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Home My WebLink AboutMAIN ST W 330 03/31/2015CITY OF TUSTIN Community Development Department — Building Division 300 Centennial Way, Tustin CA 92780 Commun t OwNp_ -_ "_ :5 ; Building Counter (714) 573-3131 — Inspection Recorder (7biatiwMMwuw 3UELDING PERMIT NUMBER: B2015-0134 ADDRESS: ASSESSOR'S PARCEL NUMBER: ,OT NUMBER ................................: )EVELOPMENT AREA ................: 'ROPERTY OWNER ...................... 401-372-09 MMAM� tM�[__ -P Ntmoo ft FEE SUMMARY TUSTIN ISSUED B i...}........ •� •• •�•---—•—..,... R CONSTRUCTION TYPE.: PRESCOTT DOUGLAS A COMMERCIAL SQ FT: 330 W MAIN ST /'•.awn TUSTIN CA 927804322 OFFICE SQ FT: 0 �w.� 1MtwrioM��r�s. 4000 11n [igeMp MA 4 �11l�A��arwr�/AMr►1nM��f 0 wM M w1�1�� wMK IMr�Mli1/p . wuwwA CONTRACTOR ARCHITE ,�WmwmrM1ft_ POPA ROOFING INCDBA WESTERN ROOFING SYSTEMS 13672 ONKAYHA CIRCLE ,a�.y �, sm 3 3 � / S__ IRVINE CA 92620 :(949) 651-6130 OB DESCRIPTION: CCUPANT LOAD: ESIDENTIAL SQ.FT: ARAGE SQ FT: SOF SQ FT: UMBER OF UNITS: UMBER OF SEATS: REROOF; TEAR OFF EXISTING WOOD SHAKE, INSTALL METRO METAL SHINGLES, CLASS B, TOTAL FEES: $186.02 CENSED CONTRACTOR DECLARATION: Ireby affum 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 TENSE NUMBER: 675902 LICENSE CLASS: C39 Aires DATE:08/31/2015 VNER BUILDER DECLARATION: :reby affi m 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 peen icture, 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 f 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 st idred 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 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 improvemem Iding 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: mproves 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): ner Signature: Date: )RKERS' COMPENSATION DECLARATION: reby 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 we _ 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. nber are: -ICY NUMBER: 6390510674 COMPANY: STATE FUND is 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 Worker's Compensal ect tote Worker's/�Q�p tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature .K` / / A 7 Date: RNING: Failure t&&&iTYMr &LCompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (` rovided for in Section (3700) of the Labor Code, interest and attorney fees. 'ORTANT: lication 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 applicati4 ;tit 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 pter 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 mration is correct. I agree to comply with all City and State lawsrelaoig to the building construction, and hereby authorize representative of the City to enter upon the above in I °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*** O.C.F.A. Number.........: FEE SUMMARY 0 OCCUPANCY GROUP: R CONSTRUCTION TYPE.: 0 COMMERCIAL SQ FT: 0 INDUSTRIAL SQ FT: 0 0 OFFICE SQ FT: 0 WAREHOUSE SQ FT: 0 4000 TENANT IMPR. SQ FT: 0 OTHER SQ. FT: 0 1 NUMBER OF STORIES: 0 CBC EDITION: 2013 0 VALUATION...: $10,000.00 $0.00 BUILDER VALUATION:$ 10,000.00 TOTAL FEES: $186.02 CENSED CONTRACTOR DECLARATION: Ireby affum 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 TENSE NUMBER: 675902 LICENSE CLASS: C39 Aires DATE:08/31/2015 VNER BUILDER DECLARATION: :reby affi m 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 peen icture, 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 f 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 st idred 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 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 improvemem Iding 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: mproves 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): ner Signature: Date: )RKERS' COMPENSATION DECLARATION: reby 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 we _ 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. nber are: -ICY NUMBER: 6390510674 COMPANY: STATE FUND is 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 Worker's Compensal ect tote Worker's/�Q�p tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature .K` / / A 7 Date: RNING: Failure t&&&iTYMr &LCompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (` rovided for in Section (3700) of the Labor Code, interest and attorney fees. 'ORTANT: lication 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 applicati4 ;tit 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 pter 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 mration is correct. I agree to comply with all City and State lawsrelaoig to the building construction, and hereby authorize representative of the City to enter upon the above in I °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*** FEE SUMMARY .AN CHECK $0.00 BUILDING PERMIT: $179.67 PLN INSP.: $0.00 ECH PERMIT: $0.00 PLUMBING PERMIT: $0.00 ELEC PERMIT: $0.00 GN PERMIT: $0.00 GRADING PERMIT: $0.00 PRIVATE IMPR: $0.00 3W DEV. TAX: $0.00 TSIP ZONE A FEE: $0.00 TSIP ZONE B FEE: $0.00 QIP FEE: $1.30 MICROFILM FEE: $4.05 OCFA FEE: $0.00 ?NALTY FEE.: $0.00 REFUNDABLE BOND: $0.00 MISCELLANEOUS: $0.00 ,N REVIEW: $0.00 TOTAL FEES: $186.02 CENSED CONTRACTOR DECLARATION: Ireby affum 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 TENSE NUMBER: 675902 LICENSE CLASS: C39 Aires DATE:08/31/2015 VNER BUILDER DECLARATION: :reby affi m 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 peen icture, 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 f 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 st idred 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 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 improvemem Iding 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: mproves 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): ner Signature: Date: )RKERS' COMPENSATION DECLARATION: reby 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 we _ 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. nber are: -ICY NUMBER: 6390510674 COMPANY: STATE FUND is 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 Worker's Compensal ect tote Worker's/�Q�p tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature .K` / / A 7 Date: RNING: Failure t&&&iTYMr &LCompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (` rovided for in Section (3700) of the Labor Code, interest and attorney fees. 'ORTANT: lication 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 applicati4 ;tit 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 pter 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 mration is correct. I agree to comply with all City and State lawsrelaoig to the building construction, and hereby authorize representative of the City to enter upon the above in I °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***