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Home My WebLink About3405 WIMBLEDON WAY - Building Permitsil � � —_ PFl0.IECT RO�flESS: awxexsxnme: 3405 WIMBLEDON WY noosEss: KIMMEL, EDWARD KIMMEL CHERYL 3405 WfMBLEDON WAY COSTA MESA 92626 APCH/ENGINEEN: ROOHESS: flEG.NO.: uxir: UNIT: PEflMITTEE: CHERYL ICIMMEL ( 714 ) 432-7917 FD�flESS: 3MAOS WIMHLED0t3 WY (`p q9 , LICENSEU CONTHNCTilfl9FCLFRpTION: I hereby aifirm Iha� I am licensetl untl�'i piovi516rR'o��a�er 9(commencing witA Sec�ion 7000� ol �rvision 3 of �he BusinEss and Pmfessions Cotle, antl my hcense is m full lorce an0 effec�. CITY LIC.: STpTE LIC.: CLASS: Oate�. Signature: WOBKENS' COMPENSATION OEGaRpTION: I hereby a��um ��at I have a cetlilica�e o� consent �o sel4insure or a certiliwte of Workers' COmpensalion InsuranCe, or a[BnilieE copy Ihereo� (SetiiOn 3800, Lab. C�. POLICY NO.: EXP. �ATE: COMPANY: ❑ C¢Nh¢tl topy is her¢Dy IurfliSAea. ❑ Certiliea copy is �iletl wi�h the city Builtling Division. Oate: Applicant: EXEMPTIONFBOMWOBKEHS'fAM7EN5ATI0NDEtNNRTION: �Thisseclianneeanol�ecompletedii0epermilistorone�undred(510(qorlessj. I cetli�Y �hai in the petlormance o� �he work lor wAic� Nis permit is issuetl, I shall not employ any person in any �anner so 25 �o hecome suqect lo Ihe WoBers' Comp7en5ation Laws of Califomia. (� �ate:o2�� b� 9 S Signa�ure: `� NOTICE: If, afler making IhiS tleclara�ion. you shoultl became suble�� e Workers' Compensation pmvisions of Ine Labor Cade. you musl latlhwith cOmpty wilh 5uch provisions or �his permit 5 all be tleametl �evake0. CONSTBUCTION 1EN01NG ACENCY: I hereby affirm Ihat Ihere is a constmction lending agency tor the performance of the work far w�ich Ihis permil is issued (Secdon 3097, Civ. C). LENOEN: RDDflESS: OWNEB BUIlOEB OECIAHBTION: I AereOy aHirm Ihal I am exempt tmm the ConVaclors' Sfaie License Law �or �he tollowing reasan �Seclion 7031.5 Business ana Pro�essional Cotle: Nny city o� counry w�ich requires a Dermii to consimc�, alter. improve. demolish, or repau any slrucWce. prwr to 7t5 isivance. atio �eQui�ei lhe app�wnt �ar such perrttil lo hle a ilg�etl SWlement that helshe is ticensetl pursuani Io Ihe pmvisions ol Ihe GonVactors' S�aie License Law �Chap�er 9(commencing wiih Section 7000) of Divisian 3 0l �he Business an0 Pmfessions Cotle) or Ihat he�s�e is exempt Nerelmm anA Ihe basis for tne allegeE exemp�ion. Any Nola�ion a� Seciion 703L5 by any applican� lor a permit su71ec�5 Ihe appticanl to a civil penaliy af not more Ihan �ive huntlreG tlollars (351p�. � I, as owner ai Ihe D�operly or my employees vn�h wages a5 Iheir sole compensation, will Oo ihe work, an0 ��e slmciure is no� imendetl U� ol�ered lor sale (Seclion 704a, Business and Pm�essional Cotle: ihe Con�rac�ors' S�aie License Law does not appty to an owner of a D�oDeny who builds or impmves ihereon, antl w�o tloes sucA wark himselt/Aerself or ihraug� his or her own employees, proviQeO tha� such improvements are not Intended or a11e�eA for sale. If, however Ihe builtling or impmvemenl is soltl within one year al comple�ion, ihe owner will have Ihe �u�den o� pmwng he/she ditl noi builtl or impmve �or Ihe purpose ol sale). I, as owner ol �he pmpenY. am eKclusively con[rac�ing wi�h licensetl conVac�ars to cons�mc� Ihe pmleci (Sec�ion 7044, 9usiness ❑ and Pmfessians Cotle: The Contrac�ors' Slale License Law does not apply �o an owner ol proDeMY who builtls or improves �hereon antl w�o conlracis lor suc� pmlecls wi�h a conVac�aqs) license pursuantlo t�e ConVactors' Slate License Law),I am aware that pmal o� ��eir Worker'S Compensalion insurance shoultl be pmvidee �o me. � I am e�empl untler Section'. e. 8 P. G � 1or ihis reason�. q t/�, /y� n. D (� Daie: � �' { �' 1 � Ownec v � `� � I do hereby cetlity thal I am aware ol anU un4eR1an01he requiremen�s of CalifOmia,Heall� antl e�y Cotle Sec�ions 255Q5, 25533, antl 2553<antl ihat � or any future building occupanl wilVwill no� (circle one) need ro comply wi�h said 51aie coaes and Ihe requiremeNs �ar a permit for conslmqion ar motlifiGa�ion Irom Ihe Air Oualiiy Managemen� Oislric�. fle5i0ential cons�mction applicaiions are exempt fmm Ihese pmvisions. Daie: Applicanl: I hereby wr�ify Iha� I have reaU Inis applicalion ana state Mat the a�ave information is correct. I agree lo comply wilh atl cily and counry ordinances antl s�ate laws relaling lo builtlmg conslmction an0 �ere�y author¢e rep�esen�alives ol Ihis ci�y �o enler upon Ihp`abave�memioned propeny brinspec�ion purpose7s. ///�� yq r Oa�e � U_� J Signaiure: � " � �nver'S License or Social Securily N� 1641-46 While—Bmltlmg: Gre6n—Code Enlorcemem: Canary—Appliwnl Plnk—Revenue: Galtlanmd—Hssessor � CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 060979 PERMIT NO; E 060979 PLAN CHECK NO; "— N GOVT: N SUPP: N CONSTRUCTION TYPE: Ii PERMIT TYPE; ELE PURPOSE: OTH JOB DESCRIPTION ; UPGRADE ELEC�RICAL CIRCUITS SQ FT; CLAIM VALUE; CALC—VALUE: GROUP OCC; / COMMF:NTS; NO OTHER WORFt AUTHORI2ED BY THIS PERMIT iE lE iE �lE if iE 1t iE il�iE if if �)f iE if �1k iF iFiE if # iE if iP iE iE it iE 1f if �lElf iF iE iE 1E �It ik ik iF ik iE iE i(� fE �)f if iE i! iE lE %� K� �% 3E-1E �1F iF iElE iE 1E ik iF #!F �lE 7f 3E it lE 1F 3E iF if iE i! ik M Z O N I N G R E Q U I R E M E N T S —�ETSAcxs ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT ZN RGHT; FT IN PARKING REp • PROV; PARCEL; 41207333 ZNE: REF Nd; PLANNING NtST'ES> i if iE iE ik iF iE if �E 1F iE if iElf iElE iE iF iF fF iF fE if iE fE iF iE iE af if iE iE if if iE iE 3E if iE iF iE iE if if iE if if iE if ik if iF iE 1Elf iF 1E iF iF 1E 1f 1E iF if if if iF ih iE 3E 1F iE iF if 1E ik iP ib iE iE D E V E L O P M E N T S E R V I C E S R E Q LJ I R E M E N T S ZONING APPROVEU BY DATE; BUILDING APPROVED HY ; DATE; APPLICAT'ION ISSUED BY; DATE; Z 10��'� iE iE iE iF ik ik 7t i! �f iE if �EiE iF iF k iEiF if if fE iE jF 1E if ik it iF ik 1ElE 3E�'iFif �f 1E !f iF iF it iE iF iP iE �If if it iE if jF i! iE iE it ik iE iE if �IE 3f� �t kiE iF iEl4 iE i! iE 1E if� 3! iE iEiE iF iP if if i(� ib 3t �f Ik if if if iE iF fE iE ik%iE �lt �F �E 1E iF iE-lf iF X�iE iFiP iE i(� iE �F jt iP iF if LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLUMBING ELEC6R75 MECHANIC FIRE SMIP/RE5 GRADING SOt SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID UUE TOTALS----> 6.75 15,00 0,00 21,75 21.75 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 21.75 OVER/SHORT• 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 21,75 iE iE if 1FiE if iFlElk 1E iF iE 1E �Ik iE if if !F iE �E if iE if iE iE iF ik 1k ik fk �1F iE !E iF 1F if dE if ik iE iElE iE �1E iE iF iF iF iF iF ik 1E iE iF IP �(� IE 1E if 3F if IF 3E �lF iE iF iF 1f iE IE iE 1E �iE iF iE if 3f iE if I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNST COST TOTA7, COST ELE 1 RECEPT/OUTLET 1 ST 20 EA. ,75 /S ELE a, 2 NON—RES APPLIANCE NOT OVER 1,0 HP 3,00 6,00 END OF FEES '$ EXPIRED Incomplete Inspections � 00te ��!� � � � ., . k . � � . . � y y CONSTRUCTION AND PIANNING POOL �, SPA APPROVALS Permit # Date i Inspector AppqOVALS Permit �_,_ Date Inspector 7. Temporary Electncal Service or Paie � 52. Pool & EquiRment location 2. Soil Pipe-Undrgrnd. 53. Stee� Reinforcement • '� 3. Electricai Conduit Utility�Undrgrnd. 54. Forms 4. Electncai Conduit•Undrgrnd. 55. Electricel Bonding u. ' S. Steal Re�nto�cement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAlTO COVER�GUNITE ' 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation ; � 59. Gas Pipe, rJ Undrgrnd., Test . 9. Water Pipe-Undrgrnd, 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structurai Floor SYstem '-'' 61. APPROVAL TO DECK � , ii. Property Sewer Line & House Conneciion 62. Backwash & Receptor-Final •- � 12. Sewer Cap 63. Heater & Vent-Final � - , 13. Roof Drafns 64. Plumbing Syscem - Final '" 14. Rough p�umbing 65. Electrical-Finat � 15. Rough K_iectrical-Conduii '� 66. Solar System�F4nal . 76. ftough Electric Wiring 67. Fenci�g & Access Approval � t77. Rough 4Viring Sign 68. APPROVED FGR PLASTERING ` 18. Rough Electrical-T Bar Ceihng 69. POOUSPA SYSTEPAS PINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ; APPROVALS Permit # 21, Ducts, in $tructure � 70. Underground Nydro 22. Ducts,'u'enYilating 77. Product Pipiny �Gas L70i1 23. Gas Pipe-Rough & Test 72, Underground Flush �_ 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil '- -� 25. Roof Sheathing 74. Overhead Hydro _ 26. T-Bar �eiling �Structuraq & Monocoat 75. Dry Chemicai 27. Frame and Flashin9 76. Dry Standpipe . 28. Lathing & Siding � i . 77. FIXED SYSTE!L5 FINAL . � 29. Insulation I I 78. PIRE PREV. F1NAL - 30. Drytn.�ali Nailing � � I HEALTH DEPT. REQUIREMENT 37. Piaster Brown Coa2 � � ' �� 79. FINAL INSPECT�ON � 32. Electri�yi Power Meter�Final � � � S0. FOOD CERTIFlCATE ISSUED 33. Pinal Efectnc � � � Notes: _� 34. Final Neating & Air Conditioning ' � � 35. Final C�as Pipe�Test , � � � 36. Hood qr Canopy , ��"� f 37. Final Pactory Fireplace I "� f 38. Final Piumbing � I j � 39. Water Service-Pinal � i I i 40. Gas Service�Final � 41.. Solar pomestic-Final � � 42, Backflow P�eventer � l � 43. Backflow Irrigation e i 44. Landscape Irrigation System � � � , 45. Sound Rttenuation 46. Handicap�Regulations � t 47. FINA�STRUCTURE&BUI�DING � � -'� 48. PINAL PLANNING � i � i .' 49. Electric Release to Edison � �''� . 50. Gas Release to Southern Califomia Gas Co i .•� 51. CERTIFICATE OF OCCUPANCY � � � No. Date . ? Pfl61ELTR00XE5S: 3QOS WIMBLEDON WY OWNEN'SNAME:HIMMEL, EDWARD nooeess:F(IMMEL CHERYL 3405 W`lMBLEDON WAY COSTA MESA 9267.6 AflLN/ENGINEEH: PDOHESS: S NEG.NO.: uuir: CITY OF COSTA MESA — HUILDING �RMIT PERMIT NO: E 061275 PLAN CHECK NO; N CONSTRUCTION TYPE; 5—N PEkMIT TYPE; ELE UNIT: eeemiTree:CHARRIF.R ELECTRIC (71fi}$40-341.8 aooeess:16752 LOVELL LN HUNTINGTON BEACH CA 92647 LICENSED CONTPNCTOfl OECIAflFTION: I nereby atlirm Ihai I am licensetl un0er provisions ol Chap�er 9(commencing wit� Seciion 7000� ol Div�sion J ol t�e Business and Pmle55ions Code. an0 my license is in full lorce antl elleci. c�Truc.:038773 STNTELIC.4ILSiZ cus�': Daie: � � � �3 Signa�ure��_ _ WOHNEPS' COMPENSATION DECLABRTION: I Aereby irm I�aI ridicate o� consent Io self-insure or a certi�icate of WOBers' Compen5aiion Insurance. or a ceriitiee copy Ihereoi (Sec�ion J800. Lab. C�. POLICY NO.: EXP. ORTE: COMPANY: ❑ Cenihee copy is nere�y fumishee. ❑ Ceniliee mpy is fileA wilh the cily OuilAing Oivi9on. Oale: AOVlicanC EI(EMPTIONFBOMW08REHS'fAMPEN5ATI0NOELUflRTION: (iAisseclionnee0nol�ewry0 ��e grrtutis�waneAuMr¢d�5100�orless�. I cetlily IM1aI in Ihe petlormance o� the work lor w�ich this Dermii is issuetl, I sh II n Y€mploy �fson in any manner so a5 io 6ecome su�lecl to ihe Workeri Compensation Laws ol Calilomia. Oa�¢: � Signalure: V NOTI E: 1�, afler making lhis tleclaration, you ShoWG Ge e Suhleti IO l�e WaMeR' Compen5aiion provi5ion5 Ol l�e LaUar Code. yau musi fon�wilh com0ly wii� suc� provisions ar IAis Dermil shall be Oeemed revoke�. LONSTBUCTION LENOING PGENCY: I her¢Uy allirm Ihal Ihere is a COnSirUtlion IenOing agency tOr Ihe peAOfmanCe ot the wOrk for whic� Ihis permil is i=.SueA (Seciion 3097, Civ. C). IENUEfl: aooxess: OWNEP BWLOEH UECIAHRTION: I hereby aflirm t�a� I am exemp� Imm tAe Conlractors' State License Law for ihe following reason (Section 7031.5 Business an0 Pmlessional Coae: Fny city oi county w�ic� requires a permit m mnsimct, alter, imD�ove, Aemolish. or reoair any sirutWre. prior lo its issuance. also reQuires Ine ap0licanl lor suth permil to lile a signe0 statement ihal he/sne is Iicense0 pursuam m Ihe D�ovisions of �he ConVacmrs' State License Law (Chap�er 9(commencing wilh Seclian 7000) of Division 3 0l ihe Business ana Pmtessions Code) or Iha� he/she is exempt iherefmm anA I�e basis br ��e alleged exemplion. Any violation o� Section 7031.5 by any applican� �ar a permii su6lects Ihe applicani �o a civil penaliy oi not more Ihan live AuntlreC tlollars (5500�. I, az owner ol tne proverty or my em0loyees witn wa0es as Neir sole compensation, vnll Jo Ine work, anJ ine ❑ SlmQureiS n0iinienEed aratieredlorShce�52tlion 7004. Bu5ine55 antl PrOte55ionalCOGe: i11e ConlratiolS' SIaiE Lit¢nSe �aw Ooes nol aOPM Io an owner ol a prODerty who builas or imDmves Ihereon. antl who tloes such work himsel�/hersell or I�roug� �is or �er mvn ¢mDloy¢¢5. pmvie¢a ttui Suth impmv¢m¢nis ar¢ n0i inlen4eA of of�ef¢4 Ior ule. Ii, howev¢r Ihe bUil�ing or impmvemeni is sW0 wiihin one y¢ar ol comple�ioq the owner will tuve Ihe Uurden oi Oroving he/she tlitl no� bui10 or improve , loi ine purpose ol sale)- I, as owner ol tAe property. am exclusively coniracling with IicenSeU contrac�ors �o con5imct Ihe pmlect (Seclion 7044, Business ❑ ana Pmleuions CoOe: The Comracmrs' S�ate LiCense Law Ooes no� aDP�Y �o an Owner o� pmp¢M who builtl5 ar improves �here0n anE who taniratl5 for Suth pmlecis wi�� a conlratlor�5) liten5e pur5uani ro Ihe Coniratlofs' Sia�e Litense Law�. l am aware ��a� proot oi t�eir Worker's Compensalion insurance snoulU De DmviQed Ia me. � I am exempi un0er Senion: B. 8 P. C. lor Inrs reason: PERM NO; E 061275 GOVT; N SUPP; N PURPOSE; OTH JOB DESCRZPTION ; INSTALL A/C 6 LAUNDRY CIRCUITS, RECEP SQ PT; CLAIM VALUE: CALC—VALUE; GROUP OCC; R-3 /M-1 COMMENTS• GENERAL CLEAN—UP OF EXISTING A/C 6 FAU SY5TEM,,,RE; EG0979 iE iE itlf IE *%iE it * i(� *�FlE ik iE iE it x� 1E iE iE ik if +t ** if iF if iE iEiE ik iE if iE it it �E # i(� ik if fE it it iE k**�f� �l� fk 1f if IE iE �F it fr %iE it * i(� it if # it 1E iF ff iE 3E #�lE if ir Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAft; FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PkOV; PARCEL; 91207333 ZNE; REF NO; PLANNING Nl5TE5> i ***x**�r*�x �*��**�***�***�r*x*�x**x*ir�r�r*��*******�t***�t�� *�r*x+r�r�r**�*�*�rx***� ��* D E V E L O P M E N T S E•R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY 1 DATE; BUILDING APPROVED HY : DATE; APPLICATZON ISSUED BY: � DATE; �� M�ifiFiEiEiF1ElEifiEififififiPiklliFiEffaE t �� n� ��i . t. .. r. . 1E1Ei(�IfifiFififiE�F . lEiE iFk�kiFiF1ElE1EiEikiFiliEiEiE1E3(�ih%iElEIEifN�1E3l�1Eif�7hif3Eiflk�Eik,IklEiE#if3EiElEitit hiElkiEifiE#�FN�i(�iEiEX�3f�lEi(�iE3f3Ei61Ejb#�343f�i(��E#iF*iEif3fif LEGALIZATION;N F E E' S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMSP/RES GRADING PERMIT 15 75 �08 SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PL:4N—CHECK TOTAL PAID DUE TOTALS----> 15,75 15,00 0.00 30,'75 30,75 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30,75 ifiliElEiFjlitiliEiEiElEiEif3EiEiElEiEiEX�iE1ElEiEiE#1EififiEiEi(�iE1EiEiEiE3EiFiEiE-IEiEiEit�ififiE%�if%ifif�i41EiE3EiE3E�f��lfiFlF3f1EiElf�!(�lEiEiF3f�f3EiEiE3F ._ I N D I V I D U A L F E E B R E A K U O W N TYPE QTY D E S C R Z P T I O N UNZ7' COST TOTAL COST Oatc: Owner: I ELE Uo nereby cenily Iha1 I am aware o� antl unaerslantl ��e requirements ol Caldornia,Healt� antl Safery Cotle Sections 25505, 25533, and $]�F; 2553G an4 ihat I or any lulure �uilding ocapani willlwill not (circle one) neea ta comply wi�A SaiA Slate codes anA the requiremenis lor a Oermil lor constmclion or motli�ication Imm Ihe Air Oualiiy ManaAemenl Oistric�. fle5i0ential conslmction applications are exempi trom IfICSC pt0V1510115. Dale: Applicant: I �ereby cetli�y IAat I have rea0 ihis application and slale ��a� I�e above inlorma�ion �s or . I agree �o comply with all city and county oi4�nance5an49alelawsrelatingtabuildingcanslmclionandhere�yaulhoritere rEsen�alives I�ruPanlheabove�menlione0 prOp¢rty IatlnSp¢CIiDn purp05¢S. � //��l Da�e: ��_�'� Signamre: / � Driver's license or Sacial Security >: � r�� 16Aba6 WMe—ButlEing; Green—CoOe Entorcement: Canary—Applicam; P�nk—Revenue; GoltlenraE—Assessor 1 RECEPT/OUTLET' 1 ST 20 EA, 75 2 MOTOR/POWR APPARATT]S 1.1 — 10,0 HP 7,50 END OF FEES 15.00 CONSTRUCTION ANDPLANNING APPROVALS Permit # 1. Temporary Electncal Service or Pole 2. Soil Pipe-Undrgrnd. 3. Electrical Conduit Ut�liry�Undrgrnd. 4. Electrical Conduit�Undrgrnd. 5. Steel Reinforcement 6. Etectrical UPER Grnd. 7. Footings 8. Foundation 9. Water Pipe�Undrgrnd. � 10. Strvctural Floor SYstem , 1 t. Praperty Sewer Line & HousB Connection 12. Sewer Cap 13; Roof Dreins 74. Rough Plum6ing 15. Rough Electrica6Conduit 76. Rough ElectriclViring 17. Rough lNuing Sign 18. Rough Electriwl-T Bar Ce�ling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in 5tructure 22. �ucts, Ventilating 23. Gas Pipe•Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T�Bar Ceiling (Structural) & Monocoat 27. Frame and Flashinq 28. Lathing & Siding 29. Insulation 30. Drnfall Naihng 37. Plaster Brown Coat 32. Eleccrical Power MeterPinal 33. Finai Electnc 34. Final Heating & Air Conditioning 35. Fina! Gas Pipe�Test . 36. Hood or Canopy 37. Finai FactorV Fireplace 38. Finai Pl�mbing 39. lNater Service•Final 40. Gas Se�vice-F�nal 47. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BU�LDING 48. FINAL PLANNING A9. Eleccric Release to Edison 50. Gas Reiease to Southern California Gas 51. CERTIFICATE OF OCCUPANCY No. Oate Date POOL PA Inspector AppROVALS Permit # Date Inspector 52. Pool & Equipment Location 53. Steel Reinforcement � 54. Porms ' 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOGOVER�GUNITE 58. Electrical Conduit�Undrgrnd. ' 59. Gas Pipe, O Undrgrnd., Test 60. Backwasb Lines, P�Trap, � Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Receptor•Final 63. Heater & Vent-Final 64. Plumbin9 System � f�nal 65. Electrical�Final 66. Sotar SYstem-Final Q�,..� 67. Fencing & Access Approval l 68. APPROVED FOR PLASTERING 69. POOVSPASYSTEMSFINAL FIRE DEPT. RE�UIREMENT APPROVALS Permit � 70. Undeiground Hydro 71. Product Pipiny � Gas � Oil 72. Underground Flush 73. Undergrnd. Storaye Tank O Gas ❑ Oil 74. Overhead Nydro 75. Dry Chemical 76. Dry Standpipe ( � 77. FIXED SYSTEM FINAI { 1 78. FIRE PREV. FINAL � � HEALTH DEPT. REQUIREMENT � � 79. FINAL INSPECTION l ( . _ „0. FOOD CERTIFICATE ISSUED I t TYPES OF LOAD LIGHT & APPLI OVENS ETC. AIR COND. * DRYERS 1C 11M.W�`� ' O � �- I�-IL rv�i ��3�91�. �j y ��- wv:.ga�cR �z�z.� VOLTAMP VOLTS AMT 240 6,870 240 1 7,320 240 2 5,000 240 1 UNITS: 1 REFERENCE 220-11 220-30(4) 440 220-30 TOTAL VOLT-AMPS MINUS HEATZNG OR AIR > FIRST 10 KVA @ 100 PERCENT - REMAINDER @ 40% —> (") PLUS HEATING OR AIR AT 100� > TOTAL AMPERAGE AT 240 VAC > � � AREA: 2,100 SQ.FT. LINE LOAD NEUTRAL 10,800 5,730 6,870 0 14,640 5,000 3,500 22,670 15,068 14,640 123.78 9,230 38.46 Option�l Calculation Per Table 220-30 (M)enu ��i'�5 l,c`i m��-�c� . n ��6 CB��- �`'�cQ.1 e.�-�_ . 3—�'—� �►2.4�� I Fr,u iyV s�-rq u �� tv12D Cl.Y3+�1� �- � _ �up ��twr� ;�� 4.�- "��"��.,� `ia 1�--� �r-u U _ 2f_,WIOI%� ��uct�IG- `�' ��.t�AC3�L, Gm�i�G-� 2cc`� LraN�o�a.�( ct(� - �' �u�LT1�P.�c(�.kF �.Isl1fJG �.1CXE1 � ��:F�t.� �� x��;i it� �r AC �` UNtT WITFf YCU�bF�_ % yu awP �ti��°�,T �GI�fUUtiT '�=�� I uS�H-�l �' �.t��. �� C� �Vu cTS �,40 � � �:,� ��u� G�?vu a Di tJ� J �• JO� ESTIMATOR J09 DESCRIPTION E^TIMATE SHEET CONTRACTOR - ARCHITECT CHECKED BV DESCRIPTION MISC. JOB EXPENSES OUANTITY � � TOTAL COSTS PAGE NO. OF ESTIMATE NO. DnTE BiD DnTE PAGES MATERIAL � LABOR I SUBCONTRACTI TOTAL AMOUNT OVERHEAD % PROFIT % FORM29> Avellablelrom�I�,Gmton.Maas01<50 TOTAL I I I I I I I I I I /� AGO��ant to fill in all s0aces excep� thosa wilhin neavy eortler Iines an0 sign all aoVroo��ate Eeclarations. l�ll1 1 /1T f�l(1 CIT�r OF coSTA nnESA CO'^N'SpTRUf,,C/�T,I N PERMIT Project Addrns -��.y-%L)�-.C1LG ApplicanYs Mailing Addreyys L P�VC /� -Y Owner's Name A- �/�/� �' Phone sZ.��_l.a.J' Address �� ILI '� Arch/Eng. license No. Address — � Contractor's Name ho Address (mailing) ! Ciry License No ,J 0 � � LICENSEO CONTRACTOR DECLARATION 1 bereby affirm thai 1 am licensetl unaer provi5ion5 of Chartei 9(commencin9 wiih section ]000) of �ivision 3 01 lhe Business antl Professions Cotle, anG A my license is in fup r antl eifect. ,� w License Iy� s enso 16. �� oa�e v�79'�"'/�h^��- ��e�a� .a 1 WORKERS' COMPENSATION DECLARATION 1 I hereby affirm that I nave a ce�tificate ol consent to Sel(-in5u�e o� a ce�lificat¢ ' Workers' Comp¢nsation InSurance, or d certifletl cOPy thereof ($ectlon ,o. �b.s7'Q�T3y;�c ,�fi,t,��-r�%� olicy No. �' Company 1y�I.,�,¢rtifietl copy i5 h¢rEby tumish¢tl. TJ Ce if o ' ile0 with the city E;ufytlir�p'jbyd�oyf�' �ate ApO�i�ant �� -��r � C� E%EM ION FROM WORKERS' COMPENSATION DECLHRATION (This settion neetl not be completetl ii lhe p¢rmit IS br One huntlretl (5300) or less). I certify that in lhe p¢rformance ot tne wo�k for whith thi5 pe�m�t i5I55uetl, I zhall not employ any person in any manner so as to become subject to the Workers' Compensatlon Laws ot Califomia. Date Signature NOTICE: If, after making this tleclaration, you shoultl become subject to tM1e Workers' Compensation provisions ot Ihe Labor Cotle, you must forthwitn comply with such provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 nereby affirm tnat there is a construction lentling agency for the performance oi [he work Por which thi5 permlt is ISTuetl (Section 3097 Clv. CJ Lentler's Name lentler's Atldre55 OWNER BUIIDER DECLARATION I hereby affirm lhat I am exempt from [ne Contractor's License Law Tor the following reason (Saction �031.5 Business and Professlonal Cotle: Any city or county which requi�es a p¢rmif t0 const�uCt, dlt¢r, ITprove, tlemoli5h O/ repai� any structure, prlor to Its issuance, also requires tne aoP�icant tor sucn permit l0 file a signetl Statement that he/she i5 licensetl pu�suant to the provision5 of [he Contractor'S License Law (ChaO�er 9(commancin9 wi[h Section 7000) of Division 3 of the Business antl Professions Cotle) or that he/she is exempt �retrom antl lhe basis for the allegetl ezemptlon. Any violation of Section '�1.5 by any applicant for a permit subjects the applicant to a civil ialty of not more than five huntlretl tlollars (E500). L.� I, as owner of the property or my employees with wages as their sole rompensation, will �o the work, antl tbe SIruC[u�e Is not intentletl o� o(feretl tor sale (Section 7044, 8usiness antl Professional Cotle: The Contractor's l.irense l.aw tloes not apply to an owner o� a properry who builtls or improves thereon, antl who aoes such work nlmself/herself or through his or ner own employees, provitletl that such Improvements are not intentletl or ofteretl tor Sale. Ii, howevGr, th¢ bWlOing or ImOrOvement is sola witnin one year ot com- pletioq the owner wiil have tha burtlen of oroving he/sne tlitl not builtl or im- prove for the purpose of sale). ❑ I, as owner o/ the property, am ezclusively contracting with licensetl con- Vactorsto construct the project (Section 7044, Business antl Professions Cotle: The ConVacror's License Law tloes not apply to an owner of Oroperty who builtls or improves thereon. antl who contrac(z �or such oroiects with a con- trac[or(5) license punuan[ m me Contrac[orY License Law). I am aware that proof of their Worker's Comoen5ation Insurance shoultl be provlCetl to me. ❑ 1 am exempi untle� Section B. & P. C. for thiz reason Date Owner — I hereby certity that I have reatl tltls information is wrrecL I agree lo comp antl state laws rela[inq to builtling con 5¢ntdtives of thi5 City t� u oi Inspection purp e . Signature Drivers' License or 55 � above ._.��fD04'sD I ....._..._ I __ __ I ......,.,. TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R ❑ CONVERSION ❑ �EMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BIDG. TVPEOFPERMIT IJGRADING�OVNDATION LJSTRUCTVRAI ❑ TENANT ❑ ELECTRICAL PLVMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5c1. FT. oCCUaANCv_ CONSTRUCTION TVPE VALUATION $ ZONE GRADING CU. V�S. ACRES_ Remarks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outle[s Interceptors Kitchen Sink Lavatories P—Trep Roaf Drains , Reinspection Fee � $15 Duct - Under Ground Duct - Strucaral Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BIL ICBO �k Heating System & Ducting ❑0.100,000 BTU 0100,0008T Reinspection Fee � $15 0865-46, rev. 5/BB WM1ite - Bulltlin9: Canary - Applicant; Pink � Accounting; Goltlenrotl - AsseSsor Showers $ervic¢ Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash laua Fee Hood or Typel ❑ Canopy Typall ❑ Refrigeration System DO100,OOOBTU ❑100,000 System Fiepair/Alteration Fire Dampers Registers Issue Fee A.P. # S Main Building: E T Front ARear C Right 5 Left Ping, Ref. # Planning Notes: FEES Automatic Washer Cons[ruction PoleS� Cooking Unit Dishwasher Dryers ❑Gas ❑EI Fan F.A.U. Fixtures DEVICQ BOXES OULIQIS $WIICh23 Garbage Disposal ' Generator �0.5 KW $3�" FEES $ 3 Reinspection Fee Builtling: Park 2one - ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑overi00amps '.e Suh Panel Motors OO-1 HP Ol Yh - 8 Int.Solar 09-15 HP �16�15+ Microwave Pole Light � Range Standing Sections 5 KW Trash Compactor $15 luue Fea DEVELOPMENT SERVICES REQUI REMENTS: !oning Approved By Buildin8 APP�ovad By 400lication Issued Bv FEES $ 3 N I N G R E Q M T S. SUMMARV OF FEES BUILDING PERMIT S SMIP $ . ,-.. PLAN CHECK $ � �RMIT � PLUMBING $ r SUANCE $ PLAN CHECK 25% 5 ENERGV P.C. $ ,,ELECTRICAL $ GRADING 5 PLAN CHECK 50% $ MICROFILM $ �/j/� MECHANICAL $ TOTALFEE $ � PLAN CHECK ZS% $ G1 Gd��i1_.•}l-i1:iJ4;�it " - .. bn!C� u�i�.. ..� �liiL: i.L . � .... . . r . .. . . . ... . _ . .. . , C,\--1-� CONSTRUCTION AND PLANNING � . P�� PA APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1.. Temporary Electrical Service or Pole 52. Pool & Equipment Location �� 2. Soil Pipe-Undrgmd. � �� 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. Forms �4. Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding 5. Steel Reinforcement' � 56. Rough Plumbing & Pressure Test 6. ElectricalUFER.Grnd.' - 57. APPROVALTOCOVER-GUNITE , 7. Footings _- _ �,- 58. Electrical Conduit-Undrgrnd. 8. Foundation '_ ' '� 59. Gas Pipe, O Undrgrnd., Test � _9. �Water Pipe-Undrgrrid. ' 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Strucwral Floor $ysiem � 61. APPROVAL TO DECK 1]. 'ProperiY Sewer Line�& House Connection 62. Backwash & Receptor-Final 12. �Sewer Cap �' - 63. Heater & Vent-Final � 13. Roof Drains � 64. Plumbing System � Final . 14. Rough Plumbing. ' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ��17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ,18. Rough Electrical-T 6ar Ceiling 69. POOUSPA SYSTEMS FINAL ;19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . v; �20. Rough Factory Firepiace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22, Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & 7est 72. Underground Flush � 24: •Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (StruCtural) & Monocoat � 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31.'Plaster 8rown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33.FinalElectric Notes:( �� C.4/(0� [,.�,Q 34. Final Hea[ing & Air Conditioning I.,'I.L�O G��.�; (�(� 35. Final Gas Pipe-Test ,3 / QD �OYI �� E�LPl2�� - 2a�3 36. Hood or Canopy V.�?G._. (..�1� 37. Final Factory Fireplace 38. Final Plumbing � 39. Water Service-Final ;.�' 40. Gas Service-Final �' � 41. Solar pomestic-Final �� 42. Backflow Preventer ., � �/� 43. Backflow Irrigation �s' ' 44. Landscape Irrigation System �� 45. Sound Attenuation .� - l- 'aJ .� /� 46. Handicap Regulationsr � i 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison n 50. Gas Release to Southern California Gas Co !.� '= '� ' 51. CERTIFICATE OF OCCUPANCY �� . No. Date � [-- � w a ¢ � ti S F G m F Q C� :a Q 7 � � a w o. � � a z � rTi 3 n �-- .� : COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicau[ [o Fill in Completely - Use Ink Only BUILDING ADDRESS Tract 10277, Lot 55 OWNER McLain Development Co. CITY APPLICA � � BUILDING IbOY02 ROdCI �+DORESS � Beach No� 640-6800 TRACT BRANCN ADORESS ARCHITECT TEL. OR ENGINEER Corbin/Yamafuii No. 752-5567 ADORESS 3661 Soruce St.. Newpoxt Beach CONTflACTOR MCLain Development Co. ADDFESS 1470 Jamboree Road TEL. ciTv Newport Beach No. 640-6800 L C No. 273875 �ICyNO. O,FEOT rjrj X 9rj I��OF8tDG5. NOW ON LOT OF Separate pem�its are required for elec[ric, plumbing and heating work. Single family residence New House I hereby acknowledBe ihat I have read this apPlication and stete that the above Information is correct antl aB�ee io comply with all laws rapulatin9 builtling consttuction, antl 1 shall not employ any person In vlolation of the workman's compansation laws ot Me State ot Calitomia. I hereby certlfy That I am properly licensetl as a coniractor untlar the State of Calito�nie Bvsiness antl Protession5 Catla, Dlvlsion 3, C�epter 9, antl that such licenus are in tull farce and eftect, or I am exempt from ihe provisioos ot Ne Stete of Cali4ornia Bastness entl Professions Code, Divislon 3, Chapter'=�L.1�_ SIB�etura ot Permlttae �_ �F � Authorized A a OwNE FIRE ZONE APPROVEO NE NO.OF iQ� PLANS �'AROS APPROVED MAIN BUILOING DISTANCE BEf. MAIN BlDGS. VAR. af-` c.u.r..� Z�-78'- APPROVED w. , if I ttOLD FOR 2/21/79 2/21/79 VAWE USE OF NEW BUILDING � VARDSAPPR ACCESSORV B OATE APPIiOVED +S 342.31 TL 342.31CKTD . �Q.._ .__ I House 2190 sn. FT. Garage 585 THE AMOUNT SHOWN UNDER VALUATION IS FOI TNE PUflPOSE OF ESlABLISHING A PERMIT FEE ONLV VALUATION PERMIT FEE S ��j PLAN CHECK S �S'O §/iX/ �D� � TAX E y GC! c� TOTALPAID S � n w i m N J m e 0 � m m 0 LL � u 4-