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Home My WebLink AboutA ST S 235 03/07/2018CITY OF TUSTIN Community Development Department - Building Division 300 Centennial Way, Tustin CA 92786 Building Counter (714) 573-3131 -Inspection Recorder (714)573-3141 BUILDING PERMIT NUMBER: BR -2018-00036 ADDRESS: 235 S AST ASSESSOR'S PARCEL NUMBER: 401-562-10 ISSUED BY: JOHN WATSON DEVELOPMENT AREA: NO COMMERCIAL DISIRIC DATEISSUED: 02/22/2018 PROPERTY OWNER: PETER VAN DYKEN 235 A ST S CONTRACTOR BRIAN POWERS 235 A ST,TUSTIN, CA JOB DESCRIPTION: CODE CASE. DEMOLISH FREESTANDING PATIO COVER, SHED AND MLEGAL ADDITION TO THE NORTH SIDE OF THE DETACHED GARAGE, WHICH INCLUDES A KITCHEN AND FULL BATHROOM, REMOVAL OF STAIRS & 2 WINDOWS IN GARAGE, CAP OFF AND REMOVE UNPERMITTED UTILITIES, INCLUDING WALL HEATER AND ELECTRICAL IN GARAGE ATTIC, REMOVE UNPERMTITED WALL AT GARAGE OPENING AND RELOCATE. WASHING MACHINE DRAIN LINE IN MAIN HOUSE BACK TO SINK DRAIN - VALID FOR 30 DAYS FROM PERMIT ISSUANCE OCCUPANT LOAD: O.C.F A Number CONSTRUCTION TYPE: RESIDENTIAL SQ.FT OCCUPANY GROUP: INDUSTRIAL SQ.FT: 0 GARAGE SQ FT: 0 COMMERCIAI. SQ FT: 0 WAREHOUSE SQ FT: 0 ROOF SQ FT: 0 OFFICE SQ FT: 0 CBC EDITION: 2013 NUMBER OF UNITS: TENANT IMPR SQ FT: 0 BUILDER VALUATION: NUMBER OF SEATS: NUMBER OF STORIES: VALUATION: $9,500.00 FEE: SUM BUILDING PERMIT FEF, $144.00 BUILDING PLAN CHECK FEE $1.00.80 PERMIT ISSUANCE FEE - $35.00 BUILDING PLANNING INSPECTION FEE - $28.80 PLANNING PLAN CHECK FEE $20.16 SB1473 CITY FEE $0.10 BiIILDING SEISMIC STRUCTURAL FEE - $1.24 STATE, BUILDING 1473 FEE .$0.90 RESIDENTIAL - TOTAL FEES: $120.96 - 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: 673313 LICENSE CLASS: B -General Budding Contractor Expires Date: 06/30/2019 OWNER BUILDER DECLARATION I hereby off= that I am exempt from the Contractors License Law for the following reason (Section 703 1.5, Business Professions Code: Any City of comity which requires a permit to construct, alter, improves 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 70315 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 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 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 pmposes of sale). _ I, asowner of the property, am exclusively contracting with licensed contractors to consmuct the project (Section 7044, Business & Professions Code:'Ilne Corroactoes License Law does not apply to run owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractors License Law). _ I am exempt under Section Business & Professions Code for the following reamn(s): Owner Signature: _.. Date: WORKER'S COMPENSATION DECLARATION: _ I have and will maintain a certificate of concent 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. _ 1 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 carrier and Policy Number are: POLICY NUMBER: EXEMPT - 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 to the Workers Compensation laws of California, and I agree that if I should become subject to the Workers � Compe�nnssation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `_ ?/ 7�/ p Signature :_�_-----""` Date: _.._. WARNING: Fail b t secure Workers Compensation coverage is unlawful, and all s an employer to criminal penalties and civil foes 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 Cede, interest and attorney fees. MITORTANT: Application is hereby made to the Bolding Official for a permit subject to the conditions and restrictions net forth onthis application Each person upon whose behalf this application is made and 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 enter upon the a ve mentioned property f�imspection purposes. "*BUILDING PERMITS ARE SURJ/(CT O IRAITON IF WORK IS NdW CVMIENCED WITIHN 180 DAYS AFTER DATE OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS'** t?1 CIA !i'akY. [r1 DA i a� _ E U W 2 ` f CO s \ � UPI r�f)oWD I oAti��q