HomeMy WebLinkAboutC ST N 148 06/04/2018CITY 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: BR -2018-00060
ASSESSOR'S PARCEL NUMBER: 401-531-19
DEVELOPMENT AREA: NO COMMERCIAL DISTRIC
PROPERTY OWNER:
CONTRACTOR
ABSOLUTE CONTRACTING INC
27762 ANTONIO PKWY 441, LADERA RANCH, CA
ADDRESS: 148. N C ST
ISSUED BY: KIM BOND
DATE ISSUED: 03/15/2018
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,Fruit 14 1018
CITY OF TUSTIN
JOB DESCRIPTION: REROOF; REMOVE EXISTING ASPHALT, INSTALL NEW GAF SHINGLES CASHIER
OCCUPANT LOAD:
RESIDENTIAL SQXT
GARAGE SQ FT:
ROOF SQ FT:
NUMBER OF UMTS:
NUMBER OF SEATS:
FEE SUMMARY
BUILDING PERMIT - DIGITIZING /
SCANNING FEE
S81473 CITY FEE
O.C.F.ANumber
OCCUPANY GROUP:
COMMERCIAL SQ FT:
OFFICE SQ FT:
TENANT IMPR SQ FT:
NUMBER OF STORIES:
$5.40 BUILDING PERMIT FIX-
WH)
EE
$0;10 SEISMIC STRUCTURAL FEE -
.. _,x..cscl�u s.,ar.RESIDENd'IAL:
TOTALFEES: $186.17
CONSTRUCTION TYPE:
INDUSTRIAL SQXT:
0
WAREHOUSE SQ FT:
0
CBC EDITION:
2013
BUILDER VALUATION:
$11,000.00
VALUATION:
$5,875.00
$144.00 PERMIT ISSUANCE FEE- $35.00
BUILDING
$0.77 STATE BUILDING 1473 FEE $0.90
LICENSED
I hereby affirm that T ahI-2"Iiced'sett`Cdrttractnrvnderthe•provisiotrsrol-ehapteY&{euuimencing with Section 7000) of Division 3 of the Business
&Professions Code,
LICENSE NUMBER 968870 =-s- e+ -"E I?E'NS13:�CLAgS +F'39,+;gyioTing Contractor Co n runty 0"do"
Expires Date: 06/30/2018
OWNER BUILDER DECLARNFION
I hereby atr'mn that aMexGmpl,&prpthg Coptragtgr s,1..hggirsLas�for the followiulreaso�l„�cjyecc Prnfe�c;nnc C`ndP a,.v C;ro nfrnin,ty
I.:. r , rt
which requires a permit to construct, alter, improve, demolish, or repair anp„S,?;r{g,l rr r;EtlpF.ta its issuance, also squires Ute applicant Por such pormit to file a
signed statement that he err slUsischcensed pursuancto ihesprpYisipns of the Contraciots L " j - ' 4 ' jljjyyjk
of the Business & Professions code] or that he or she is exempt therefrom and f %oi0*L5 by any
applicant for a permit subjects`tireapplicarttoa_crio penalty, ofnot more than fide Pruumcd'dooms
_ I as owner of the properky ac+xarry ,rnployees-wrthwages„ac t{.pur sole compensahoR II do the work
(Section 7044, Business &'ProfisSsiohs Cbde thdie,mraetnttsf.ieense Law does pot.apply tdF�4MMlUSr�tf9pr!!}glll6llMtdl�i�M ENtl 1111}l9lflll[MM1tl
such work himself or herself"oriiiiouehlus or Tf6i` 6*fr "Mot'%ebs"oiovitl'ed't&atsucl7imnro l��i�intended oroffered forsale- If. however, the
. w
building or improvement is sold within one year of completion, the owhre-builder wit have b
purposes of sale). ..:te- ,a >ra.nrupaaa.wi. aowaotaanrasrrMt«+a.rlWY1YMM�#Mlr tI/^'
_I, as owner of the property, am exclusively contracting with licensed contractors to construcdMk0 l6l�00PWPM1MM9f14", *Professions Code; The
Contractor's License Law does not apply to an owner of property who builds or improves thgon,
�prco'"'ifiis'"n.0 err
license pursuant to the Contractor's License Law). buM7fro a anoswirntrWnrh►tMMFyWMys W fU
_ I inn exempt under Section __ __ _,, Business & Professions Code for the followinpnNra/W
Owner Signature: Date:
WORKER'S COMPENSATION DECLARATION:
_ 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 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 Worker's Compensation insurance carrier 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 o'f'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 QQwKns;ati. n la of California, ands agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor
T}
crompty wtm Mose pro ions.
V Date: 3 _
ire to S orker'sompe�verage is unlawful, and shall subject an e nploy.6 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 mrd each person at whose request and for whose 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, 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 enterp e above menJI. ed property for inspections purposes.
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--*BUILDING PERMEF. , SUB.I'LK'Y'1 O EXPIRATION IT WORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE
OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS`**
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