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Home My WebLink About3404 WIMBLEDON WAY - Building Permits(714) 754-5273 • Fex (714) 754-4856 — CITY OF COSTA MESA � BIIILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT JobAddress: 3404 WIMBLEOON WY Suite: Vicinity: HOUSE 8 GARAGE Parcel Nunmber: 41207168 Zoning: R1 R1 npp�icant: SELL ROOFING COMPANY Address: 17072ROSEBUD , � � • - . _ � � Phone: 714-9933328 YORBA LINDA CA � . Zip: 92686 Owner: BOWMAN, ROBERT M Address 3404,WIMBLEDON WAY /, /� . � COSTA MESA; CA - � � / Contiactor. � SELL�ROOFING COMPANY �Address: 17072 ROSEBUD - � - � YORBA LINDA CA 2ip: 92686 Arch : / Address: , ' . + � Phone: � Phone: Zip: 92626 � . Phone: 714-9933328 License: 323842 Eng: Address: PERMIT NUMBER � VB 9-01170 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED qpplied: 0712911999 Issued: 07/29/1999 Phone: - � Zip f;� License: Zip: License: � ' � SCOPE OF PERMIT � , , i REROOF -7/O, INSTALL NEW i/2" OSB BOARD, 2 LAYERS OF 30# FELT & NEW ICBO #4660 EAGLELITE ROOF. , Plan Check: . . $0.00 � Permit: . $149.75 SMIP Res: $0.89 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 � Total: $150.64 SETBACKS MAIN STRUCTURE� Front 0- 0 ACCESSORY � Pront 0. 0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY , PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0. 0 � sa,soo.ao sa,soo.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or i( work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlone and final epproval must be obtainetl. Failure to obtain inspections and final approval will resufl in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATON DECLARATON: ' I hereby aflirtn untler penalry oi per�ury one oi Ne tollowing tleclarations: , ❑ I have and will meintain a cetlificate of consent ro sell-Insure for workers' compensation, es providetl for by section 3700 of Ihe Lebor Code, for ihe pertormence of the work for which Ihis permit is issuetl. ❑ I have and wlll ai tai workers' co ensati urence, es requiretl by section 3700 of the Labor Code, for Ne peAormance oi Ne work for which this pertnit Is issued. M workers' n ' n Insur ce carner tl oli number are: /( / l` Y P �Y /U�� Carder Policy Number: (This section need wt be wmp/eted It the permif �veNed et one huntlretl dollers ($ f 00) or less.) - ❑ I certify Ihei in Ihe peAormance o� Ihe wo �or w�ic� thi5 pertnii is issued, I shall not employ any person in any manner so es to become su6jeci �o �he workers' compensation laws oi Califomla, end e het if I shpuId become subject to the workers' compensetion provisions of Section 370ppp��of the Lebof Cod� I shell tonhwith comply wiih Ihese provisions. r i/// �/� i� A i /�// "'! Applicant Signature: /d'�-'� // Da�e: � L_ WARNING FAILURE TO SECURE WORKERS' COMPENSATION CpVER4GE IS UNLAWFUL qND SHALL SUBJEGT AN EMPLOYEF TO CRIMINAL PE ilES AND GVIL FINE$ UP TOONE HONDRED THOUSANO DOLLAFE (5100,OW), IN A��ITION TO?HE COST OF COMPENSATION, pAMAGES AS PROVIDED FOR IN SECTION 31W OF THE LABOR COOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby attirm that I am licensetl force and ettecL Lic. k Contrecbfs Signamre: _ 9(commencing wlth Section 7000) of Division 3 of Ihe Business and Protessions C and my license is in full Class M � — �� Dare: ?'O — —O� CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm thet Ihere is a constmction lentling egency for tha pedormence oi the work for which this permit is Issued. (Sec. 3097, Civll Cotle). Lender's Name: Siqnature: _ OWNER-BUILDER DECLARATIONS: Lentlefs Address: Date: I hereby aHirm ihat under penalty of perJury ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Cotle: Any city or county which requires e permit to consiruct, elter, improve, demolish, or repair eny strucNre, prior to its issuance, also requires Ihe epplicent tor such permit to tile a signed statement ihat he or she Is Ilcensed pursuent to the provisions of ihe Contractors License Law (Chepter 9(commencing with Sectlon 7000) of Division 3 ot ihe Business antl Professlons Cotle) or Ihet he or sha is exempt Iherefrom entl t�e basis for the alle9ed eaemption. Any vlolation of Section 7031.5 by eny epplicant for a permit sub�acts the applicant to e civil penalry of not more then live hundred dollers ($500)J: ❑ I, as owner ot the property, or my employees with wages es their sole campansation, WILL DO THE WORK, antl ihe structure Is not intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The Conirectors License Lew does not apply to an owner of properry who 6uild5 or impraves thereon, and who does such wark himself or herself or through his or her own employees, provided that such improvements are not intended or oflered for sale. II, however, the building or impmvement is soltl within one year ot completion, Ihe owner-builder will heve Ihe burden ol proving that he or s�e did not build or improve for purpose of sale.). ❑ 1, as owner ot ihe properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions Code: The conirectors License Law tloes not epply to en owner of properry w�o 6uilds or improves Ihereon, and who contracts for such project with a contractor(5) license pursuant to the Contrecmrs License LewsJ. ❑ I am exempt under sec. Busineu entl Professions Code for this reason: SignaWre: Date: Owner ID verified by anver's license. ❑ Yes ❑ No Dnvafs License No. Expires: Venfication oF Ownership by (type of tlocument, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no excevation fiva (5) or more teet In tlepth in�o which a person is requlred to descend, will be made in connec�ion with work euthorizad hy ihis permit, and that no building structure, scaffoltlinq, felsework, or tlemolitlon or Aismantling t�ereot, will be more ihan thirry-six (36) teet high. (Chap. 32, Gry 2, An 2, Sec. 341, Ttle B, Celitomia Administrativa Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit trom ihe Division of Industrial Safety, as noted above, unless such person has a permit to da such wark tram the division. Signature: Dete: Division of Industrial Sefery Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORVJ1T10N OF EN7RY: I cenify under penalty ot perjury that I have read Ihis application end stete ihat the information given is wrrecL I agree to comply with all ste�a lews and ciry oMinences relating to building constmction, end authorize representetives of �he Ciry of Costa Mese to enter upon Ihe above-descnbatl properry for inspection puryoses. I egree not to occupy or allow occupancy of any builtling authorized by this permit umil final Inspection. i ature Of Leg De 7 �9 �9 nd/Or Authorized Applicent � ete COpE N, INSVECTIONTYPE 1616 Fixetl System Final Fire Prevenlion 1266 200 201 202 203 Pool Spa Final Final Re-Roof Final BIxWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition 2aa6 d6 P97E ItII�LS CO�EI INSPECTONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAiE INTRIALS �'� �P. i �F � ,� COSTA MESA BUILDING-SAFETY DEPARTMENT P.D. BOX 1200 COSTA MESA. CALIFORNIA 92626 ;�3793 2/2'1.779 W�3793 2/21/79. ��L7f14p 293.19CKT� APPUCATION FO��RUCI uicAL�HE�MtT � A For Applicant to Fill in Completely - Use Ink Only R -I �ATE RECEIVED DATE ISSVED BUILDING � ADDRESS Tract 1�2%%� IAt. 4� PERMIT NO. OWNER MCLain �evelopment co. A.P.No. �// -o -o 6VILDING ' MAIL 1470 Jamboree Road ADDRESS p� ADOflES5 CITV Newport Beach rTio��640-6800 'rancr 10277 �pT 40 qLOCK CqNSTRUC7'ION W A LENDER � BRANCH � OWNER � ADDRE55 V UE ARCHITECT Corbin/Yamafu'i TE�'752-5567 S � s - OR ENGIN ER N 3661 S ruce St., Ne ort Beach FIRE ADORESS P � ZONE TVPE GflOUP i APPpOVED CONTflACTOF MCLain IJ0V2�.0 Ii1271t CO. 8V DATE nooaess 1470 Jamboree Road TEL. Z�NE NO.OF USE OF NEW cirv Newport Beach No_ 640-6800 PDR-►'YID P�^^� BUILDING RES STATE 27387r, CITY �'AflOSAPPROVED VARDSAPPFOVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSOFV BUIL�ING SIZE NO.OF BLOGS. (FROM C/L STFEET) OF LOT 4S X I�.S NOW ON LOT OM FT. O FT. USE OF EXISTING 8��. S FT. � FT Separate permits are required for L. SIDE FT. U F-r. electric, plumbing and heating work. qEAR FT. O Fr. VSE OF BUILDING AND WORK TO BE PERFORMED D4STANCE BET. BET. MAIN & ( MAIN BLDGS. ACCE55. BLDGS. \` VAR.s$ DATE Sin le fami.l residence, c.u.a.�d.Zf�% -3 APPtiO�/ED New House APPROVED �� ,� HOLD FOR SPE IAL REOUIREMENT� I hareby acknowledBe that I heva raetl Miz appllcation antl ztem '� n thet tha npove Information Iz cor�aei antl aprea to comply with m ell laws repulatin8 builtline consttuction, antl I shell not employ ��re 16a5 m any porson In violetlon of tho workmon's compensation laws ot the Stace of Calitornia. . � 1 hareby eBrtify thet i em proparly Iicansetl es e<ontractor untler SQ. FT. C'�age 436 N the Smto tlf Callfornle Busines9 and Prafesalona Cotle, Dlvislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m C�eptar 9, entl that eueh licanaes ara In full for<e antl effeet, or I THE PVRPOSE OF FSTABLISHING A PERMIT FEE ONLY: e am exompt from t�e provisions o( tha Staro of Calitornia eusinesa VA�UATION PERMIT FEE S � and Profes3�ons Cotle, Divislon 3, Chapter 9. 3 J� m PLAN CHECK E � '^ SI neture tlt rt f C o Pa mlttea l� •m` ,(•� S 5a �oa TAX E 3i 6 LL i V Authorized P�B TOTAL PAID E a 3� �