HomeMy WebLinkAboutEL CAMINO REAL 150 100 12/06/2018CITY 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: COMBC-2018-00138 ADDRESS: 150 EL CAMINO REAL 100
ASSESSOR'S PARCEL NUMBER: 401-571-15 ISSUED BY: ROBERT CHAVEZ
DEVELOPMENT AREA: DOWNTOWN CORE DATE ISSUED:
PROPERTY OWNER.
1101 RITCHFIELD RD
PLACENTIA , CA 928706790
APPLICANT APPLICANT
TANNER HENDERSON JOSEPH RAASCH
1575 SUNFLOWER AVE, COSTA MESA, CA 92626 910 CEDAR PL, COSTA MESA, CA 92027
ENGINEER
ANDREW CHANG
1575 SUNFLOWER AVE, COSTA MESA, CA 92626
(714)478-6155
JOB DESCRIPTION: INSTALL 7 NEW ICE ENERGY THEIRMA STORAGE UNITS ON ROOF, REPLACE 14 ROOFTOP AC UNITS (68 TONS
TOTAL)
OCCUPANT LOAD: O.C.F A Number CONSTRUCTION TYPE:
RESIDENTIAL SQ.FT: OCCUPANY GROUP: INDUSTRIAL SQ.FT: 0
GARAGE SQ FT: 0 COMMERCIAL SQ FT: 0 WAREHOUSE SQ FT: 0
ROOF SQ FT: 0 OFFICE SQ FT: 0 CBC EDITION: 2016
NUMBER OF UNITS: TENANT IMPR SQ FT, 0 BUILDER VALUATION:
NUMBER OF SEATS: NUMBER OF STORIES: VALUATION: $151,000.00
FEE SUMMARY
BUILDING PERMIT FEE
$1,011.55
BUILDING PLAN CHECK FEE
$708.08
PERMIT FEE - MECHANICAL
$1.32
PERMIT ISSUANCE FEE -
$35.00
PLAN REVIEW - BUILDING
$505.78
PLANNING INSPECTION FEE -
$202.31
BUILDING
BUILDING
PLANNING PLAN CHECK FEE
$141.62
PLANNING PLAN REVIEW
$202.31
SB 1473 CITY FEE
$0.70
SEISMIC STRUCTURAL FEE -
$42.28
STATE BUILDING 1473 FEE
$6.30
WRRP APPLICATION FEE
$50.00
COMMERCIAL
TOTAL FEES: 5849.70
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: LICENSE CLASS:
Expires Date:
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) ofDivision 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 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, Business & Professions Code: the Contractor's License Law does not apply to an owner ofproperty 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 dtd nqt 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)
?r1, ,e , 48aar
license pursuant to the Contractors License Law)." ,p"ynrk COMMranity Developmg,"I C)eprnmarn
_ I am exempt under Section Business & Professions Code fN6klowing reason(s): Cenitietne o1 Audonriwn...
a
Owner Signature: Date: .T
` s _ t ,
c ,.l iv}�f►..____�... r Y•r ieM'1 {.i!.ac �F9 rs... s _ ' ..
WORKER'S COMPENSATION DECLARATION:
_ I have and will maintain a certificate of consent to self -insure for Worker's Com
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation insurance, as required by Secti
Permit is issued. My Worker's Compensation insurance carrier and Policy Number arc
_
POLICY NUMBER: COMPANY:
(This section need not be completed if the permit is for one hundred dollars ($100) or
_ I certify that in the performance of the work for which this permit is issued. I sh
Worker's Compensation laws of California, and I agree that ifI should become subjec
Code, I shall forthwith comply with those provisions.
Code forth- e'. -r:„`1''
A `
1buwmw jslinftw,Pnd6ipM
wa eew" cr.which this r, +-
r4o *ON 04mno Na 1061. fr CW.,W porwpp�� Or0�rr1rir111rN
wisi sm:
McMaad work oar�famr b M ItkrYeMW Corr a "
! l fvk" manner.soas to becotrte suble t '
99�I r irlIf>tslityri � or
ar min rr dlrr4t. _
atoposo W" Is w I'M -A" ---*W In Wft of
opftw4u of
WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall e� etttiite tYosilr�s `« er
thousand dollars ($100,000) in addition to the cost of compensation, damagesk as provt` "l'n Secridn"M °} othisapplicalion,ac
r'Co , interest and attotey ices. a tI
IMPORTANT: ny, Approve;l ay _ __
Application is hereby made to the Building Official for a permit subject to t4condrttons and restrictions set forth on _ person upon W*6i
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 Tusbrt, its officers; agents.aand employees i13 acco dance 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 tmttl final inspection has beeh`recei*d. I
certify that I have read this 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.
S ignawre of Owner_ Contractor, or Authorized Agent Date
***BUILDING PERMITS ARE SUBJECT TO EXPIRATION IF WORT{ IS NOT COMMENCED WITHIN 180 DAYS AFTER DATE
OF ISSUANCE OR IF WORT{ IS SUSPENDED FOR 180 DAYS*"
H