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Home My WebLink About3413 WIMBLEDON WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 3413 WIMBLEDON WY Suite: Vicinity: Parcel Number: 41207335 Applicant: SELL, RON Address: owner: WEISSINGER, JAMES P Address 3413 WIMBLEDON WAY � COSTA MESA, CA Contracror. SELL ROOFING COMPANY Add�ess: 18032 LEMON YORBA LINDA , CA Zip: . 92686 Arch : Address: Phone: Zoning: R1 R1 Phone: 714-528-1758 Zip: Phone: Zip: 92626-1645 Phone: (714)528-1758 Licenser' 323842 �' Eng: Address: Status: ISSUED Applied: 01 /08/2002 Issued: 01/08I2002 ISSUED BY: Yt��i� ��` y Y �C� / ��.1~ Phone: , , Zip�. License: License: SCOPE OF PERMIT REMOVE SHAKE, APPLY SHEATHING, COVER WITH EAGLELITE TILE.,ICBO # 4660. INCLUDES ATTACHED GARAGE. Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total: $0.00 $16725 $0.89 $0.00 $0.00 $0.00 $168.14 SETBACKS �- MAIN STRUCTURE Front . 0- 0 ACCESSORY Front 0-0 PARKING Existina:. 0 NOTES: Rear 0-0 Rear 0- 0 Re uired: 0 FEE SUMMARY Calc Valuation: - � Claim Valuation: PLANNING & ZONING Left 0- 0 - Right 0- 0 Left 0- 0 Right 0- 0 Proposed: 0 38,900.00 sa,soo.00 NOTICE: The work authorized by this 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 if work is suspended or abandoned for a period of 180 days. , INSPECTIONS: In order for �he work aulhorized under ihis permil to be considered legal, such work must comply with afl applicable codes, arM all required Inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaawe (doo� WORKERS'COMPENSAnON DECLARAnON: . . I hereby aHirm untler penalry ot perjury one oi Ihe following tleclaretions: � ❑ I have d will meintain e certificate of consent to self�lnsure for workers' compensation, es provided for by section 3700 of the Labor Cotle, for ihe peAormance of the wOr r whiCh Ihis pefmit is issued. � ' ave and will meintain workere' wmpensation insurence, es required by section 3700 of the labor Cotle, forthe pertormance of the wo�Ac %f r w�hich this pertni Is issued My workers' cp�p; nsati� n�anpe carrier antl policy number are: i� �� /� "v�-- �� Cerriar: � V � `Y Policy Number: (This section need not be comple[ed il the Oermif is valued et one huntlred dollars ($100) or IessJ ❑ I certity that in the pertormance of the work for which this permit is issued, I shall not employ any Oerson in any manner s es to become subjact ro the workers' compensation laws oi Califomia, and that if I shoul ecoma subject to the workers' compensation provisions of S ction 3 00 of the Labor Code, I shell fort�with comply with ihese provisions. ' �( /� Applicant Signature: �� Date: V V� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PEN TIES AND CIVIL FlNES UP TOONE HUNDRED iHOUSAND DOLL4RE (5100.OW�, IN A�DITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOP IN SEGTION 3]O60F THE LABOR fAOE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I em licensed u r pr ' i[ force end ettect. Lic. N Contractors Signature: (commencing wilh Section 7000) of Division 3 of the Business and Class # Date: CONS7RUC710N LENDING AGENCY: ❑ I hereby aflirm that there is a constNction lending a9ancy for Ihe pertormance oi Ihe work for which this permit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lender's Atldress: Signature: Date: my license Is In full OWNER-BUILDER DECLARATIONS: I hereby aHirm ihat under penelty of perjury thet I am E%EMPT FROM THE CONTfiACTORS LICENSE LAW for the toilowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to constmct, elter, improve, demolish, or repair any stmcture, prior to its issuance, elso requires ihe applicant for such permit to file a signed stetement Ihat ha or she is licensed pursuant to the provisions of the Contradors Licensa Law (Chapter 9(commencing with Section 7000) of Division 3 ot ihe Business end ProFessions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for e permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner ot the pmperry, or my employees with wages as their sole compensation, WILL DO TME WORK, antl the structure is not intended or oHered tor sele (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, and who does such work himself or herselt or through his or her own employees, provided that such improvemems are not intended or otteretl for sale. If, however, the builtling or improvement is sold within one year ot wmpletion, ihe owner-builder will heve Ihe burden ot proving ihat he or she did not build or improve for puryose of sala.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct the prolect (SacJ044, Business and Professions Code: The conirectors License Law tloes not apply to an owner oi property who builds or improvas thereon, and who contrects for such projed with e coniractor(s) license pursuant to the Contractors License Laws.). � ❑ I am exampt under sec. Signature: Owner ID verified by drivers license. ❑ Ves ❑ No Business and Protessions Code for this reason: Verifiwtion of Ownership by (type of document, i.e. - property tax 6ill or daed): DIVISION OF INDUSTRIAL SAFETV PEHMR CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certify that no excavation five (5) or more teet in tleplh into which a person is required to descand, will be matle in connection with work authonzetl by �his partnit, and that no builtling siructure, scaHoltling, talsework, or demolition or dismantling thereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, T�le B, Calitomie Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from tha Division of Industrial Safery, as notetl above, uNess such person hes a permit to do such woB from the division. Signature: Date: Division ot Industrial Sefety Permit Number: CERTIFlCATE OF COMPLJANCE AND AUTHORIZATON OF ENfAY: I certify under penalry of perjury that I have read this applicetion end state that ihe information given is correct I agree to comply with all ' te laws and ciry ordinances relating to builtling consiruction, end authorize representatives oi ihe Ciry oi Costa Mesa to emer upon Ihe ebove-descnbed propeAy for i� n p�e occupy or allow occupancy of any building euthorized by �his permit un�il tinal inspection. Sig � �� egal Ov�mm(C� /� � � �� Date J <' nNOr Authorized Applicant Da�e COOE t• INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWReteining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion . . Qsj� �NTRIALS CODE 1 INSPELTION TYYE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 FinalBuiltling/Occupency D�re II�ELfl F � � a ¢ � y S F C W h 0 � � )- ..1 a w c. O C a z W x 3 !� •9 "! r •� �7 ;' . � COSTA ME5A BUILDING-SAFETV DEPARTMENT �' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely - Use Ink Only nooaess Tract 10277, Lot 57 OWNER McLain Development Co. MAIL 1470 Jamboree Road ADORE55 TEL. cirv Newport Beach No. 640-6800 CANSfFVCTION APPLICA BUIIDING 3y�3 AODRESS TRACTZOZ%% BRANCH OWNER � ADDFESS ARCHITECT TEL. S � ORENGINEER Cozbin/Yamafuji No, 752-5567 FIRE ADDRESS 3661 Spruce St., Newport Beach ZONE APPROVED CONTRACTOR MCLd1R LEV010j]ID2nL 1:0. ADDRESS 1470 Jamboree Road TEL. CITV Newport Beach No• 640� LIC. NO. Z%.38%S LICYNO. OF LOT �}S X 13Z NOW ON LO� USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BV IIDING AND WORK TO BE PEfiFORMED New House I heraby acknowletlge thoi I hava read this apPlicaiion antl steta that the abovo Ir�formaiion is corract antl a8ree to comply wii� all lews rBgulaNng builtling conmuttion, antl I ihall not emplOy any person in vi0lat(on of tha workmen's comPensaiion laws of Ma Smta of Cal(fornla. 1 heraby eanify ihet 1 em properly IleenseA as a eontreetor untlar Ma Stata oi Californie Business antl Professions Cotle, Dlvision 3, Chop[er 9, anE t„ot such Ilcences nre In full force antl etiect, or I em ezempt from the provislons of the State of Callfornla Buzinass and ProfaSsionf Cotla, Dlvision 3, Chnpier /9. Sipnatura ot �E.. r Permittee � / Authorizetl Ag )NE NO.OF o.�-mc P�� VARDSAPPROVED MAIN BUI�DING ROM C/L STREET) ier.a 5% �__ VALUE USE OF NEW BVILDING RFS VARDSAPPROVED 293.19 TL 293.19CKT0 11 Il - L.SIDE FT. d FT. REAR FT. O FT. DISTANCE BET. BET. MAIN & � MAIN BLOGS. ACCESS, BLDGS. � VAR.qW p� DATE C.U.P.9Y+ZE��a �3 APPFOVED Z % � APPROVED /�� /� ev c ...,. � Gna cP CIAL REOUIREMF..N'�= THE AMO THE PUFiPC V ALUATION �l �� N � m ;_xouse 1685 b Garage 436 „ VN UNDER VALUATION IS FOR m "ABL4SHING A PERMIT FEE ONLV: � PERMIT FEE S � a u� m iPLAN CHECK 5 � '^ e TAX S LL � U TOTALPAID S �E.'bSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �l For Applicant to Fill in Completely — Use Ink Only BVI�DING ADORESS �%% � OWNER OR �� TENANT MAILING (an �_� ADORE55 �Jyyy� TEL. GTV I%�� NO. "{�I CONSTRVCTION /J-�� LENDER /��1 BRANCH ADORESS ARGNITECT / .. i � TEL. F � W a Q .�-i .�i S F G W F Q � 3 a > � J C v� a� Q�. 0. z W 2 3 ADDRESS CONTRACTOR �jf�Q� ADDRESS TEI. CITV NO. STATE CITY LIC. NO. IIC. NO. SI2E NO.OF BLOGS. OF LOT NOW ON LOT USE OF Separa[e permi[5 are required for electric, plumbing and heating work. USE OF BUIIDING AND WORK TO BE PERFORMED l�fi77J C'OvrZ'i � Gr12c� APPLICATION FOR�STRUCTURAL PERMIT �60.5« TL CENED Y PERMIT Na 5 Q 3 0 7� IlA A.P. NO. BUILDING ADDRE55 UNIT OR SPACE NO. /i� � ( / l L � 77 ILOT C��j 48LK. � � ( ADD�PAIR MOVING DEMOLIS! OWNER /VG V5E p(�,�� :• � PLANNING CMtiQ' VALUE _ � I heraby ecknowlatlBa thet I heve reetl this applicatlon antl cmte °i that the abova informetlon is eorreci and egreo to comply with C all laws repuiotinp buildinp constructlon, antl 1 shall not amploy � any perwn in violatlon ot the workman'a compensaHon laws ot ° the Staro of California. n} //...� ^ ^; I heroby cartify t�et I em properly Iicensetl as o convector untler � J `� SQ. FT �.J �' �' � t�e Siata of Callfornie Businass entl Proteuions Cotle,�Divifion 3, THE AMOUNT 5 OWN VNDER VALUATION IS FOR ro Chnpter 9, antl thet such Iicenses ere In tull force entl efieet, or I% TNE PURPOSE OF ESTABL6HING A PERMIT FEE ONLY: � am exempt from ihe provlsions ot tha Smta of Celifornie Buzinasf VALUATION PERMIT FEE E v and Professlons Cotle, Division 3, Chapter 9. 2 � n PLAN CHECK S "' Slpnatura of � - � � Parmlttee S � z� Q•�� TAX f LL Of � � � � U AuthorizatlApent Dat¢ TOTALPAID S �. S�