HomeMy WebLinkAboutMYRTLE AVE 140 07/26/2018CITY OF TUSTIN
Community Development Department - Building Division
300 Centennial Way, Tustin CA 92780
Building Counter (714) 573-3131 - inspection Recorder (714) 573-3141
BUILDING PERMIT NUMBER: COMBR-2018-00213
ADDRESS: 140 NI RTLE AV
ASSESSOR'S. PARCEL NUMBER
401-541-03
ISSUED BY: ROBERT CHAVEZ
DEVELOPMENT AREA:
NO COMMERCIAL DISTRIC
DATE ISSUED: 07/26/2018
PROPERTY OWNER:
BRENTFERDIG
INDUSTRIAL SQFT: 0
. 140 MYRTLE
TUSTIN, CA
.. APPLICANT CONTRACTOR
SCOT LEWIS SCOTT LEWIS
660 3RD, TUSTIN, CA 92780 660 THIRD ST, TUSTIN, CA 92780
(714)743=9932 slewis@lewcon net
JOB DESCRIPTION: REMOVE NON COMPLIANT PATIO COVER & CHICKEN COOP, RELOCATE WASHER/DRYER, EXTEND GAS AND
WATERTO NEW W/D LOCATION TRENCH TO CONNECT TO MAIN SEWER, RE -WIRE EXISTING SUB PANEL AND RE-WME LIGHTS, PLUGS
AND SWITCHES
.
OCCUPANT EGAD:
O.C.F.ANumber
CONSTRUCTION TYPE:
RESIDENTIAL SO FT:
OCCUPANY GROUP:
INDUSTRIAL SQFT: 0
GARAGE SQ FT:
0 COMMERCIAL SQ IT:
0 WAREHOUSE SQ FT: 0
ROOFS, ET: -
0 OFFICE SQ FT:
0 CBC EDITION: 2013
NUMBER Of. UNIJS:
TENANT IMPR SQ FT:
0 BUILDER VALUATION:
NUMBER OF SEATS
NUMBER OF STORIES
VALUATION: $4,80000
FEE SUMMARY
BUILDING PERMIT - DIGITIZING /
SCANNING FEE
PERMITTEE -ELECTRICAL
PERMIT ISSUANCE FEE -
ELECTRICAL.
PLAN REVIEW -PLUMBING
PLANNING INSPECTION FEE -
PLUMBING
. -
PLANNING PLAN REVIEW -
PLUMBING
STATE BUILDING 1473 FEE
$8.10 BUILDING PERMIT FEE
$38.66 PERMIT FEE -PLUMBING
$35.00 PERMIT ISSUANCE FEE -
PLUMBING
$93.64 PLANNING INSPECTION FEE -
BUILDING
$3746 PLANNING PLAN CHECK FEF.
$37.46 SB1473CITYFEE
$0.90
TOTAL FEES: $837.79
$144.00 BUILDING PLAN CHECK FEE $100.80
$187.29 PERMIT ISSUANCE FEE- $35.00
BUILDING
$35.00 PLAN REVIEW -ELECTRICAL $19.33
$28.80 PLANNING INSPECTION FEE- $773
ELECTRICAL
$20.16 PLANNING PLAN REVIEW- $7.73
ELECTRICAL
$0.10 SEISMIC STRUCTURAL FEE- $0.63
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 Cade, and my license
LICENSE NUMBER: 543169 LICENSE CLASS: B - General Building Contractor
Expires Date: 10/31/2018
OWNER BUILDER DECLARA'T'ION
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 Comme-tor'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 Contractors License Law does not apply in 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
budding 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
Contractors 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 urn exempt under Section Business & Professions Code for the following mason(s):
(Tuner 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 Workers Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My Worker's Compensation insurance tamer and Policy Number are:
POLICY NUMBER: COMPANY:
(This section need not be completed if the permit is for one hundred dollars ($100) or less).
I 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 in the
Workers Compensation laws of California, and I agree that if I should become subject to the Workers Compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
Signature Date:
WARNING: Failure to secure Workers Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil faces up to one hundred
thousand dollars ($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 Oficial 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 benefit work is performed ander or pursuant to any permit issues as a result of this
application agrees m, and shall, indemnify and hold braless 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 any building authorized by this permit until final inspection has been received. I
certify that I have read this application and state that the above information is correct. I agree to comply with all City and State laws relating to the building
construction, and hereby authorize representative of the City to enter upon the above mentioned property for inspection purposes_
Simat"c of Owner. Contractor. or Authorized Acent Date
***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***
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