The URL can be used to link to this page

Home My WebLink About3409 WIMBLEDON WAY - Building Permits(714) 754-5273 • Fe�c (714) 754-4856 CITY OF COSTA MESA _ _ BUILpIN6 p1Y1S10N DEVELOPMENT SERVICES DEPARTMENT PERMIT Jobnddress: 3409 WIMBLEDON WY Suite: Vicinity: HOUSE & GARAGE Parce1 Nunmber: 41207334 Applicant: SELL, RON Address: Owner: ALLEN, ROBERT A Address 3409 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: 714-9933328 License: 323842 Eng: Address: PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 06/21/1999 Issued: 06/21/1999 ISSUED BY: � Phone: Phone:� Zip License: Zip: License: SCOPE OF PERMIT REROOF - T/O, INSTALL NEW 1/2" OSB BOARD, 2 LAYERS OF 1511 FGELT 8 NEW EALGELITE LIGHT WEIGHT ICBO #4660 TILE ROOF. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $149.75 $0.89 $0.00 $0.00 $0.00 $150.64 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Lefl 0- 0 Lefl 0- 0 Proposed: 0 EXPIRED oAxe�.ai o i Calc Valuation: Claim Valuation Right 0- 0 Right 0-0 $8,900.00 $8,900.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRA710N: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under �his permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlons and finel epprovel must be obtained. Failure to obtain inspections and final epproval will result in the expiration of this permi�. FOR INSPECTIONS CALL: (714) 7545628 WORKERS' COMPENSATION DECLARATION: I hereby ettirm untler penalty of perjury one oi ihe following declarations: ❑ I heve antl will maintein e certificate at conseni ro self-Insure for workers' campensetian, as pmvided for by section 3700 of lhe Wbor Code, tor lhe pertortnence of the work for which this permit is issuetl. ❑ I hava antl wlll maintain workers' compensation insurance, as required by soclion 3700 of the LaDor Code, lor ihe peAormance of the work for which this partnit Is Issuetl. M worker5' o e satlon In nce er end oli number era: /G/�� // Carrier:Y�n ,� P� PolicyNumber. G v �7" (This seclion neetl nat be canp/eted il fbe permit is veluetl et one hundred dollers (5f 00J oNess.) ❑ I certiry that in the peAormance of the work for which this permit is issued, I shell not employ any person in any manner so es to become subject to the workers' wmpensation laws of Celifomia agree t t tl I should became sub�eq to the workars' compensation provisions of Section 700 of Ihe Lebor Coda, 1 shall forthwi�h compty with these provisions. _�_ � O Applicant Signeture: �7 //Ll Date: WARNINO: FAI�UFE TO SECURE WOAKERS' COMPENSATION COVERAQE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENNLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($t00,OW), IN ADDIiION TO THE COST OF COMPENSAiION, DAMAGES AS PROVIDED FOR IN SEGTION �O6 OF THE LABOq CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm �het I am licensetl under pr� sions of CJi�ter 9(commencing with Sectlon 7000) of Division 3 of the eusiness entl Profeij lo Cotle, entl my Ilcense is In tull forca antl eHect. Lic. p �fi �f Class N C—:i � Coniractors S�gnature: �qti oate: /'O � 3 — 0 D CONS7RUCTION LENDING AGENCY: ❑ I hereby ettirm ihat there Is a conswction lending agency for the peAortnance of tha work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Neme: Lender's Address: Signeture: Daie: OWNER-BUILDER DECLARATIONS: I hereby aflirm Ihel untler Denalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, 8usineu antl Professions Code: Any ciry or counry which requires a permii to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit ro tile e signed stetement the� he or she is licensetl pursuant b tha provisions oi the Contractors License Law (Chapter 9(commencing wlih Sec�lon 7000) of Dldsion 3 ot the Business and Professions Cotle) or that he or she is exempt t�eretmm and the basis for Ihe elleged exemption. Any violatian of Sectlan 7031.5 by eny epplicent for e permlt sub�ec�s Ihe epplicent to e civll penalry of not more lhen five hundred dollars ($500).): ❑ I, es owner of tha property, or my employees with weges as their sole compensation, WILL DO THE WORK, end the structure is nat intentletl ar aHeretl tor sale (Sac. 7044, Business end Pmte55ions CoGe: The Contrecrors License Lew tloes not apply to an owner of praperty who 6uiltls or improves thereon, antl who tloes such work himself or hersetl or through his or her own employees, provitled that such impravemenis ara not intended or ottered far sale. If, however, the building ar impravement is soltl wi�hin one year of completion, ihe owner-builder will heve ihe burden of proving ihat he or she did not build or improve for purpose ot sele.). ❑ I, es ownar at the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business end Professions Goda: The contrectors License Law dces not epply to en owner of property who builds or improves thereon, and who contrects for such proJect with a contrector(s) license pursuant to tha Contractors License LawsJ. ❑ I am exempt under sec. Signeture: Owner ID verilied by dnvers license. ❑ Yes ❑ No Business entl Professions Cotle tor this reason: Vetlficetion ot Ownership by (type of document, i.e. - propetly tax bill ar deed): Driver's License No. Date: Ezpires: DIVISION OF INDUS7RIAL SAFEIY PERMIT CERTIFICATION: ❑ I hereby cetliry that no e:cavation live (5) or more feet in depih into which a person Is requlred to descend, will be mada in connection with work authodzed by ihis permlt, and Ihat no building simcNre, sca8oltling, talsework, or demolition or dismentling ihereof, wlll be more ihan thlrty-six (36) leet high. (Chep. 32, Gry 2, Art 2, Sec. 341, Title 8, Celifornie Administretiva Code). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require e pertnit Irom the Division of Indusirial Safety, as noted ebove, unless such persan hes a permit to do such work from the division. Signatura: Date: Divislon ot Industnal Sefery Permit Numher: COOE I. INSGECTIONTYVE 1616 Flced System Finel Fire Prevention 12fi6 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining well 202 Final Fectory Fire Plece 203 204 2ad6d8 Final Sign Final Demolition GATi 1[�ID9L5 CODE 1 INSPECTION TYPE 206 Finel Mechanicel 208 Final Plumbing 210 Final ElecMcal 212 Flnal Flre Prevention 220 Final Planning Approval 222 Finel Site 250 Final Building/Occupancy GAiE F � S Q � � F G I� Q � .� ¢ > r a x w n. O CG a z w 3 � .�d "] .`� �7 c COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Comple[ely - Use Ink Only BUILDING ADORESS Tract 10277, Lot 56 OWNER MCLain Development Co. MAIL 1470 Jamboree Road ADDRESS TEL. ciTv Newport Beach No. 640-6800 CONSTRUCTION BRANCH AODRESS TEL. ADDRESS 3661 Spruce St., Newport Beach CONTRACTOR McLain Development Co. ADDRESS 1470 Jamboree Road CITV Newport Beach nrio�� 640-6800 i.lc No. 273875 LICVNO. OF LOT 45 X 13H NOW ON LO � USE OF EXISTING BLOG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED residence, New iIouse I hereby acknowledge that I have read this application antl state ihat the ebove information is correct antl a8rea to comply with all laws regulating builtling construction, antl I shall not employ eny per5on in violation of the workman's compensation laws of the Stata of Calitornia. I heraby certify that I am properly licensed as a contractor under the Siate of Califo�nia Business antl Professions Code, Division 3, Chaptar 9, antl thax such licenses are in tull force antl effect, or I am axempt 4rom the Orovisions of ihe Siata of California Business antl Professions Cotle, Division 3, Chapter 9. S10neture of M L. } / Permittae � � /%'�-G� Authorized A t '1'- d`�P �3 APPLICATION FO�J 2/2.1/79 357.62 TL• ��9 E �T35Ta62CKTD ''�I p ' PERMIT NO. A.P. NO. ��1 �D%I �O BUILDING I ' � p ADDRESS _�y��% Ii�, rw. 1f.Le w�RS � , OWNER / S FIRE 20NE APPROVED l lO2%% I LOT SF) DATE NE NO.OF USE OF NEW � / %R'mD P�'� BUILDING 7/''� � YARDSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSOflY BUILDING S S OISfANCE BET. MAIN BLDGS. VAR. # c.u.a.� 2E- APPROVED 1 , BET. MAIN & _ti PE AL REOUIREMtN'ir n m House 2352 d age ` sn. Fr. 678 N THE AMOUNTSHOWN UNDER VAlUAT10N IS FOR m THE PURPOSE OF ESTABIISHING A PERMIT FEE ON�V: e VAIUATION PERMIT FEE a �� N m $ - /��DO PLAN CHECK 5 0 / �I2 LL TAX $ � y TOTALPAID �S