECTRICAL SIGNS
D36 POOL & SPA MAINT
C7 LOW VOLTAGE SYSTEMS
C46 SOLAR
D37 SAFES & VAULTS
C8 CONCRETE
C47 MANUFACTURED HOUSING
D38 SAND BLASTING, WATER BLASTING
C9 DRYWALL
C50 REINFORCING STEEL
D39 SCAFFOLDING SHORING
C10 ELECTRICAL
C51 STRUCTURAL STEEL
D40 SERVICE STATION EQUIP. & MAINT
C11 ELEVATOR
C53 SWIMMING POOL
D41 SLIDING & DECKING
C12 EARTHWORK & PAVING
C54 CERAMIC & MOSAIC TILE           
D42 SIGN PAINTING & INSTALLATION
C13 FENCING
C55 WATER CONDITIONING
D48 THEATER, SCHOOL EQUIP
C15 FLOORING & FLOOR COV
C57 WELL DRILLING
D49 TREE SERVICES
C16 FIRE PROTECTION
C60 WELDING
D50 TRANSLUCENT PANEL & SUSPENDED CEILINGS
C17 GLAZING
C61 LIMITED SPECIALTY IS ONE OF THE FOLLOWING
D53 WOOD TANKS, COOLING TOWER
C20 WARM AIR HEATING VENT & A/C

D52 WINDOW COVERINGS

D56 TRENCHING ONLY
C21 BUILDING MOVING & DEMOLITION
D3 AWNINGS
D59 HYDROSEED SPRAYING
C23 ORNAMENTAL METALS
D4 CENTRAL VACUUM SYS & FILTERS
D60 AIR & WATER BALANCING
C26 LATHING
D5 COMMUNICATION EQUIP
D63 CONSTRUCTION CLEAN-UP
C27 LANDSCAPING
D6 CONCRETE RELATED SERVICES
D64 NON-SPECIALIZED
C28 LOCK & SECURITY EQUIP
D8 DOORS & DOOR SERVICES

D65 WEATHERIZATION & ENERGY CONSERVATION

C29 MASONRY
D9 DRILLING, BLASTING, OIL FIELD WORK
ASB ASBESTOS CERTIFCATE
C31 CONSTRUCTION ZONE / TRAFFIC CONTROL
D10 ELEVATED FLOORS
HAZ HAZARDOUS SUBSTANCE REMOVAL
C32 PARKING & HIGHWAY IMPROV
D12 SYNTHETIC PRODUCTS
HIC HOME IMPROVEMENT CERTIFICATE
C33 PAINTING& DECORATING
D16 HARDWARE, LOCKS & SAFES
a
C34 PIPELINE
D21 MACHINERY & PUMPS
a
C35 PLASTERING
D24 METAL PRODUCTS
a

If you have already inquired about becoming a member and know that you qualify, the next step is to fill out an Application Form . Please fill out this form and return to the SCBA Office.

Download/View SCBA Application Form

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