HomeMy WebLinkAbout2ND ST W 450 02/29/2018CITY OF TUSTIN PAID
- Community Development Department - Building Division .AUG `F 9, 2018
300 Centennial Way, Tustin CA 92780
Building Counter (714) 573-3131- Inspection Recorder (714) 573-3141 CITY OF TUSTIN
CASHIER
BUILDING PERMIT NUMBER: BR -2018-00300 ADDRESS: 450 SECOND ST
ASSESSOR'S PARCEL NUMBER: .401-362-20 ISSUED BY: ROBERT CHAVEZ
DEVELOPMENTAREA: NO COMMERCIAL DISTRIC DATE ISSUED: -08/29/2018
PROPERTY OWNER EDWARD WELLMAN
450 SECOND
TUSTIN, CA 92780
APPLICANT CONTRACTOR
EMILIO ESPINOZA E & E ROOFING INC
I8912 CENTER, ORANGE, CA 92869 18912 CENTER, ORANGE, CA 92869
JOB DESCRIPTION: TEAR OFF ROOF, REPLACE WITH GAF SHINGLE
OCCUPANT LOAD:
RESIDENTIAL SOFT
GARAGE SQ FT:
ROOF SQ FT:
NUMBER OF UNITS:
NUMBER OF SEATS:
FEE SUMMARY
BUILDING PERMIT - DIGITIZING /
SCANNING FEE
PLANNING INSPECTION FEE -
BUILDING
STATE BUDDING 1473 FEE
O.CF.A Number
OCCUPANY GROUP:
COMMERCIAL SQ FT:
OFFICE SQ FT:
TENANT IMPR. SQ FT:
NUMBERDF STORIES:
$4.05 BUILDING PERMIT FEE
$28.80 SB1473 CITY FEE
$0.90
CONSTRUCTION TYPE:
INDUSTRIAL SOFT:
0
0 WAREHOUSE SQ FT:
0
0 CBC EDITION:
2013
0 BUILDER VALUATION:
. VALUATION:
$8,000.00
TOTAL FEES: $213.89
$144.00 PERMIT ISSUANCE FEE- $35.00
BUILDING
$0.10 SEISMIC STRUCTURAL FEE- $1.04
RESIDENTIAL
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 1022071 LICENSE, CLASS: C39- Roofing Contractor
Expires Date: 12/31/2018
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 703 1.5, Business Professions Code: Any City of county
which requires a permit to construct, alter, improve, demolish, or repair any 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 Law [Chapter 9 (commencing with Section 7000) of Division 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 subjects the applicant to a civil penalty of not more than five 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, Business & Professions Code: the Contractor's License Law does 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 improvements are not intended or. offered for sale. If, however, the
building or improvement is soldmithin one year of completion, the owner -budder 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 License Law does not apply to an owner of property who builds 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:
WORKER'S COMPENSATION DECLARATION:
_ I have and will maintain a certificate of consent to self -insure for Workers Compensation,as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
_ 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. My Workers Compensation insurance carrier and Policy Number are:
POLICY NUMBER: 9200284
COMPANY: STATE FUND
(This section need not be completed if the permit is for one hundred dollars ($100) or less).
_ I certify that in the pert ante of the ork for which this permit is issued, I shall not employ any person in any manner so as to become subject m the
Worker's Compens}}t7on P sof Califomi and I agree that if I should become subject to the Workers Compensation. provisions of Section 3700 of the Labor
Code, I sh�orth fflydjrgfnply with tho ep�.t%*ons.
we to secure Workers Compensation coverage is.unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
($100,000) in addition to the cost of compensation, damages 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
behalf this application is made and each person at whose request and for whose benefitwork 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, agents and employees in accordance with the provisions of Chapter 2
of the Uniform Administrative Code I agree not to occupy or allow occupancy of an building authorizedby this permit until final inspection has been received. I
certify that I have read this application and state that the above ip 0 is cone I agree tocomply with all City and State laws relating to the building
construction, and hereby aznhorize representative of the City J,"1en Pon the a ve.mentioned property for inspection purposes.
""BUILDING PERMITS ARE SUBJ14CT TO:EXPIRA'IiON IF WORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE
OF ISSIiANCE OR IF WORK IS SUSPENDED FOR 180 DAYS...
APPLICANT (contact) N E: G t t tis S i ho �'� PROPERTY WNER yrequired)
I am the: Phone Noi y7 dame-- ��� r V11 l ! li9YI /1
t
Q Property Owner ❑ Architect „; «
1
Contractor* ❑ Engineer, _ Addie
Employee of the
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❑Owner ❑ Contractor Wel ofvnrreescomPnWiwj5 - Phori'-Number
Email Address @
CONTRACTOR: Co. Name L4 417640ICNo Lic Address , r .- C City
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State.License ;,ass 3Exp St te/Ztp Phone
"SUB -CONTRACTOR O'yrS INO Email Address
ARCHITECT: Co. Name Address City
State License ° r Cass Exp, StateZtp Phone
Email Address @
ENGINEER: Co. Name Address City
State Registration *_ Glass . Exp. State/Zip —Phone* -
Enai(Address77 7777
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f 1. 1 ii
Room addition/Alteration sq. ft. Linear feet 'of block wall (x).max 6'-8" high.
Garage 'Linear feet of retaining wall Tx) max. 6'-8" high
light -frame sq. ft. linear feet of wood fence Jx) max. 6'-8" high
masonry sq. ft_
Proposed RooflM.Material 3 0
11Wt-T , < E Patio enclosure
a $r x
ICC ER*' I S of roofing r -Patid-cb r ..... -- sq. ft.
Roof area f sq ft. ' .' ; ` s Poot €Spa sq. ft.
1 c, ,
If 7.01&. or over per sq. ft., pleaseprovidesrrudnra/analyrisbya negisreredengineer. Sign -sq. ft.
Demolition sq. ft. Skylight sq. ft. Fire sprinklers .
r
New Building Area sq. ft. Grading area . _sq. ft.
Tenant Improvement sq. ft. Occupancy Clash_._ _ Construction Type 8
a
z
0
For all waste collection bins or roll off boxes�j �i/s andatory t use CR&R Ince City's fr these waste Lamer. (lustin City 'ode 'ection 4321— Ord. No. 1325) 0
APPLICANT SIGNATURE: l� DATE:t <
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