The URL can be used to link to this page

Home My WebLink AboutMAIN ST W 415 09/19/2016CITY OF TUSTIN z a o❑ g 3 = s Community Development Department — Building DivisionW4 2 "' 300 Centennial Way, Tustin CA 92780 = s $ -. f Building Counter (714) 573-3131—Inspection Recorder' (713,3 BUII.DING PERMIT NUMBER: B2016-0465 ADDRESS: 415 W MAIN A 412 ASSESSOR'S PARCEL NUMBER: 401-363-04 SUITENUZER. LOT NUMBER .............................. TRACT ER.f; $ DEVELOPMENT AREA ................: TUSTIN ISSUED BY........... s o $a DATE ISS (/20 6 e �• $; PROPERTY OWNER ......................: GALLAGHER JEFFREY K & JULIE A Ir - _ gg 415 W MAIN ST D: w TUSTIN CA 927804323 £ - € as �p CONTRACTOR ARCHITECT CWC a G 11762 DE PALMA RD STE 1-C # CORONA CA 92883 (951)805-6470 r C JOB DESCRH`TION: T/O @ GARAGE, REROOF W/OWENS CORNING COMP -COLOR TO MATCH EXISTING STRUCTt 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: 992870 LICENSE CLASS: B Expires DATE:01/31/2017 OINNER 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 or county which requires a perm structure, prior to its issuance, also requires the applicant fur such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License L J of the Business & Professions code] or that he or she is exempt therefiont and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit st 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, Busi not apply to an owner of property who builds or improves thereon, and who docs 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). L, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractors Lice or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractors License Iaw). I am exempt under Section , Business & Professions Code for the following reason(s): Owner Signature:. _ Date: WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for Workers Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the wr 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: EXEMPT (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 shallnot employ any person in any manner so as to become subject to the Worker's Comp arsai subject to the Workers Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature _Date: 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 (: 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 applicatir 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, ager Chapter 2 of the indictor Adminisi alive Code. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection has been received. I certify 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 in Suarnace, of Owner Contractor, or Authorized A end Date *•-BUILDING PERMITS ARE SUBJECT TO EXPIRATION IF WORK IS NOT COMMENCED WEIBIN 180 DAYS AFTER DATE,, OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS" O.C.F.A. Number.........: OCCUPANT LOAD: 0 OCCUPANCY GROUP: CONSTRUCTION TYPE. - YPE.:RESIDENTIAL RE, SIDENTIALSQ.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: 800 TENANT IMPR SQ FT: 0 OTHER SQ. FT: 0 NUMBER OF UNITS: 1 NUMBER OF STORIES: 0 CBC EDITION: 2013 NUMBER OF SEATS: 0 VALUATION_.: $2,000.00 BUILDER VALUATION: $0.00 FEE SUMMARY PLAN CHECK $100.80 BUILDING PERMIT: $179.00 PENINSP.: $28.80 MECH PERMIT: $0.00 PLUMBING PERMIT: $0.00 ELEC PERMIT: $0.00 SIGN PERMIT: $0.00 GRADINGPERMIT: $0.00 PRIVATE IMP& $0.00 NEW DEV. TAX: $0.00 TSIP ZONE A FEE: $0.00 TSIP ZONE B FEE: $0.00 SMIP FEE: $0.50 MICROFILM FEE: $2.70 OCTA FEE: $0.00 PENALTY FEE.: $0.00 REFUNDABLE BOND: $0.00 MISCELLANEOUS: $0.00 PIN REVIEW: $20.16 TOTAL FEES: $332.96 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: 992870 LICENSE CLASS: B Expires DATE:01/31/2017 OINNER 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 or county which requires a perm structure, prior to its issuance, also requires the applicant fur such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License L J of the Business & Professions code] or that he or she is exempt therefiont and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit st 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, Busi not apply to an owner of property who builds or improves thereon, and who docs 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). L, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business & Professions Code: The Contractors Lice or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractors License Iaw). I am exempt under Section , Business & Professions Code for the following reason(s): Owner Signature:. _ Date: WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for Workers Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the wr 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: EXEMPT (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 shallnot employ any person in any manner so as to become subject to the Worker's Comp arsai subject to the Workers Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature _Date: 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 (: 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 applicatir 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, ager Chapter 2 of the indictor Adminisi alive Code. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection has been received. I certify 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 in Suarnace, of Owner Contractor, or Authorized A end Date *•-BUILDING PERMITS ARE SUBJECT TO EXPIRATION IF WORK IS NOT COMMENCED WEIBIN 180 DAYS AFTER DATE,, OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS"