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Home My WebLink About3401 WIMBLEDON WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA � BUILpING pIVIS10N DEVELOPMENT SERVICES DEPARTMENT PERMIT Jobnddress: 3401 WIMBLEDON WY Suite: Vicinity: ParcelNunmber: 47207332 Applicant: RON SELL Address: Owner: GARLICH, BRUCE E TR Address 3401 WIMBLEDON WAY _ � COSTA MESA, CA_ Contractor. SELL'ROOFING COMPANY �:�Address: 17072�ROSEBUD Arth : Address: � YORBA LINDA CA Zip: 92686 i � Phone: BUILDING PERMIT Zoning: R1 R1 Phone: 714-528-1758 Zip: Phone: Zip: 92626 Phone: 714-9933328 License: 323842 Eng: Address: PERMIT NUMBER 77 FAIR ORIVE, COSTA MESA, CA 92626 ISSUED BY: � Zip License: Zip: � SCOPE OF PERMIT T/OFF SHEATH AND REROOF 2800SF RESIDENCE W/LT WT TILE ICBO#4660(5.8PSF MAX WT). 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 & ZONING Left 0- 0 LeR 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Status: ISSUED Applied: 07/O6/1999 Issued: 07/O6/1999 Phone: License: $7,900.00 s�,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 7241-92) 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. ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapections and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS'COMPENSAPON DECLARAnON: I hereby attirm under penalry of perjury one of the tollowing tleclarations: ❑ I have end will maintain a certlficate oi consent lo sofl-Insure tor workars' compansation, es provided for by sactlon 3700 of Ihe Labor Code, tor ihe petlormance of the wolk for which ihis permit is issuad. , .. ❑ I have antl will meintain workers' canpensat%ioJ insurance, as required by section 3700 oi tha Lebor Code, for the pedortnance of the work for which this parmi1 is issue0. My workere' en tion Ins%� e carrie/� nd policy number are: � �G /� �/ Cerner. 0, /�Gfi/.�d PolicyNumber: C� 5.5 T (This sechan need not e comple ed J fhe permi is valueO et one hundred dollers ($100J or Iess.J �� ❑ I certify that in ihe peAormance oi the work for which ihis permit is issued, 1 shall not employ any person in any manner so as to become subject to the workars' compensation laws of Califomia, e gree ihat If I uld b come subject to the workers' compensation provisions of Section 3700 of Ihe Labor Code, I shall forthwith comply with ihese provisions. � ^ �� / Date: / �� — ! / �y Applicant Signeture: � ��C/� '� l WARNING FlJLURE TO SECURE WORKERS' CO!dPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CFIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TFIOUSAND DOUARE (8100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOF IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under pro ' i� torce end effecL Lit. # y Contractors Siqnamre: � wi�h Secti 7000) of Division 3 of ihe Business and Protessi de, antl my Iicense is In —/ Classk (�,—� Date: ' � 0 CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that thera is a constmction lentling egency for Ihe pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lendefs Address: Signature: Date: OWNEFi-BUILDER DECLARATIONS: I hereby aHirm thet under penalry of perjury that I am EXEMPT FROM 7HE CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professlons Code: Any city or counry which requires a permit to wnstmct, alter, improva, demolish, or repair any structure, prior to Its issuance, elso requlres the applicant for such permit b file a signed stetement ihat he or she Is licensed pursuaN to Ihe provisions ot ihe Contractors Llcense Lew (Chepter 9(commencing wlth Sec�ion 7000) oi Dlvlsion 3 of the Busineu and Professions Code) or that he or she is ezempt thereFrom anA the basis tor ihe allegad exemption. Any vloletion of Section 7031.5 by any epplicent for e permit subjects the applicant to a civil penalry of not more than tive hundred dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe structure is not intentled or oHered for sale (Sec. 7044, Business end Professions Code: The Coniractors License Law does nol appiy to an owner of property who builtls or improves thereon, and who does such work himsetl or herseif or Ihmugh his or her own employees, provided ihat such improvements ere not intended or ottered tor sale. If, however, ihe building or improvement is sold within one year of completion, Ihe owner-builder will have the burden of proving ihet he or she did not build or improve for purpose oi sale.). ❑ I, as owner ot ihe propetly, em EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS b construct the prolect (Sec. 7044, Business entl Professions Code: The contrectors License Lew does not apply to en owner of property who builds or improves ihereon, entl who conirects for such project with a coniractor(s) license pursuant to the Contrectors License Lews.). ❑ I am exempt under sec. Business entl Professions Code for this reason: Signature: Date: Ownar ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Veniication ot Ownership by (type of tloament, i.e. - propeny taz bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I �ereby certify Ihat no excavation five (5) or more feet in Oepth into which a person is requlre0 to descen0, will be matle in connection with work authonzetl by ihis permit, and ihat no building strucNre, scaflolding, faisework, or demolition or dismantling thereol, wiil be more ihan thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, California Adminisirative Code). ❑ As ownar-builtler, I will not employ anyona to tlo work w�ich would require a permit from the Division of Industrial Safety, as notetl ebova, unless such person has a permit to tlo such work from the division. Signature: ' Date: Division of Industnal Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I cerlify untler penalry of perjury ihat I have read ihis epplication antl state ihat the information given is correct. I agree to comply with all stete laws and ciry ortlinances relating to building constructlon, end authorize representatives of the City ot Costa Mesa to enter upon the ebove-described properry for inspection puryoses. I agree not to xcupy or allow occupancy ot eny building authorizetl Dy ihis permit until final inspedion. cooe �, iNsvecnoxTrve - 1616 Fixatl System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Re-Rooi final BIocWRetaining Wall Finel Fectory Fire Place Finel Slgn 204 Final Demolition 2696�48 . PA7E INTRIALS 'y.��L -�k'� CODE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupan� D� F � W o. Q � h x F � W F a L� :� > � .� a W 4 O a 0. z x 3 r,,� ,�*c�� COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely - Use Ink Only BVILDING nooRess Tract 10277, Lot 54 OWNEF MCLain Development Co. MA�� 1470 Jamboree Road ADDRESS TEL. CITY Newport Beach No. 640-68 CONSTRUCTION BRANCH TEL. � ;: �i� �778 APPLICA A.P.NO. YIZ�O%I�' BUILDING ADORESS �l�Q TRACT � (1� OWN FIRE ADDflESS 3661 Spruce St., Newport Beach ZONE APPROVEO CONTRACTOR MCLain Development Co. er ADDRESS 1470 Jamboree Road TE�. cirv Ne ort Eeach No. 640� STATE CITY uc. No. 273g75 LIC. NO. OF�OT �j3 X 9S NOWONLO� USE OF EXISTING BLDG. Separate perrttits are required for electric, plumbing and heating work. VSE OF BUILDING AND WOFK TO BE PERFORMED Single family residence, New House I horeby acknowletlga that I heve reatl ihis application entl sxa[e ihat the ebove Intormation Is �orteet and agrea to comply wiih all laws reg�lettng building construction, antl 1 shall not employ any person in vlolation of the workmen's compensation laws ot the State of Californla. I hareby certify that I am proparly Ilcensetl as a conbactor untler t�o Stato of Californin Business and Professions Cotle, Divislan 3, Chepter 9, antl that such licenzes are in full forco antl effeet, or I um exempc from the provisions of the State of Callfornia Businass antl Profossions Code, Divislon 9, Chepter 9. Sie�ature ot m rC � Parmlttee � Authorized A t /2_1/79 293._19 TL iF1fU,419PER111'r 293. I 9CKTo- ueo �A .. .-- PERMIT NO. f S�I BLOCK � VALUE � 5 _r.an�ia _d.� ZONE NO.OF USE OF NEW poR_hjp PIANS BUILDING R�5 VAfiOSAPPROVED VARDSAPPqOVEO MAIN BUILDING ACCESSOFY BUILDING REAR ��Z.. FT. DISiANCE BET. BEf, MAIN & MAIN BLOGS. ACCESS, BLp VAR. # DATE c.�.a..,� 2F_ -7R. a tI APPROVED N m House 1685 m sn. FT. Garage 436 „ THE AMOUNT SHOWN UNDEq VALUATION IS FOR m THE PUFPOSE OF ESTABLISHING A PERMR FEE ONLY: � VALUATION PERMIT FEE $ �ftJ� P m O� PLAN CHECK § o N/� LL $ ti/ �� TAX E � �Ja/ �.0 TOTALPAIO E t