HomeMy WebLinkAbout3433 WIMBLEDON WAY - Building Permits!9
JobAddress: 3433 WIMBLEDON WY . Status: ISSUEo
Suite: Applied: 12/14/2006
Vicinity: ROOF Issued: 12/14/2006
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 41204232 Zoning: R1
Applicant: LINTON, NEIL
Address: DBA GUARDIAN ROOFS
SAN7A ANA, CA
1651 E 4TH ST
SUITE 239
Owner: SIMONOFF, GREGOF2Y
Address 3433 WIMBLEDON WAY .
�
COSTA MESA, CA �
Comractor. SUDDUTH CONSTRUCTION INC
Address: DBA GUARDIAN ROOFS
SANTA ANA, CA
7651 E 4TH ST �
Zip: 92701 �, -
Arch :
Address:
Zip:
Phone:
License:
Phone: 714-770-7968
Zip: 92701
Phone:
Zip: 92626
Phone: 714-770-7968
License: 847279
Eng:
Address:
� /
. : �1���
Phone:
License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 7/16" OSB, 2 LAYERS OF G40 MODIFIED FIBERGLASS, MONIER DUALITE SPLIT SHAKE TILE, ICBO #ER
2656, 5.9 LBS/S.F.. 3800 S.F. INCLUDES ATTACHED GARAGE.
Plan Check: $0.00
Permit $401.85
SMIP Res: $2.53
SMIP Cam: $0.00
Other: $0.00
Inspection: $0.00
Total: $404.38
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Fronl 0- 0
PARKING Ex�tina: o
Rear 0-0
Rear 0-0
FEE SUMMARY
PLANNING & ZONING
Lefl 0- 0
Left 0- 0
' Reauired: 0 Pr000sed: 0
Calc Valuation:
Claim Valuation
Right 0-0
Right 0- 0
525,312.00
$25,312.00
NOTICE: The work authoriied by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ortl. No. 92-28, § 1, 1247-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of /80 tlays. . �
INSPECTIONS: In order for ihe work authorized under ihis permit to be consideretl legal, such work must comply with all applicable codes, and all
requlred Inspectlons end flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
I FOR INSPECTIONS CALL: {714) 7545626
2446d8(H00)
WORKERS'COMPENSAnON DECLAHATON: �
I hereby ettirtn untler penalry ol perjury one oi the Following declaretlons:
❑ I have and wlll malntein e certifcate of consent to self-Insure lor workers' compensetion, as provided tor by section 3700 of �he Lehor Code, for the pertormence of lhe
work tor which Ihis pertnit is issuetl.
,�f�heve arW wlll meintain workers' compensation insurence, es required by section 3700 of the Lebor Code, for Ihe pertortnence of the woAc br which this pertnit I5 issued.
My workers' compensatlon Insurance carrier and policy number ere:
.Carrier.���STffTE f�rn/� %.PoneyN��umoer: 003032Sa2ocY�
,(This ssction need not be comp/efetll! fhe permit is velued at one hundred dollers ($100) or Iess.J `3'--^-��`-.:�• }�_
❑ I certiy ihet in the pedormence of Ihe work for which this pertnit is issued, I shall not employ any person in any manner so es to become subject to the workers'
compensation lews af CaOfomia, an0 egree thet If 1 shoultl become suD�ecl lo the workere' compensation provislons ol Sectlon 3700 of lhe Labor Code, I shell forthwlN
com I with Ih Isi
ApplicantBigneturei" p�w��- Dete:,, i� /�F/D G
N%ARPHNGfFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHP1L SUBJECT AN EMP�OYEq70 CRIMINAL PENALTIES AND qVIL FINES UP TO dJE HUNDRED
TFKKISAND DOLLARE (5100.000�, IN ADDRION TO THE COST OF WMPENSr1TION, OAMNGES AS PROVIDED FOR IN SECiION 3]OB OF TME LABOF COOE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I am licensed under provisions of Chapter 9(commencinp with Section 7000) of Divisian 3 of the Business and Professions Code, and my licensa is in full
:.,n 8s�7�xl aesss G39
ure: � � - Da�te�'.s�1 /4- Ob
CONSTRUCTON LENDING AGENCY:
❑ I hereby aHirm that ihere Is e consiruction lending egency for ihe performance of Ihe work for whlch Ihis parmit is issued. (Sec. 3097, Civil Cotle).
Lentlers Name: Lender's Address:
Signature:
Date:
OWNER-BUILDER DECLARA710NS:
I hereby eflifm thet under penelty ol perjury that I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which reQuires e Oermit to construct alter, Improve, tlemolish, or repair any siructure, pnor to its issuance, also requires the applicant for such permit
to tile a signed stetement thet he or s�e Is Iicensetl pursuani b the proNsions ol tha Contrectors License Lew (Chapter 9(commencing with Section 7000) of DlWslon 3 of the
Business and Professlons Code) or that he ar she is exempt therelrom and the besis for ihe alleged exemption. Any vialation oi Section 7031.5 by eny epplicant tor e permit
su6jects the applicant to e civil penelry M not more than five hundrad dollers ($500).):
❑ I, es owner of Ihe property, or my employees with wages as Ihelr sole compensation, WILL DO TME WORK, antl the sWcture is not Intended or oMered tor sale (Sec.
70a4, Business antl Protessions Code: The Coniractors Licensa Law Ooes not apDly to an owner of properry who 6uilds or improves Ihereon, and who does such work
himself or herself or through his or her own employees, provitlea t�at such improvements are not Intended or oflered lor sele. If, however, the building or improvament is
sold within one year oi wmpletion, the owner-builder will heve iha burden of O�oving thet he or she did not build or improva for purpose of sale.).
❑ I, es owner of the pmperty, em EXCLUSIVELV CONTRACTNG WITIi LICENSED CONTRACTORS to construct the O�oject (Sec. 7044, Business antl Proteulons
Code: The contractors License Lew does not appty to an owner of propeny who builtls or improves thereon, antl who comracts for such project with a contrector(s)
license pureuent to the Contracbrs License Laws.).
❑ I em exempt under sec. Business and Professions Code for this reason:
Signeture: Dete:
Owner ID verifietl by tlnver's license. ❑ Ves ❑ No Drivefs License No. Expires:
Verification ot Ownership by (type of dacument, i.e. - property tax blll or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON:
❑ I hereby certity tha� no excavetion five (5) or more faet in depih into which e person Is required to descend, wlll ba made in connec�ion with work authorized by this
permit, antl that no Duilding siructure, scaRoltling, talsework, or tlemolltion or tlismantlinq thereof, will be more Ihen ihirty-six (38) taet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title 8, Celitomia Administrative Code).
❑ As owner-builder, I will not employ enyone to do work which would requlre e permit from the Division of Industnal Sefery, as notetl above, unless such persan has e
pertnit to do such wark trom the tlivision.
SignaWre: Dete:
Division ot lntlustnal Safery Permit Number.
CERTIFlCATE OF COMPLUWCE AND AIJIHORVATION OF ENTRY: I certity under penelty oi perjury that I have rea0 this epplication end state thet the informatlon given is
correct. I agree to comply wlth ell sta�e lews end ciry ordinances relating to bullding cons�ruction, and authonze representetives of the City of Costa Mesa to enler upon Ihe
ebove-described Oroperty for Inspection purposes. I egree not to occupy or allow occupency of any building authorized by ihis permit until finel inspection.
�i13h1!•P�NI�
7616
1266
Fixetl Sysiem Final Fire Prevenilon
Pool Spa Finel
200 Finel Re-Root
207 Final BIaWRetaining Well
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolltion
�
D�1
COpE� INSPECTIONTYPE
206 Final Mechanical
208 . Final Plumbing
270 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
PAIE I[�L8
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURALPERMIT
o n anx ��nn cnsTn nnFsn eni �onwwn w�ax
.-_-__._____ ______._____--___...__._____
RECEIVEDBV PERMIT Q " A^�
For Applicant to Fill in Completely - Use Ink Only -
BUILDING A.P.NO. �-I2 �/�1�'
ADDRESS Tract 10278 ' `
B V I lDl NG
OWNER OR ADDRESS W/j� N ���
TENANT McLain D2.VE�.O III
UNIT OR
MAILING SPACE NO.
ADORE55 1470 Jamboree Rd.
TR.f�Oh��� LOT�/ BLK.
TEL. lV (•!
��T� ne ort Beach No 640-6800
CANSTRUCTION NEW ADD ALTER REPAIq MOVING DEMOLISH
LENDER �
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. USE E
ORENGINEER Corbin �Yamafu'i N 5 -
ADDRESS 3661 $ TUC2 St. Ne OYt BC}l. Z�NE TVPE GROUP
APPROVED
CONTRACTOF McLain Develo ment Co. sr DATE
nooREss 1470 Jamboree Rd.
TEI.
cirv Ne ort Beach No• 630-680
STATE CITV APPROVEDSETBACKS
�ic. No. 273875 LIC. NO. 1H8'�3
SIZE NO.OFBLOGS (FROMC1/LST`g EET)
OF LOT NOW ON LOT ONT aL I•✓FT.
USE OF /'�/ �
EXISTING BLDG. 6 `17
Separate permits are required for �. sioe Fr.
electric, plumbing and heating work. REAR \. .%�Fr.
USE OF BUILDING AND WORK TO BE PERFORMED PLqNNING ACTION
DATE
Sin le famil residence / APPROVED
APPROVEL�IJ� .T O I � (
New house iv�
I hereby acknowletlge thet I hava reatl this epplication entl staie
that the above information is correct antl agree to comply with
ell laws regulating builtling constructlon, antl I sholl nOt employ
any Oerwn In violallon of the workmen's compensation lews of
ihe Stata of Californle.
I hereby certify that I am properly licensetl az a convector under S�. FT.
the State ot California Business antl Protassions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that such licenses are in tull force entl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from the provisions ot the Stata of California Bus(nass
VALUATION PERMITFEE S �0
antl Professions Co e, Division 3, Chapter /9.
SIB^ature ot . ii G�f/ . _ i PLAN CHECK E �
Permittee A'�•�. �•Gc� /r`¢� S�/ /� //� rnx ��71 a
or 'T `,
Authorized AB Date � TOTAL PAID
3 9[��'71 ��?�
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