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Home My WebLink AboutCALIFORNIA ST 330 04/04/20110 ur i usun Community Development DepaAmeM Certificate of Appropdatenssa ft,,aed W.1 'TA:N KI SS wh-rr✓t2 H�:�Tt-�Z The $ I F , ore work iiwof, krp it wnwM to at mat ware {rcara.a to ow C* of Tustin Hiram cal MeaeeaaSM Rapgt p No 4 Yea. Struck"(s) SWW.R trig EVLY/1 L_ �LoLGN /� Q�y C In aooaeanoa with orakwtte Na too,. thOC4mmundy D«alaom" Dooar.Mru Irda and aeamana teal (� The proposed work conlomr to Ow Municipal Coo and aa4aaalwe eaNpr standards, it applicable. pa The proposed work does not adversely affect tM charaepr of No dlabW or N Designated Cultural Resourceswltlgn the district. The proposed work ,s hamronlow with existing wnoundi gs In terms ot appropriateness of materials, {caw, aim. MIgM, platy ka,R and use of a new building or structure In relationship to eds" tttdl0klg{ and {iftrCa/ea and ala, surfoundmg selling. App, ., Date: G 26 tl - 6 (5 83 Lv� LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am a licensed Contractor under the provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code, and my license LICENSE NUMBER: 445220 LICENSE CLASS: C10 C20 C46 Expires DATE:02/29/2012 OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business Professions Code: Any City or county which requires a perm structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License L; 3 of the Business & Professions code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit at hundred dollars ($500.00). I as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Section 7044, Busi not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvemem building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purposes of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Licei or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractor's License Law). I am exempt under Section Business & Professions Code for the following reason(s): Owner Signature: Date: WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the w( I have and will maintain Worker's Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Number are: POLICY NUMBER: WC596946800 COMPANY: ZURICH (This section need not be completed if the emit is for one hundred dollars ($100) or less). I certify that in the perfortnan of t work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensal Subject to the Workers C5mpcns,*ionVrovJ& ofEecrion 3700 of the Labor Code, I shall forthwitl�eomply )vith Po)e provisions WARNING allure to secure orkers Compensati coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (` as provided or in Section (3 0) of the Labor Cod , interest and attorney fees. IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. Each person upon whose behalf this applicatir benefit work is performed under or pursuant to any permit issues as a result of this application agrees to, and shall, indemnify and hold harmless the City of Tustin, its officers, agen Chapter 2 of the Uniform Administrative Code. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection has been received. 1 certify information is correct. I agree to comply with all City and State laws relating to the buil construction, and hereby authorize representative of the City to enter upon the above m A,,ih—i—rl AYD,1-1 / _. "A 7 r7`-- nate ***BUILDING PERMITS ARE SUBJECT TO EXPIRATION IFAf ORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE OF ISSUANCE OR IF WORK ISS ENDED FOR 180 DAYS*** BluMi)i9 pe'riat5 31). b6 Aiise. Revenue O.C.F.A. Number.........: :5.40 Aui in iiil I'a'rrlit5 CITY OF TUSTIN bb' +b 0 OCCUPANCY GROUP: Community Development Department — Building Division CONSTRUCTION TYPE.: 300 Centennial Way, Tustin CA 92780 RESIDENTIAL SQ.FT: Building Counter (714) 573-3131 — Inspection Recorder (714) 573-3141 BUILDING PERMIT NUMBER: C2011-0083 ADDRESS: 330 CALIFORNIA ST TUST SUITE ASSESSOR'S PARCEL NUMBER: 401-364-01 SUITE NUMBER...: LOT NUMBER ................................: TRACT NUMBER.: DEVELOPMENT AREA ................: TUSTIN OLD TOWN ISSUED BY ............. 0 DATE ISSUED.......: 04/04/2011 PROPERTY OWNER ......................: FERREIRA ROBERT & PATRICIA 0 20212 19TH DR SE #C 0 SIMI VALLEY CA 93063-3964 NUMBER OF UNITS: CONTRACTOR ARCHITECT MDDR INCDBA ECONO AIR V / 4915 E HUNTER AVENUE NUMBER OF SEATS: ANAHEIM, CA 92807 VALUATION...: (714)695-6661 BUILDER VALUATION: $0.00 JOB DESCRIPTION: REPLACE AND RELOCATE GAS WATER HEATER TO NEW TANKLESS WATER HEATER, NEW I LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am a licensed Contractor under the provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code, and my license LICENSE NUMBER: 445220 LICENSE CLASS: C10 C20 C46 Expires DATE:02/29/2012 OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business Professions Code: Any City or county which requires a perm structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License L; 3 of the Business & Professions code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit at hundred dollars ($500.00). I as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Section 7044, Busi not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvemem building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purposes of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Licei or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractor's License Law). I am exempt under Section Business & Professions Code for the following reason(s): Owner Signature: Date: WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the w( I have and will maintain Worker's Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Number are: POLICY NUMBER: WC596946800 COMPANY: ZURICH (This section need not be completed if the emit is for one hundred dollars ($100) or less). I certify that in the perfortnan of t work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensal Subject to the Workers C5mpcns,*ionVrovJ& ofEecrion 3700 of the Labor Code, I shall forthwitl�eomply )vith Po)e provisions WARNING allure to secure orkers Compensati coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (` as provided or in Section (3 0) of the Labor Cod , interest and attorney fees. IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. Each person upon whose behalf this applicatir benefit work is performed under or pursuant to any permit issues as a result of this application agrees to, and shall, indemnify and hold harmless the City of Tustin, its officers, agen Chapter 2 of the Uniform Administrative Code. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection has been received. 1 certify information is correct. I agree to comply with all City and State laws relating to the buil construction, and hereby authorize representative of the City to enter upon the above m A,,ih—i—rl AYD,1-1 / _. "A 7 r7`-- nate ***BUILDING PERMITS ARE SUBJECT TO EXPIRATION IFAf ORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE OF ISSUANCE OR IF WORK ISS ENDED FOR 180 DAYS*** O.C.F.A. Number.........: OCCUPANT LOAD: 0 OCCUPANCY GROUP: R CONSTRUCTION TYPE.: RESIDENTIAL SQ.FT: 0 COMMERCIAL SQ FT: 0 INDUSTRIAL SQ FT: 0 GARAGE SQ FT: 0 OFFICE SQ FT: 0 WAREHOUSE SQ FT: 0 ROOF SQ FT: 0 TENANT IMPR. SQ FT: 0 OTHER SQ. FT: 0 NUMBER OF UNITS: 1 NUMBER OF STORIES: 0 CBC EDITION: 2010 NUMBER OF SEATS: 0 VALUATION...: $0.00 BUILDER VALUATION: $0.00 FEE SUMMARY PLAN CHECK $0.00 BUILDING PERMIT: $0.00 PLN INSP.: $0.00 MECH PERMIT: $0.00 PLUMBING PERMIT: $66.96 ELEC PERMIT: $39.66 SIGN PERMIT: $0.00 GRADING PERMIT: $0.00 PRIVATE IMPR: $0.00 NEW DEV. TAX: $0.00 TSIP ZONE A FEE: $0.00 TSIP ZONE B FEE: $0.00 SMIP FEE: $0.00 MICROFILM FEE: $5.40 OCFA FEE: $0.00 PENALTY FEE.: $0.00 REFUNDABLE BOND: $0.00 MISCELLANEOUS: $0.00 PLN REVIEW: $0.00 - TOTAL FEES: $112.02 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am a licensed Contractor under the provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code, and my license LICENSE NUMBER: 445220 LICENSE CLASS: C10 C20 C46 Expires DATE:02/29/2012 OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business Professions Code: Any City or county which requires a perm structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License L; 3 of the Business & Professions code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit at hundred dollars ($500.00). I as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Section 7044, Busi not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvemem building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purposes of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Licei or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractor's License Law). I am exempt under Section Business & Professions Code for the following reason(s): Owner Signature: Date: WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the w( I have and will maintain Worker's Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Number are: POLICY NUMBER: WC596946800 COMPANY: ZURICH (This section need not be completed if the emit is for one hundred dollars ($100) or less). I certify that in the perfortnan of t work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensal Subject to the Workers C5mpcns,*ionVrovJ& ofEecrion 3700 of the Labor Code, I shall forthwitl�eomply )vith Po)e provisions WARNING allure to secure orkers Compensati coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (` as provided or in Section (3 0) of the Labor Cod , interest and attorney fees. IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. Each person upon whose behalf this applicatir benefit work is performed under or pursuant to any permit issues as a result of this application agrees to, and shall, indemnify and hold harmless the City of Tustin, its officers, agen Chapter 2 of the Uniform Administrative Code. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection has been received. 1 certify information is correct. I agree to comply with all City and State laws relating to the buil construction, and hereby authorize representative of the City to enter upon the above m A,,ih—i—rl AYD,1-1 / _. "A 7 r7`-- nate ***BUILDING PERMITS ARE SUBJECT TO EXPIRATION IFAf ORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE OF ISSUANCE OR IF WORK ISS ENDED FOR 180 DAYS*** POST THIS SIDE OUT AT JO.B,SITE, r Community Development Department - Building Division INSPECTION RECORD Schedule inspection one work day in advance. To schedule inspections please Fax 7141573-3129 or Call 71415733141 Provide the following information: (1) Permit number, (2) Job address, (3) Type of inspection, (4) Day/date you need the inspection. JOB ADDRESS: PERMIT NUMBER: BUILDING PERMITS ARE SUBJECT TO EXPIRATION IF WORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS** BUILDING INSPECTIONS - COMMENTS FIXTURE COUNTS INSP DATE _ .. ... UNDERGROUND GAS PIPE UNDERGROUND SOIL PIPE UNDERGROUND ELECTRIC UNDERGROUND WATER BLDG SEWER SETBACKS/CERTS FOOTING/REINFORCEMENTS SLAB WATER SERVICE MASONRY WALL FOOTINGS MASONRY PRE -GROUT FLOOR SHEATHING ROOFING NAILING EXTERIOR SHEAR WALLS INTERIOR SHEAR WALLS ROUGH PLUMBING ROUGH MECHANICAL ROUGH ELECTRICAL - ROUGH FRAMING OCFA FIRE SPRINKLER ROUGH/HYDRO INSULATION DRYWALL GAS TEST EXTERIOR LATH SCRATCH COAT T -BAR CEILING WASTE DIVERSION REPORT TO PUBLIC WORKS SUB LIST GAS METER RELEASE ELECTRIC METER RELEASE OCFA FIRE SPRINKLER FINAL OCFA ALARMIMONITORING FINAL YES/NO? OCFA PROJECT FINAL PUBLIC WORKS FINAL PLANNING FINAL PLUMBING FINAL MECHANICAL FINAL ELECTRICAL FINAL BUILDING FINAL & OCCUPANCY APPROVED POOL & SPA INSP DATE EXCAVATIONS/SETBACKS MAIN DRAIN REINFORCING STEELBONDING UNDERGROUND PLUMBING UNDERGROUND GAS TEST UNDERGROUND ELECTRICAL GUNITE REPORT PRE -DECK PRE-PLASTER/FENCE BARRIER POOL FINAL GRADING INSP DATE PRE GRADE EROSION CONTROL SUB DRAINS/SURFACE DRAINS ROUGH GRADE FINAL (CERTIFIED) PRECISE GRADE FINAL (CERTIFIED) BACKFILL AND COMPACTION FINAL GRADING (BUILDING DIVISION) All other OCFA inspections are recorded on the OCFA Inspection Record Card. DESCRIPTION OF WORK: Effective January 1, 2005, Section 17951 (d) of the Health and Safety Code is amended to read: If the local enforcement agency fails to conduct an inspection of permitted work for which permit fees have been charged pursuant to this section within 60 days of receiving notice of the completion of the permitted work, the permittee shall be entitled to reimbursement of the por mit fees. o.:ron�nnnv PERMIT APPLICATION PO Signature; eenel OK foruanc Submittal PLAN CHECK # . lH r'��"tlfor PROJECT ADDRESS 3 CJD C�ALenCl� **DESCRIBE WORK TO BE DONE �,t uv.i', G It 0 CITY OF TUSTIN COMMUNITY DEVELOPMENT DEPARTMENT 714/573-3131 or 714/573-3132 FAX: 714/ 573.3129 iature: (culea ibmittai "Plan Check will expire in 360 days from submittal date*". l' 1 a( o,) AA LA �-A AY 5T' --,- APPLICANT Tt'` VALUATION OF PROJECT $ 11 - Ob AI�2, i APPLICANT (contact) NAME: " PROPERTY OWNER: (must complete) I am the: Phone No. Name ❑ Property Owner ❑ Architect '° 6 'i si'O �� (` D-VL-lq r ❑ Contractor * LJ Engineer Address ` 2 Employee of the Pool & Spa ❑ Owner Contractor * �� Phone Number 7 `—/ fZ% 7L ' SV c7 / *Verification of Worker's Comp. Required Sign **Plan Check willexpire in 360daysfromsubmittal date**. Email Address @ CONTRACTOR: Company Name JO 4 av < /�� Address l f S ( City State License# t- as- Class G/oJ�Exp. -2-?-/}—State/Zip S1 Phone# �0 )(93 **SUB -CONTRACTOR: ❑ YES 7 L3 NO Email Address @ ARCHITECT: Company Name Address City State License # Class Exp. State/Zip Phone # Email Address @ ENGINEER: Company Name - Address - City State License # Class Exp. State/Zip , Phone # Email Address @ Room addition/Alteration sq. ft: Linear feet of block wall max. 6'-8" high Garage Linear feet of retaining wall max. 6'-8" high wood frame sq._ft. Linear feet of wood -.fence max. 6'-8" high masonry sq. ft. Proposed Roofing Material Patio enclosure sq. ft. ICBO/ICC # of roofing Patio cover sq. ft. Roof area sq. ft. Pool & Spa sq. ft. If Nbs. or over per sq. R., please provide structural analysis by a flomsed engineer. Sign sq. ft. Demolition sq. ft. Skylight sq. ft. 11 "MUTMPRM Fire sprinklers New Building Area sq. ft. Grading area sq. ft. Tenant Improvement sq. ft. Occupancy Class Construction Type APPLICANT SIGNATURE: el- DATE: Cf / 0 TAKE -OFF WORKSHEET PLAN CHECK #: PROJECT ADDRESS: 3 Fad k C TRACT: LOT: Qty. ELECTRICAL Residential Envelope Fee by SQ FT: Yes ❑ No ❑ OUTLETS: Switches ❑ Receptacles ❑ POWER: APPAR & LARGE APPLIANCES LIGHTING: Fixtures ❑ Bath Tub: SIZE&TYPE: HP KW KVA KVAR QTY. POLE LIGHTING: Pole ❑ Platform ❑ Theatrical Type ❑ Up to 1 Incl. ❑ ❑ SWIMMING POOL SPA: ❑ Over 1 to 10 Incl. Dishwasher: ❑ SERVICES: 0-200A ❑ 201-400A ❑ 401-600A ❑ OVER 600A ❑ Over 10 to 50 Incl. ❑ ❑ Temporary Power Pole ❑ Temporary Sub Pole ❑ Over 50 to 100 Incl. Water Heater: ❑ Misc. Conduits & Conductors Water Softener: Over 100 Additional Building Sewer ❑ Other ELECTRICAL: Fire Sprinkler Heads FIXED APPLIANCES NOT OVER 1 H.P Landscaping & Irrigation Plan Check TY. OTY. Range: ❑ Heater: ❑ Gas Pressure and Regulator D.W. ❑ Oven: ❑ Other PLUMBING: Dryer: ❑ W.M. ❑ Top: ❑ FAU: ❑ W.H. ❑ Hood: ❑ Fan: ❑ Dis .: ❑ A.C. ❑ Other: ❑ Loin Qty. MECHANICAL FAU Air Furnace includes ducts & vents up to 100,000 BTU FAU Air Furnace includes ducts & vents over 100,000 to 1 Mil BTU FAU Air Furnace includes duds & vents over 1,000,000 BTU Appliance Vent installed and not included in appliance permit Compressor or Boiler up to 100,000 BTU Compressor or Boiler >100,000 BTU to 1,000,000 BTU Compressor or Boiler > 1,000,000 BTU Air Handling Unit < 2000 CFM Air Handling Unit > 2000 CFM and up to 10,000 CFM Air Handling Unit over 10,000 CFM Evaporative Cooler other that portable type Vent Fans serving a single register with up to 10 Fans Vent Fans serving a single register with > 10 Fans Hood served by a Mechanical Exhaust Registers, Inlets or Outlets Fire Dampers Dud Extension Ventilation System nota part of FAU System Other MECHANICAL: 1:211111MOUrC9 QTY. Gas Piping System 1 to 4 Outlets Toilet s ❑ Gas Piping System - Additional Outlets over & above 1-4 Bath Tub: ❑ Swimming Pool Piping (Excluding Heater & Gas Shower: ❑ Private Sewage/Septic System Wash Basin: ❑ Installation Alteration Repair Piping Kitchen Sink: ❑ Building Drain Floor Drains or Floor Sink Dishwasher: ❑ Lawn Sprinkler System, incl. Backflow Laundry Tub or Tray: ❑ Vacuum Breakers Backflow Devices 1-5 Automatic Washer: ❑ Vacuum Breakers Backflow Devices ea >5 Water Heater: i House Sewer Connection/Abandonment/Cap Water Softener: ❑ Additional Building Sewer Fire Sprinkler Heads Landscaping & Irrigation Plan Check Re -piping Potable Water Industrial Waste Interceptor Gas Pressure and Regulator Solar Heating System Other PLUMBING: In Compliance with Federal Regulations, The City of Tustin does not discriminate on the basis of race, color, national origin, age or disability. 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