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Home My WebLink About3389 WIMBLEDON WAY - Building Permits► Q`o p M�� o, � > _ : J *`b*•o.mm "C (7� 4) 754-5273 • F8x (714) 754-4856 CITY OF COSTA MESA " BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT JobAddress: 3389 WIMBLEDON WY Suite: Vicinity: RESIDENCE 8 ATTAHCED GARAGE Parcel Number: 41208307 Applicant: BERMEO, JOSE LUIS Address: 2510 SILVERLAKE TERRACE LOS ANGELES CA Owner: CHU, JEFFREY D Address 12921 FERN ST GARDEN GROVE, CA _ SUITE 1 Contrector: Address: Zip: Arch : Address: Zoning: Phone: 323/903-8556 Zip: 90039 Phone: Zip: 92841 Phone: License' � " Eng: Address: PERMIT NUMBER B00-01034 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 07/10/2000 Issued: 07/702000 ISSUED BY: Phone: Phone: Zip: License: License: , SCOPE OF PERMIT REROOF: T/O WOOD SHAKE, INSTAf:L 1/2" PLYWOOD, 1 LAYER 30# FELT & TILE WITH "EAGLELITE" TILE 5.50# PER SQ. 32 SQUARES. � . Plan Check: Permit SMIP Res: SMIP Com: Other: I nspection: Total $0.00 $153.25 $0.75 $0.00 $0.00 $0.00 $154.00 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: � FEESUMMARY PLANNING & ZONING Rear 0- 0 Rear 0-0 Required: 0 Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $7,500.00 57,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days_ INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required InapacNons and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby aHirm untler penalry oi perjury one of ihe following declarations: ❑ I have and will maintain a certificate of consant to seN-Insure tor workers' compensation, as providad for by section 3700 of the Labor Code, for tha pertormanca of the work for which this permi( is issued. ' ❑ I have and will mainlain workers' compensation insurance, as required by sedion 3700 of the La6or Code, tor the peAormance of Ihe work for which this permii is issued. My workers' compensation Insurence carrier and policy number are: Carner: Policy Number: (This section neetl not be campleted it the permit is velued at one hunarea aollers ($ f 00) oNess.) ❑ I certify that in the peAo�mance oi the work for which Ihis permit is issuetl, I shall not employ any person in eny manner so as to bacome subject to the workers' compensation laws of Catifomia, and agree ihat if I should becnme subiect to the workers' compensetion provisions of Section 3700 of the Labor Cotle, I shall forthwith comply with Ihese pmvisions. , Applicant Signature: Date: WARNING: FNILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAW FUL AND SNALL SUBJECT AN EMPLOVER TO CRIMINAL PENA�TIES AND CIVIL FINES lIP TO ONE HUNDFED THOUSAND DOLLARE �5100,000), IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]pg Oi THE L4BOF CODE, IMEflEST. AND ATTORNEYS FEES. LICENSED CONTRACTORS qECLARATION: I hereby aHirm that I am licensed under provisions ot Chapter 9(commencing wi�h Section 7000) ol Division 3 of Ihe Business antl Professions Code, and my license is in tull force entl eHact. Lic. a Class k Contractors Signature: Data: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm thai ihere is a construction lending agency tor ihe performance ot t�e work tor which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Signature: Date: I hereby aHirm ihat under penalry ot perju'ry.iha� I am.EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires'a�peimit to cbnsimct, alter, improve, tlemolish, or repair any stmdure, prior to its issuance, also requires ihe appiicant for such permit to file e signed stetemem that he or she is licerised pursuant [o ihe provisions ot the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she isezemptlherefrom and the basis for the allegetl exemption. Any violation of Sedlon 7031.5 by any applicant tor a permit subjects the applicant to a civil penalry of not more than tive hundred dollars ($500).): �I, as owner ot tha propeqy, or my amployees witli wages as iheir sole compensation, WILL DO THE WORK, end the siructure is not intentletl or oNeretl for sale (Sec. 7044, Business end Profpssions Cotle: The Contractors License Law does not apply to an owner of property who builtls or improves t�ereon, and who does such work himself or herself or throqgh his or her own employees, providetl that such improvements are not intendetl or oRered for sale. If, however, the building or improvement is sold within one year of completion, Ihe owner-buiitler wiil have Ihe burden oi proving that he or she did no� 6uild or improve for purpose of sale.). ❑ I, as owner of iha property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct Ihe prolect (Sec. 7044, Business antl Professions Code: The coniractors License Law does not apply to an owner of property who builds or improves thereon, antl who conirams for such Droject with a contraclor(s) license pursuant to ihe Coniractors License Laws.). , ❑ I am exampt under sec. ,SignaWre: ��L1�G Ll�-� < Owner ID verified by drivar's license. ❑ Ves ❑ and Professions Cotle for lhis reason: `� � �� Ezpires: � Verification ot Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SqFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required fo descend, wlll be matle in connection with work authorized by this permit, antl that no 6uiltliqg stmcNre, scaffolding, falsework, or damolition or dismantling thereof, will be more Ihan ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit from ihe Division of Industrial Satety, as noted above, unless such person has a permit to do such work from the division. SigneNre: Division of Industrial Safety Permit Number: Date: CERTIFICA7E OF COMPLIANCE AND AU7HORIZATION OF ENTRV: I certify under penalty ot perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building consimction, and amhorize representatives of Ihe City of Costa Mesa to enter upon the above-described pmperty for inspection purposes. I agree not to occupy or allow occupancy oi any building euthorized by this permit until final inspection. Signature Of Ow r(s) , And/Or u o �zetl�A plicant5 CODE M. INSPECTIONTVPE �pTE INTRIALS 1616 Fixetl System Final Fire PreveNion 7266 Pool Spa Final 200 Final Re-Roof 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2446<6 Date .r n-7 - \ b - �� COOEN INSPECTIONTYPE 206 Final Mechanical 208 Fioal PWmhing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �ATE INTITIRLS „ . e � .. _ � Jeff'rey D. Chu, MD 12921 Fern St. Suite I Garden Grove, CA 92841 (714) 895-0927 bevelopment Services City of Costa Mesa 77 Fair Costa Mesa, CA 92626 To Whom It May Concern: July 7, 2000 T am the owner of the residence at 3389 Wimbl�on Way in Costa Mesa. T am sending Mr. Jose Luis Bermeo to obtain a"Permit by Owner” for installing a new roof at my residence. ff there are any questions, I can be reached at my office: (714) 895-0927. Thank you. Sincerely, F K. GW.i a .�.. h 'S' F �?� "7 ^,a�� 1.V51 H ��CJH CV ILUING-JHtt I Y VtYHFf 1 IVICN I - � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 3803 2/2.� (�9 3�� (� For Applicant to Fill in Completely - Use Ink Only APPLICATION �O U � iT 357� �� R EI D "fE�FECEIVED DATE ISSUED BVILDING �/� ADOFES5 Tract 10277, Lot 30 e PERMIT NO. OWNEF McLain Develo ment CO. A'P'N�' �� Qp�� MAIL BUILDING � b� � ADDRES5 14�� Jamboree ROdCi ADDRESS a CITV Newport seach No�'640-6800 TRACT ]_QZ%% LOT 3� BLOCK CONSTRUCTION A A R R P LENDER BRANCH � OWNER ADDRE55 V LU ARCHITECT TEL. S � � $ ` OR ENGIN ER Corbin Yamafu' i N 752-5567 FIRE Y„ T� ADDRESS 3661 S Y13C2 St. Ne OYt Beach ZONE TYPE GROUP ./ APPROVED CONTAACTOR MCLain Development Co. � sv DATE ADDRESS 1470 Jamboree Road TEL. ZQNE NO.OF USE OF NEW cirv Newport Beach No. 640-6800 r'�OR-vND P�� BVILDING R� STATE CITV �'ARDSAPPROVED VAHDSAPPROVED LIC. NO. Z%3H%S LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/LSTREET) OF LOT SS X�.�.0 NOW ON LOT OMf D FT. O PT. USE OF EXISTINGBLDG. �� T a FT Separate permits are required for l SIDE Fr. b Fr. electric, plumbing and heating work. REAR FT. � FT. USE OF BUILDING ANO WORK 70 BE PERFORMED DISTANCE BEf. BEf. MAIN & � MAIN BLDGS. ACCESS BLDGS. Single family residence, C URP.vW 2E� �3f� �ROVED �, �7�7 New House �ROVED � � � HOLD FOR SPE AL REUUIREMENT� I heraby acknowladBe thaS I hava reetl this applicaiion entl ztata �^ n Mat tha abova informatlon Is corfect entl aprae to comply wii� � ell laws reBuletinB buildinp construction, entl I shell not employ xOLLSe 235Z � eny oercon �� Ioletion of Ma workman's compensetlon lews of m ffie Steta of Califamta. 6.�$ �; sQ.FT. Garaqe m 1 hereby certify thai l em properly Iicansetl as a contractor untlar � tha Stata of Celifornia Busineca antl Profeuions Cotla, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOit m Chepier 9, end that such licenses are In full force and effxt, or I THE �URP06E OF ESTABL6HING A PERMIT FEE ONLV: e em exempt from Me provisions of the Steta of Celifornia Buslneu a enA ProfBs3�onsCotle, Dlvlsion 3, Chaptar 9 � VALUATION PERMIT FEE S .3�� m j�j PLAN CHECK S o Signaiure tlf / � � `J��i £�� $ �/� �' TAX E � Permlttee / � /� u Authorized g ni TOTALPAID E LKFU �'