HomeMy WebLinkAboutYORBA ST 143 12/10/2015PAID
CITY OF TUSTIN
Community Development Department - Building Division
DSC 14� 2415
300 Centennial Way, Tustin CA 92780 of TUS11%
Building Counter (714) 573-3131 - Inspection Recorder (714) 573-3141 CmCASHZf-R
BUILDING PERMIT NUMBER: S2015-0082 ADDRESS: 143 YORBA ST TUST SUITE
ASSESSOR'S PARCEL NUMBER: 401-521-09 SUITE NUMBER...:
LOT NUMBER ................................: TRACT NUMBER.:
DEVELOPMENT AREA ................: TUSTIN ISSUED BY .............
DATE ISSUED.......: 12/10/2015
PROPERTY OWNER ......................: BONELLO PETER & JENNIFER
11081 CORONEL RD
SANTA ANA CA
CONTRACTOR ARCHITECT
JOB DESCRIPTION: INSTALL NON ILLUM WALL SIGN W/LOGO "AE CONSULTING"
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: LICENSE CLASS:
Expires DATE:
OWNER BUILDER DECLARATION:
(hereby affirm 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 perm
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 L:
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 st
hundred 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
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 improvemem
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 purposes of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Lice,
or improves thereon, and who ontracts for suclNrojecAwith a contractor(s) license pursuant to the Contractor's License Law).
1 am exempt under *kon , Business & Professions Code for the following reason(s):
Owner Signature: , V -, Date:
WORKERS' CO §'A, LION ECLARATION:
I hereby affirm under pen 1 f 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
1 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.
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 to the Worker's Compensai
subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand dollars ('
as provided for in Section (3 700) 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 applicatiA
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, agen
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. l certify
information is correct. I agree to comply with all City and Stag lalvs relating to thAuilit construction, and hereby authorize representative of the City to enter upon the above to
12_/1 o/ 1
***BUILDING PERMITS ARE SUBJECT TO EXPIR_TPOP IF WORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE
OF ISSUANCE OR IF WO 19SUSPENDED FOR 180 DAYS***
O.C.F.A. Number.........:??
FEE SUMMARY
OCCUPANT LOAD:
0
OCCUPANCY GROUP:
??
CONSTRUCTION TYPE.:
RESIDENTIAL SQ.FT:
0
COMMERCIAL SQ FT:
0
INDUSTRIAL SQ FT: 0
GARAGE SQ FT:
0
OFFICE SQ FT:
0
WAREHOUSE SQ FT: 0
ROOF SQ FT:
0
TENANT IMPR. SQ FT:
0
OTHER SQ. FT: 0
NUMBER OF UNITS:
0
NUMBER OF STORIES:
0
CBC EDITION: 2013
NUMBER OF SEATS:
??
VALUATION...: $1,000.00
BUILDER VALUATION: $1,000.00
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: LICENSE CLASS:
Expires DATE:
OWNER BUILDER DECLARATION:
(hereby affirm 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 perm
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 L:
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 st
hundred 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
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 improvemem
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 purposes of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Lice,
or improves thereon, and who ontracts for suclNrojecAwith a contractor(s) license pursuant to the Contractor's License Law).
1 am exempt under *kon , Business & Professions Code for the following reason(s):
Owner Signature: , V -, Date:
WORKERS' CO §'A, LION ECLARATION:
I hereby affirm under pen 1 f 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
1 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.
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 to the Worker's Compensai
subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand dollars ('
as provided for in Section (3 700) 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 applicatiA
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, agen
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. l certify
information is correct. I agree to comply with all City and Stag lalvs relating to thAuilit construction, and hereby authorize representative of the City to enter upon the above to
12_/1 o/ 1
***BUILDING PERMITS ARE SUBJECT TO EXPIR_TPOP IF WORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE
OF ISSUANCE OR IF WO 19SUSPENDED FOR 180 DAYS***
FEE SUMMARY
PLAN CHECK
$17.75
BUILDING PERMIT:
??
PLN INSP.:
$7.10
MECH PERMIT:
$0.00
PLUMBING PERMIT:
$0.00
ELEC PERMIT:
$0.00
SIGN PERMIT:
$0.00
GRADING PERMIT:
$0.00
PRIVATE IMPR:
$0.00
NEW DEV. TAX:
$0.00
TSIP ZONE A FEE:
$0.00
TSIP ZONE B FEE:
$0.00
SMTP FEE:
$0.50
MICROFILM FEE:
$0.00
OCFA FEE:
$0.00
PENALTY FEE.:
$0.00
REFUNDABLE BOND:
$0.00
MISCELLANEOUS:
$0.00
PLN REVIEW:
$3.55
TOTAL FEES: $99.41
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: LICENSE CLASS:
Expires DATE:
OWNER BUILDER DECLARATION:
(hereby affirm 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 perm
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 L:
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 st
hundred 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
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 improvemem
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 purposes of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractor's Lice,
or improves thereon, and who ontracts for suclNrojecAwith a contractor(s) license pursuant to the Contractor's License Law).
1 am exempt under *kon , Business & Professions Code for the following reason(s):
Owner Signature: , V -, Date:
WORKERS' CO §'A, LION ECLARATION:
I hereby affirm under pen 1 f 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
1 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.
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 to the Worker's Compensai
subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand dollars ('
as provided for in Section (3 700) 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 applicatiA
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, agen
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. l certify
information is correct. I agree to comply with all City and Stag lalvs relating to thAuilit construction, and hereby authorize representative of the City to enter upon the above to
12_/1 o/ 1
***BUILDING PERMITS ARE SUBJECT TO EXPIR_TPOP IF WORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE
OF ISSUANCE OR IF WO 19SUSPENDED FOR 180 DAYS***
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City of Tulin.+
Community Development Depadmerit
Certificate of Appropriateness
AddreN:. Yoe b -SAre , k
Proposed Work:
The proposed work involves improwmeht to shuctura(s) that iNare krckrded In the CRY
of Tustin HistorW Resources Survey Rspor j�YES ❑ No r�
If Yers, Structnxa(sl Style: ��rh l5/y („ Cl cn � ...,-� /c r ✓ v._-/ .
Rating: 7) 5_13
3
State or Federal Law.
APPROVED 143 Yorba Street
DATE 12-1�5 Tustin CA 9278
' o
BY Jennifer Bonello
45" (714) 323-5054
Note: Sign to be adhered to face of building using PVC tape and silicone adhesive.
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in accordance with ordinance No, foot, the Community DeveloprMM Depantnent tkkfs
4 j TY C) FTr! _.,
and determines that:
111. R i 1 . [ .: `. ; i , .` 1
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I
The proposed work conforms to tM MuNdpsl Cads and established design
i�\.
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standards, s applicable. -
2§ The proposed work does not adversely seed the character of the dlelrt:t or
> �''.t ,ire?''. " t'•''
Designated Cultural Resources within the district.
f The work is harmonious in Writs;
n .} On thn t
proposed with existing surrwrWYgs of
appropriaten. ss of materiels, scale, uxe, height, placement and use of a new
- Ir
to
budding or structure in relationship to axis" buildings and structures and this,
vfGl mat;?
surrounding setting.
iat;ons on sam^L7o
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Approved by. _ � Date:
n'ri.. �slon ff0(;1 the ill _.
-
of Pistin. The stampir'g of this
specifications SHALL I 'OT h7� '.
llyrmvisionsorANYCityG,
BUILDING SIGNAGE
State or Federal Law.
APPROVED 143 Yorba Street
DATE 12-1�5 Tustin CA 9278
' o
BY Jennifer Bonello
45" (714) 323-5054
Note: Sign to be adhered to face of building using PVC tape and silicone adhesive.
.aP=;EO
;AlUNITY #)PVP ,SEN P7
IIsIG �