HomeMy WebLinkAbout3385 WIMBLEDON WAY - Building Permitsl��'.! -;iD3 .�t`�-� .
3802 2(21[79 342.31 TL
COSTA MESA BUILDINGSAFETY DEPARTMENT �. 3H02 2/21 �L79. 342.31'CKTO
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 3802 0000447503 � � A� �
�
P I ATION FOR STRUCCURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only cE D TE RECEIVED
DATEISSUED
BUILDING
ADDRESS
p PERMIT NO.
OWNER McLain DEVe.�.Oj�If18Rt CO. A.P.NO. �IrZ�Op��DI
MAIL BUILDING •
ADDRESS 147� Jamboree FiOd(� ADOFESS 338 S �
CITV Newport Heach rTio��640-6600 TRACT 1Q2]] LOT 31 BLOCK
CONSTRUCT10N W AD A P
LENDER V
/\
BRANCH
OwNER e �
ADDRESS
V UE
ARCHITECT Corbin/Yamafu'i TEL.•�SZ—SS6% g
OP ENGINEER
FIRE ,i,,
ADDRE55 3661 Spruce $t.� N8 ort Beach ZONE TYPE GROUP
APPROVED
CONTRACTOR MCLain �EVQ10 R1211t CO. 8Y DATE
ADDRESS 1470 Jamboree Road
TEL. ZaNE NO.OF USE OF NEW
CITY Newport 8each No. 640-6800 p R-mo P�`^� BUILDING IPE'S
F STATE CITV �'ARDSAPPPOVED VARDSAPPROVED
i LIC. NO. Z�jS�S LIC. NO. MAIN BVILDING ACCESSORV BUILDING
fy SIZE NO.OF BLDGS. (FAOM C/LSTqEET)
o. OF LOT 4S X LZO NOW ON LOT ONT S FT. O FT.
a USE OF
� EXISf7NG BLDG. O FT
h
FSeparate permi[s a�e required for L SIDE S' FT. � FT.
Welectric, plumbing and heating work. qEAR 1 S/ FT. O Fr.
[.. USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BEf. MAIN &
QMAIN BLDGS. ACCF55. BLDGS. ,
.a Single family residence, CURP.��.E�7� 3 APPROVED oZ�y 78'
Q
� New House �A�VED
�
.a
� M T�
a 1 hareby aeknowlatlpa t�at I b�e ruad thia applicatlon antl stnte '^
(y� Mnt ihe ebova intormatlon ia correct antl apree to comply wIN m
� elI Iaws re9uletlnp buildlnB conrtruction, antl 1 shall not amploy jjp�e 2190 '
r� any person In vlolation of the workman's compensation lawe oi m
s ma scnta of ceufornie. �dge 585 ••
m
3 � hereDvi ceniiy tnat I am oroperly Iicansad as a connactor �near S�. FT. �v
the Stata ot Callfornie Businas4 antl Professlons Cotle, Divislon 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR m
Chepiar 9, end thet such Ilten4es afa In full foree entl Bffect, or I THE PURPO6E OF ESTABLISHING A PERMR FEE ONLV: �
am exempt trom Ma provlsione of tha State of Celifornla Businesa VALUATION d
and Profasalona Cotle, Dlvision 3, Chapter 9 PERMIT FEE § m
SlgneSure ot � � // P�N CHECK y o
` Permlttae A � � �^"�"' LL
�
5 �� TAX s / _.0
Authorizetl Apa TOTAL PAID y 3 3
qpplicant to fill in all soaces wlthln heavy bo�tler lines anE slgn all approDriata tleelaratior
CITY OF �COSTA MESA PERMIT NO. " ' TRACT NO. LOT NO. BIDG. NO.
CnNSTRUCTION PERMIT �oZIIo�
Address
Addiess
I hB�e�y affl�m that 1 am IICanS¢tl un
moncing with seetion ]000) o� D
Profeitlons Cotle, �a my Ilconse
Lkense Class �
Date a" 519natur
WORKERS COMPENSATION DEGL
I hereDv atfirm that I have a tertl�i<
POIICY
t.['�_ TVPE OF CONSTRUCTION
Phon � 6 p NEW ❑ ADD ❑ ALTERATION � J7
❑ REPAIR ❑ CONVERSION ❑DEMOLISH '��
LiCenSC NO. ❑ OTHER
OESCRIPTION OF WORK
L'�'��u y 1� � TYPE OF PERMIT �
.�C.- GRADING ❑ FOUNDATION ❑ STRUCTUi3AL
fION . ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑MECHAN
provizlons of Cnarter 9 (com-
on 3 of the Business antl ❑ OTHER
In full torce antl efle�/ tl.
� Licen�N '�//r�A� PROJECT DESCRIPTION
� SQ. FT.
4TI0 OCCUPANCV_CONSTRUCTION TVPE
of o ent to ulf-insure or d VALVqTION ZONE
fa e, or a c rtitiatl co
� _� GRADING CU. YDS. ACRES
l—�6��
J
QeitifieG capy�is hereby furnished. 'qEMARKS: - . .
Certifletl copy is filetl wi[h tha ci�Y Builtling Oivision. —
!%EMPTION FROM WORKERS' COMPENSATION DECLARHTION
This sectlon neetl nat be complet¢a �� ihe permit is tor one huntlred
E100) or less).
.cert(fy that In the performance of the work for whith thi5 permit is
ISSuetl, I Shall nOt ¢m010y dfly pBrSon In any mannef so as IO beGome PLl)MBIN(�i
subjett to the Workers' Compensa[lon Laws o( Gllfornia.
Date Signature
NOTICE: If after making this tleclaration, you shoultl become sub)e TOILETS
ta the Workert' Compensation prov�sions of the Labor Cotle, you m t
forthwith comply with such provlsions or [nis permit shall be tleeme RIES
revoketl. � .
CONSTRUCTION LENOING AGEN��' KIT. SINKS �
I hereby atfirm that there is a cons�ructlon lentling agency Por the perv SERVICE SINKS
formante of lhe work tor which this permit is issuetl (Sectlon 3097
CIv. C.). � � FLOOR SINKS
Lentler's Name
Lentllr'S Atltlress "`"`� �DRINKING FOUP
���,
PLANCHECK
SHOWERS
URINALS �
DOUBLE LAVS
DISHWASHERS
SUMPS � '
-FLOOR DRAINS
OWNER BUILDER DECIARATION INTERCEPTORS CLARIFIERS
I herebY aHirm that 1 am exempt from the Contracmr's License Law for -
tne tollowlno reason f5ection 7031:5 Buslness antl Professions Cotle: IMMING P
a
9usiness and �Prdessio�
�asis ror [he alleged e
' applican['for a p
iOt more than fiv¢
I, d5 owner of Ihe
sole comoensation. wil
of
Ptha[ he IS e%¢mpt [herefroT dntl the
q�y vlolation oi Section 7031.5 by
fG[s the applicant [o a Civll penalty
ollars ($500).
or my employees with wages as their
nrk. antl the structure is not Intendea
or ofleretl for 5ale. (Sectlon 7044, 9u9nez5 antl Rofessions Cotle: The
COnbactor's License Law tlots n0[ apply to an owne� of a proptrry
wh0 builtls or imprOves thereon, aPtl who tloes suGh wOrk hlmSeN or
Ihrough h15 own employees, provitlCtl that Sucn ImprOv¢mept5 a�e no[
Intentled or offeretl for sa�e. Il, hnwever, the builtlin9 or improvement
is Sold within one year of compl¢fi0�. Ihe own¢r will have tbC Durtlen
Of p�oving h¢ tlitl not builtl o� Imp�ove for the OurOose ot sal¢).
❑ I, as owner of tbe proper[y, am ezcluzively con[ractin9 with
Iicensetl con[ractors to construct tFle projec[ (Section �044, Buslness
antl Professions Cotle: The Coniracror's License Law tloes not appy to
an owner ot p�operty wh0 builtli Or improves the�eon, antl wh0 COn-
tracts frOm Such p�ojec[s wllh a FOn[ractor(z) liG¢snetl pursuant to
the Contrattor'S License Law).
❑ I am ex¢mpt untler SeCtion B. 8 P. C. 10� this
reason --
Date owner
I hereby c¢rtitythal I have re tl tttls aPPliWtion
information IS COIl2Cf. I�QQ IO COTpIy N
ortlinances ana state laws r ating to constructi�
rop�esentdtive5!�of this y•ta en�er upon
property/ p i e tlo purposes
SlgnaWrC �
SlatC tbat the
ail City antl f
Oate
SW OOL . P TRAP
WATERSERVICE ALTERATION
GASSERVICE OUTLETS
WATER HEATERS BTU OUTPUT
SEWER CONNECTIONS
SOLAR TANK COLLECTORS
SOLAR PIPING SYS.
ISSUE FEE - �
MECHANICAL PLANCHECK
HEATING SVSTEM 0-300,000 BTV _
AND DUCTING 300,000 t BTU _
REFRIGERATION 0-300,000 BTU_
SYSTEM 300,000 + BTU _
BOILERS BTU
SVSTEM REPAIR,ALTERATION
EXHAUSTSYSTEM MULTIPLE
]rivers' License or 55 �
/ I ISSUE FEE
CMF 0865-46 Whlte-Builtling; Ca�ary�Appli<anq Pink-Atcounting; Goltlenrotl-Assessor
2
A.P. �
ZONE
REARYARD
PKG.SPACE
STqEET WID
9984 12/29/BI'
JING REGULATIONS
PLNG. REF. � �
P(L�
SPECIAL CONDITIONS:
PROVIOED
PARK FEE
ELECTRICAL PLAN CHECK
GENERATOR 0-1 KW_1-30 KW _
TRANSFORMER
APPLIANCE 10-SOKW_SO+KW_
MOTORS 0-1 HP_1-30 HP _
(INC.SOLAR) 30-SOHP SO+HP_
FIXTVRES OUTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHTS ' -
PANELS MAIN SUB
SERVICE AMP
APPLICATION APPROVED BV - - DATE
� SUMMARV OF FEES
BVILDiNG
PERMIT $ SMIP E
PLAN CHECK E PERMIT
PLUMBING g� ISSUANCE E
PLANCHECK $ � GRADING $
ELECTRICAL S $
PLANCHECK g - MICROFILM $
MECHANICAL $ TOTAL PEE E
PIAN CHECK g LE55 AD-
VANCEPC 5_
6.00 '7I,�
FINALFEE §�
CONSTRUCTION AND PLANNING POOL & SPA � '
♦ . . 4
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector �
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
. Soil ipe-Undrgrn 44. Steel Reinforcement
. 3. Electncal Conduit Utility-Undrgm 45. Forms �
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
. tee ein orce 47. Rough Plumbin & Pressure Test
6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undr rn
8., Foundation 50. Gas Pipe, ❑ Undr rn, Test �
9. Water pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn
10. Structural Floor System 52. APPROVAL TO DECK
77. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
12. Street $ewer Connection 54. Heater & Vent-Final
13. Rough Plumbing
14. Rough Electric-Conduit � �56. Electrical-Final �
15. Rough Eleciric-Wi�ing 57. Solar System-Final
16. Rough Heating & Air Conditioning � Fencing & Access Approval
17. Ducts, in Structure� APPROVED FOR PLASTERING
18. Ducts, Ventilating • � .
19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing '
21. Roof Sheathin �
22. Fremeand Flashing NOTES:
23. Insulation ' -9
24. Lathing & Siding � . '
25. Drywall Nailing �
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Electric ` �-'"� - �
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test
31 . Final plumbing
32. Water Service-Final
33. Gas Sprvice-Final "
34. Solar pomestic-Final
35. l.andsca e S rinklin S stem
36. SounU Attenuation
37. Handicap Regulations -
38. FINALSTRUCTURE&BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
' 41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date