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Home My WebLink About6TH ST W 415 12/22/2015Community Developrnent Deparunem Cenliicate of Appropriateness Electric Circuit Exten` snsf� (From Existing Garag r�"` d 1xepOt.f � rrw�►...rwmloa.nt is wupu•(t) tut w.t.lnauaf w w Cft d Tr.fn ►kaon.. R•sw•css &—W ftp- 415 Q No 415 W. 6th Street, Tustif;-� ��t. �., ,r�.k 714/231-6270 in �� '�•' .�. i"°. °°, "oven�"�. oN•rmn" Nat: Tne proposed work cmMomr so ft A&MUCOM tuft WW sa4okshed dssipn pkcabk. Owners/Applicants: Jeff & Che��///=iCl s , cnar� d n«a y The proposed work is namtortkus with eXistmg surtmaicings in terms of December 22, 2015 „ appropnateness of materials" leak, size" hsVK pkesntnn. and use of a nwr • building of structure in relations" to isme" hadissps and sbuaw" and aN surr�u'dmg setting PZIi:pOSe. "', VZC fnl Date: iL/zs /f Certificate of Appropriateness & Electric Permit Permits: Electric Permit for Outdoor Outlets (3 max) and Lights C:\Us illublic\Documents`.1T'M\415 W. 6th Stmet'Pla w\Cert of Approp\151221 CERT OF APPR 415 Eket is to Yard.doc I-5 W. 6th St Pacific St Project Site Camino Real North Main St B St 0 /VC5 /v CC cut ti—gr� • CITY OF TUSTIN • PAIDCommunity Development Department — Building Division 300 Centennial Way, Tustin CA 92780 DEC 22205 Building Counter (714) 573-3131 — Inspection Recorder (714) 573-3141 CITY OF TUSTIN BUILDING PERMIT NUMBER: E2015-0187 ADDRESS: 415 W 6TH ST TUST SUITE CASHIER ASSESSOR'S PARCEL NUMBER: 401-372-24 SUITE NUMBER...: LOT NUMBER ................................: TRACT NUMBER.: DEVELOPMENT AREA ................: TUSTIN ISSUED BY ............. DATE ISSUED.......: 12/22/2015 PROPERTY OWNER ......................: THOMPSON JEFFREY R & CHERIE A PO BOX 1224 TUSTIN CA 92780-4333 CONTRACTOR ARCHITECT JOB DESCRIPTION: INSTALL 3 OUTDOOR GFCI OUTLETS & 1 LIGHT IN REAR YARD O.C.F.A. Number.........:?? OCCUPANT LOAD: 0 OCCUPANCY GROUP: FEE SUMMARY CONSTRUCTION TYPE.: PLAN CHECK 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: 2013 SMIP FEE: NUMBER OF SEATS: ?? VALUATION...: $0.00 BUILDER VALUATION: $0.00 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: LICENSE CLASS: Expires DATE: 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 pens 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 si hundred dollars ($500.00). 1 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 improvement 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). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Lice. or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractor's License Law). I am exempt un ` ection Business & Professions Code for the following reason(s): Owner Signatures t Date: WORKERS'Cb N 11dN DE LARATIO 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: COMPANY: (This section need not be completed if the permit is for one hundred dollars ($100) or less). certify that in the performance of the 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 Compensai subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature Date: WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (` as provided for in Section (3700) of the Labor Code, 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 behalfthis applicatil 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. I certify information is correct. I agree to comply with all City ane. State laws relat;pg to the building construction, and hereby authorize representative of the City to enter upon the above in IS ***BUILDING PERMITS ARE SUBJECT TO ESTIIF OR IS NOA COMMENCED WITHIN 180 DAYS AFTER DATE =01S OF ISSUANCE OR IF WSUSPENDED FOR 180 DAYS*** FEE SUMMARY PLAN CHECK $1.78 BUILDING PERMIT: ?? PLN INSP.: $0.71 MECH PERMIT: $0.00 PLUMBING PERMIT: $0.00 ELEC PERMIT: $38.56 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: $3.00 OCFA FEE: $0.00 PENALTY FEE.: $0.00 REFUNDABLE BOND: $0.00 MISCELLANEOUS: $3.00 PLN REVIEW: $0.36 TOTAL FEES: $44.41 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: LICENSE CLASS: Expires DATE: 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 pens 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 si hundred dollars ($500.00). 1 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 improvement 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). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Lice. or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractor's License Law). I am exempt un ` ection Business & Professions Code for the following reason(s): Owner Signatures t Date: WORKERS'Cb N 11dN DE LARATIO 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: COMPANY: (This section need not be completed if the permit is for one hundred dollars ($100) or less). certify that in the performance of the 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 Compensai subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature Date: WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (` as provided for in Section (3700) of the Labor Code, 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 behalfthis applicatil 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. I certify information is correct. I agree to comply with all City ane. State laws relat;pg to the building construction, and hereby authorize representative of the City to enter upon the above in IS ***BUILDING PERMITS ARE SUBJECT TO ESTIIF OR IS NOA COMMENCED WITHIN 180 DAYS AFTER DATE =01S OF ISSUANCE OR IF WSUSPENDED FOR 180 DAYS*** Description of Work The project is to provide up to three outlets and one light from the garage to the back yard, as noted in the exhibit below. The conduit will be placed 18" deep, minimum, and be GFI. The conduit and conductor will be along the white line and outlets are approximately shown as white dots below. 0 0 C: UscrstFublic Documents\TPM�415 W. 6th Street\PIamXctt of Approp\151221 CERT OF APPR 415 Flectric to YmLdoc Overall Project Site Plan 13.5' West Side Yard Setback W. 6�' t eet - - - - - —.—,—.I 40' Max. Hodse Width 140' Front Yard Setback 5 Max. House Deptf 6'.5' East Side Yard Setback4, North �,\® ®.®.®.> • r' per. i e sty c o 4� L LJ 5 Tir. ° ° .®.�.®.....®.....®....._.®.... ®.®. y ° o 0 Proposed Conduit and Conduct . $° for up to 3 Outlets ° ° ° °Existing House (Rear Yard Setback from Back of House is approximately 243') C:\UsmNPublic'Documents\TPM`A15 W. 6th StreeAPlansiCert of Approp\151221 CERT OF APPR 415 Electric to Yud.doc • CITY OF -1 USTIN PERMIT q COMMUNITY DEVELOPMENT DEPARTMENT PERMIT APPLICATION l V 7141573-3131 or 714/573-3132 FAX: 714! 573.3129 PLAN CHECK # f_ LJ� ti 5— 0- �� _ l **Plot Check will exnire in 360 drryu s from sit date**. PROJECT ADDRESS 4 l5 \AS. tom' �5� �JSTLv�1 VALUATION OF PROJECT **DESCRIBE WORK TO BE DONE 3 kXA-:,M0L f -F- GFc efmxc <5daen % 1 EX'Tt-2wP, U(pl (T APPLICANT (contact) NAME: JEW 92. Ktc�a j PROPERTY OWNER: (required) I am the: Phone No. -Tk 4'Z3l--(O2-t'O Name Jrif t2 T(,11%�ar.\ 0 Property Owner ❑ Architect ❑ Contractor + Q Engineer Address �(.tS { jpJ Employee of the ❑Owner ❑contractor(ueflcaronofWorkerrcOmP.aequrredl'` .PhoneN6mber -714 -7o Email Address ,.0 C ete @ Sic ,fX. CQU CONTRACTOR: Co. Name _ Address City State License # Class `Exp. Stafe%Zig Phone # **SUB -CONTRACTOR: ❑ YES ❑ Nc.> Email Address: ARCHITECT: Co. Name ""`" "' 4 Address. City State License t# _ _Class _ `Exp Phone # _ Email AcJdress ENGINEER: Co. Name Addrestr City State Registration # Class Exp. =State/Zlj Phone # . Emall Address Room addition/Alteration sq. ft.. Linear feet of block wall (x) max. 6'-8" high _ Garage i j Linear feet of retailing wall (x) max. 6'-8" high light -frame sq ft . ;_ Linear.,,,feet of. wood fence (x) max. 6' -8" high masonry sq. ft. _.:.. Proposed Roofing Material Patio enclosure sq. ft. ICC ER# of roofing Patio cover sq. ft. Roof area sq. ft. Pool & Spa -sq. ft. Jf 7.Olbr. or over per sq. R., please provide structural analysis by a registered engineer. Sign _ sq. ft. Demolition sq. ft. Skylight sq. ft. Fire sprinklers New Building Area _ _ sq. ft. Grading area sq. ft. Tenant Improvement sq. ft. Occupancy Class _ Construction Type I -or all Nvaste collection hins or roll off hexes, it is man tory to use CR&12 Inc., City', franchise waste harder. (Dustin City Code Section 1321 –Ord. ;N;(j. 1325) APPLICANT SIGNATURE: DATE: t2 1ZZ 11 S