HomeMy WebLinkAbout3396 WIMBLEDON WAY - Building Permits,ar,
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(714)754-5273 • Fa�c(714)754-4856
CITY OF COSTA MESA _
BI/ILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAddress: 3396 WIMBLEDON WY
Suite:
Vicinity: HOUSE 8 GARAGE
Parcel Nunmber: 41207170
Applicant: SELL, RON
Address:
Owner: TEMPLE, HAZEL L TR
Address 3396 WIMBLEDON WAY
COSTA MESA, CA
Contractor: SELL ROOFING COMPANY
Address: 17072 ROSEBUD
YORBA LINDA CA
Zip: 92686
Arch :
Address:
BUILDING PERMIT
Zoning: R1 R1
Phone:
Zip:
Phone:
Zip: 92626
Phone: 714-993-3328
License: 323842
Eng:
Address:
: .►
PERMIT NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 05/10/1999
Issued: OSI10/1999
ISSUED BY: �— � � I
Phone: Phone:
Zip License: Zip: License:
SCOPE OF PERMIT
REROOF - T/O, INSTALL 1/2" OSB BOARD, 2 LAYERS 30# FELT, NEW ICBO #4660 EAGLELITE LIGHT WEIGHT TILE
ROOF.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$137.25
$0.79
$0.00
$0.00
$0.00
$138.04
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING 8 20NING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
s�,soo.ao
s�,soo.00
NOTICE: The work authorized by this permit shall comply with all applirable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legfll, such work must comply with all applicable codes, and all
requlred Inapections and finel epprovel must be obtained. Failure to obtain inspections and final epproval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: 1
I hereby atfrtn under penalry of per�ury one ot t�e following decleretlons:
❑ I have and will meintein d certlllcate oi consent to self-Insure lar workers' compensation, es provided lar by section 3700 of Ihe Lebor Code, for ihe peAortnance of the
,.,,/work for which this Dertnit is Issued.
Iu I have end will maintaln workers' com nsatlon i urance, as requiretl by secUon 3700 ot the Le6or Code, tor Iha peAortnanca oi iha work tor which ihis pertnit is issuetl.
�" M workers' ns on Insur cerner a II number ere:
Y �.� �� /G�6 s��
Cartier. Policy Number.
!Thls sectlon n not be' lete 1! (he pertnl( I va/ued ef ane hundred dollers ($f00) or less.)
❑ I certily thet in the pertormance of Ihe work for w h this permlt is Issued, I shell not employ eny person In eny manner so es to become subject to the workers'
compensation laws of Calllomia, gree thet it oul b ome subject lo the workers' compensetion provlsions of Sectlon 3700 at the Lebor Cotle, I shell forthwith
wmply with ihese prov(sfons.
Applicant Signature: Dete: �/� DO
WAfiNINO: FNLURE TO SECURE WpRK RS' G�MPENSATION WVERApE IS UNLIWRIL AND SHALL SUBJEGf AN EMPLOYER TO CRIMINAL PENALTIES AND pVl� FlNES UP TO ONE HUNDRED
THOUSAND OOLLARE (51 W.000�. IN ADDfTION TO THE COST OF COMPENSATION, DAlMGES PS PROVIDEO FOR IN SELTION 3M OF THE IABOR CODE, INTEREST, PND ATTORNEI^5 FEES.
LICENSED CON7RACTORS qECLARATON:
1 hereby atlirm that I am Ilcensptl
farce entl aHect. Lic. x
Conirectors Signature: �
(commancing with Section 7000) of Divislon 3 oi the eusiness enA Pryfesslpg�.Gode, and my license Is In tull
� Glass a (8 � 7
oe�a: /O-3/— .
CONSTRUCTION LENOING AGENCY:
❑ I hereby affirtn that there is a canstrucllon lending agency tor the pedortnance ot the work for which this pertnit is iuued. (Sec. 3097, Civil Cotle).
Lendefs Name: LenCeYs Atltlress:
Siqnature: Date:
OWNER•BUILDER DECLARATIONS:
I hereby affirtn t�at under penelty of perJury ihat I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe followinq reason (Sec. 7031.5, Business and Professions
Gotle: Any city or counry which requires e permit to consiruct, alter, improve, demolish, or reDeir eny siructure, prior to i�s issuance, elm requlres the eppliWnt for such permil
to tlle e signetl stetemen� thet he or she is licensed pursuant to Ihe provislons of the Conirectors tJcense Lew (Chaptar 9(commencing wit� Sectlon 7000) of Division 3 of the
Business end Professions Code) or that he or she is exempt therefrom and the besis tor the alleged ezemption. Any violatian of Section 7031.5 by any applicent tor e permit
sub�ects the epplicant to e civil penelry o1 not more then five hunAretl Aollere ($500).):
❑ I, es owner ot the propeRy, or my employees wlth wages as their sole compensatlon, WILL DO TME WORK, end the structure Is not intendetl or oHered for sale (Sac.
7044, Business and Protessions Gotle: The Contraciore License Lew does not apply to en owner at property who builds or improves t�ereon, antl who tloes such work
himself or herself or I�ro4gh his or her own employees, proWded thet 6uth impravemenls ere not intended or ottered for sele. If, however, the building or improvemant is
sold within one year oi cqmpletlon, tlie ownerbuiltler will have the burden of proving thet he or she did not build or improve tor purpose of saleJ.
❑ I, as owner of t�e properry, em EXCIUSIVELY CONTRACTNG WITH LICENSED CON7RAC70RS to construct the pro�ect (Sec. 7044, Business antl Professions
Code: 7he coniractors License Lew tloes not apply to an owner ol property wbo builtls or improves thereon, end who contrects lor sucA prqed witb a contractor(s)
license pursuant to ihe Contrectors License Lews.).
❑ 1 am exempt under sec. Business entl Prafessions Code tor ihis reason:
Signeture: Date:
Owner ID veritie0 by ddvafs Ilcense. ❑ Ves ❑ No Driver'S License No. Eapires:
Venticatlon of Ownership by (type of tlocument, I.e. - propeM �ez blll or deetl):
DIVISION OF INDUSTRIAL SqFETV PERMIT CERTIFICA710N:
❑ I hereby cenity ihat no ezcavatlon Ilve (5) or more teet In tlepth Imo whlch e person is requiretl to tlescend, witl be made in connection with work authonzed by this
pertnit, entl that no building structure, scattoltling, felsework, or tlemoliHon or dismantling t�ereol, wlll be more than Ihirty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle B, Calitarnla Aqminlsirative Gotle).
❑ As owner-builtler, I will not employ enyone to do work which would requlre e permit irom ihe Divislon oi Intlustrial Safery, as noted ebove, unless such pereon has e
permit to da such work from the divislon.
Signeture: Date:
Division of IndusMal Satety Pertnit Number.
CERTIFlCATE OF COMPLIANCE ANU AlITT10RIZATON OF ENTAY: I certity under penally ot per�ury that I have read this application antl state that Ihe information given is
correct. 1 agree to comply wlih ell stete lews end ciry ordinences releting to bullding wnsiruction, end euthonze reprasentatives ot Ihe Ciry of Casta Mesa to enter upon the
abova-descrl6ed propeM �or inspectlon purposes. I agree not lo occupy or ellow occupancy of eny bullding authonzed by this permit until finel inspection.
Bi e e Of Legal ne
n Or Authorized Appli t
COpE�, pISPECTIONTYPE
1816 Fixetl System Final Fire Prevention
7266 Paal Spa Final
200 Final Re-Roaf
201 Final Block/Reteining Wall
202 Finel Fectory Fire Place
203
204
za+e-ae
Final Sign
Final Demolition
GeIE It�eli
ip � "s� q �y k,D"
s �ooe 99
—� ate
CODE� INSPECTIONiYPE
206 Final MeChaniwl
208 Firtal Plumbing
270 Finel Electncal
212 Finel Fire Prevention
220 Final Planning Approvel
222 Final Site
250 Final Building/Occupancy
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COSTA ME5A BUI�DING-SAFETY DEPARTMENT
P.O. 60X 1200 COSTA MESA. CALIFORNIA 92626
For Applicant to Fill in Comple[ely — Use Ink Only
AD�DRESS Tract 10277, Lot 38
OWNER McLain Development Co.
MAIL �[�%� Jamboree ROdC�
A�DRESS
TEL.
ciTv Newport Heach No.
CONSTRVCTION
BRANCH
ADDFESS
ARCHITECT . _ TEL.
nooaess 3661 Spruce St., Newport Beach
CONTRACTOR MCLain DEVelOPIDEI1t.i.'O.
ADORESS 1470 Jamboree Road
TEL.
CITV Newport Beach No. 640-6800
— __
$TATE 273875 CITV
LIC. NO. LIG. NO.
Of lOT rjO X ZOG NOW ON LO
USE OF
Separate permi[s are required for
electric, plumbing and heating work.
VSE OF BUILDING AND WOfiK TO BE PEFFORA
5ingle family residence,
New House
I �eraby acknow�etlge ihat I have reatl this appiieetion antl state
that tha abova information is eorreet and a0rea to comply with
all lews regvleifn0 buildin8 construction, entl I shali not employ
any person in vi0lation of tha workman's compensallon laws of
the State of Celifornle.
i h¢reby certify thai l em properly Ilcansatl az a eontroctor untlar
the Sinta of California Businasa antl Professlon9 Cotle, Dlvialon 3,
Chapter 9, end that such licanaes ara in full fo�ce antl atfect, or I
am exempt from the provisions of tha Stete of Celifornla Bualnoss
antl Professions Code, Dlvislon 3, Chapta/r ^9.
SiB�et�ra of � a ,�n.F� l )GI � /V`��
Permlttae
Authorizad A nT
`!95 2/2'I/79 293.19 T
��9795 2/21`/79 293.19CKT�
§�3795 0000447496 " IA'-- �
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APPLICATION rOR STRUCTURAL PGRMIT
PERMIT NO.
A.P.NO. �/Ii_OiI-Oj�
AODRE S 339� �
TRACT ZOZ%% LOT 3H BLOCh
W A A P
X
OWNER C
� VALUE �
$5 ,
F.IRE e
ZONE TVPE �BROUP
APPROVED
ZONE NO.OF USE OF NEW
PDR - D P�� BUILD�NG E S
VAROSAPPROVED VARDSAPPFOVED
MAIN BUILDING ACCESSORV BVILOI
(FROM C/L qSTREET)
FRI'IMT Ol O FT O FT
VAR. q6
c.u.v.�.�E -7�-
APPROVED
DATE
APPROVED
� House 1685
so. Fr. Garage 436
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLSHING A PERMR FEE ONLY:
VAI.UATION PERMITFEE E
PLAN CHECK S 9/ �
g sa, ��U Ax E � �
TOTAIPAID E� 3 L
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CQSTA MESA BUILDING—SAF� ' DEPAflTMENT
' � P.O. BOX I._
Costa Mesa, California
�� TMGT
CONTRACTOR Culii an Water Conditi n' �oT N'
Addross 1911 S, Manchester
City Anaheim Zip Code 92802 Buaaing
ndaress
State License No. 168763 ��Ou• C55 Owner_
City License No. TeL No. btail
Address
JUMBER TYPE OF FIXTURE OR ITEM FEE _. „_
4'.t� ^lC:./�'I
I:iil•]1
BUILDING VSE
Hazel
64C:' TI
P-812
DATE IB6U6D
-�'i-a-�'�
Iry Tub or Trey I hereby acknowledge, Iliet I�have read this application and
netic Weshing Machine sta[e [hat [he abOve is c`or