HomeMy WebLinkAboutMYRTLE AVE S 180 09/29/2018CITY 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-2018-00174
ADDRESS: 180 MYRTLE AV
ASSESSORS PARCEL NUMBER 401-541-06
ISSUEDBY: ROBERT CHAVEZ
DEVELOPMENT AREA: NO COMMERCIAL DISTRIC
DATEISSUED: 09/17/2018
PROPERTY OWNER BRENDA NIMOTA
180 MYRTLE AV
TUSTIN, CA 92780
APPLICANT
CONTRACTOR
IOHN1..DAVID FRIESEN
SUNLIFE RESIDENTIAL CONTRACTING I INC
'.630 SCILASSELL 201, ORANGE, CA 92866
19800 MACARTHUR BLVD 300, IRVINE, CA 92612
(714)289-4652
(949)514-8005
JOB DESCRIPTION: LEGALIZE DETACHED LATTICE PATIO COVER AND ATTACHED FLOOD LIGHT, A COVERED, ATTACHED PATIO
COVER ONJUE WEST SIDE OF DETACffisD GARAGE, STORAGE AREA ADDITION ON THE NORTH SIDE OF THE GARAGE, TWO DETACHED
SHEDS, LEGALIZE THE ADDITION ON THE EAST SIDE OF THE GARAGE AS A STORAGE AREA, INCLUDING A FULL BATHROOM AND
CONVERT T°WO CAR GARAGE BACK TO A FUNCTIONAL GARAGE - PERMIT MUST BE FINALED WITHIN 45 CALENDAR DAYS OF THE
PERMIT ISSUANCE DATE.
OCCUPANT LOAD: O.C.F.A Number
CONSTRUCTION TYPE:
RESIDENTIAL SQTT: OCCUPANY GROUP:
INDUSTRIAL, SQ.FT: 0
GARAGE SQTT: 0 COMMERCIAL SQ FT.
0 WAREHOUSE SQ FT: 0
ROOF SQ FT:: - 0 OFFICE SQ FT:
0 CBC EDITION: - 2013
NUMBER OF UNITS: - TENANT BvIPR. SQ FT:
0 BUILDER VALUATION:
NUMB'ERROF SEATS: NUMBER OF STORIES:
VALUATION: $60,000.00
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BUILDING PERMIT FEE $568.11 BUILDING PLAN CHECK FEE $397.68 PERMIT FEE- ELECTRICAL $17.80
PERI+IIT FEE -PLUMBING $39.43 PLANNING PLAN CHECK FEE $79.54 SB1473 CITY FEE $030
SEISMIC STRUCTURAL FEE - $7.80 SPATE BUILDING 1473 FEE $2.70 WRRP APPLICATION FEE $50.00
RESIDENTIAL
WRRP SF FEE $2,500.00
TOTAL FEES: $2,550.00
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: 1016224 LICENSE CLASS: C10 - Electrical Contractor, B - General Building Contractor
Expires Date: 0731/2020
OWNER BUILDER DECLARATION
I hereby affirm that am exempt from the Contractor's License Law for the following reason (Section 7031.5, 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 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 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 ofthe 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 Contractor's Licence 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
purposes of sale).
_ I, as owner of the property, run exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors)
license pursuant to the Contractor's License Law).
—I am exempt under Section Business & Professions Code for the following reason(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.
_ 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: 9164243
COMPANY: SPATE FUND
(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
Worker's Compensation laws of California, and I agree that if I should become subject in 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 fines 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 Official 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 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 sinal inspection has been received. I
certify that I have read [Itis 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.
Sienanne of Owner. Contractor, or Authorized Agent Date
***BUILDING PERMITS ARE SUBJECT TO EXPIRATION IF WORK IS NOT COMMENCED WITHIN 180 DAYS ANTER DA'Z'E
OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS***
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