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Home My WebLink AboutMITCHELL AVE 1681 04/16/2018CITY OF TVs, � ' «Iua`r Community Development Deparbasomm lilt' on t Building Counte BUILDING PERMIT NUMBER: BR -2018-00111 ASSESSOR'S PARCEL NUMBER: 432-031-30 DEVELOPMENT AREA: NO COMMERCIA PROPERTY OWNER: ,e.s.s.^gnaa Waranca Ne.MM.MCrYAegarIrntJ1WVW* ! rMrel+uaw.r. gPSO 1303 AVOCADO AVE2 Ttsvasa"M ants cwnaaUalaMWiypal�«M IUN'rNr NEWPORT BEACH,C 2 bW@A&iL a naemas. CONTRACTOR aarY donaMMw«yaasctMaYa111Nfalat- staf I N L ROOFING AND REMODELING INC fat "w"'o"'ws* TM psc aort is^a^sYWOalha'�'ga"'p"i41aMXw♦at 16312 ARLINGTON LN, HUNHNGOTN BEACH, CA 92649. aomvr^ "ras.wmarmal�alW alrRl"Ystarrwaa.awrtat*�,. (714)536-1816 we.a:•y r sawaura m ) JNLROOFING@YAHOO.0 OM l SOB DESCRIPTION: TEAR OFF ROOF, REPLACE WITH GAF TM ERLIND" E HD ARKW OOVER NEW O B AT G OVER EXISTING � SPACE SHEATHING OCCUPANT LOAD: - O.C.F.A Number _ CONSTRUCTION TYPE: V -B RESIDENTIAL SQFT: OCCUPANY GROUP: R-3 INDUSTRIAL SQFT: 0 GARAGE SQ FT: 0 COMMERCIAL 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: $1,000.00 FEE SUMMARY BUILDING PERMIT - DIGITIZING / $5.40 BUILDING PERMIT FEF. $144.00 PERMIT ISSUANCE FEE - $3500 SCANNING FEE BUILDING PLANNING INSPECTION FEE- $28.80 SB1473 CITY FEE $010 SEISMIC STRUCTURAL FEE - $0.50 BUILDING RESIDENTIAL STATE BUILDING 1473 FEE $0.90 TOTAL FEES: $214.70 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: 648337 LICENSE CLASS: B - General Building Contractor, C39 - Roofing Contractor Expires Date. 07312018 OWNER BUILDER DECLARATION I hereby affirm that I 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 shy 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 fur sale (Section 7044, Business & Professions Code: the Contractafs 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 you 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 License law does not apply to an owner of property who builds or improves thereon, and who contracts for such.projects with a contractor(s) license pursuant to the Contractor's License Law). _I not 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 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. —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. My Worker's Compensation insurance carrier mid Policy Number are. POLICY NUMBER: 1462978 ('Phis section need not be compt _ I certify that in perfom Worker's Compensatio of Code, I shalDlyrthwith on s thousand dollars IKax1174a•�w Wfl➢I�ILl71 ermit is for one hundred. dollars ($100) or less). work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the and I agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor provisions. Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines tip to one hundred 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 final inspection has been received. I cerfify that I have read this application and site that the above X mmation is correct. I agree to comply with all City and State laws relating to the building construction, mid hereby authorize representative ofthe City o r upon the above mentioned property fur inspection purposes. . i ❑ ture of vier ontrafor r Authoriz d e - Date "--BUILDING PERMITS ARE SUBJ TION IF X ORK IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE, OF ISANCEIF WOWIS SUSPENDED FOR 180 DAYS"*"