HomeMy WebLinkAbout3435 WIMBLEDON WAY - Building PermitsJobAddress: 3435 WIMBLEDON WY Status: ISSUED
Suite: Applied: 10l04/2005
Vicinity: ROOF Issued: 71/15/2005
Primary Occ: R3 Type of Construction: V-N
Parcel Number: 41204233 Zoning: R1
npplicant: BAILEY, JEREMY
Address: 7 ORCHARD ROAD
STE 101 Phone: 949-460-0655
LAKE FOREST, CA Zip: 92630
Owner HOPE,PAULH ""���'�� �
�
Address 3435 WIMBLEDON WAY' �'' � � � .y� � -
� . � �� Phone: � � � -
COSTA MESA,�CA : � r^ �. Zip. 926261622 � _
Contractor: FOUR SEASONS�SUNROOMS-,_ � �
/
ISSUED BY:
Address '�7�ORCHARDRD_ � -_' � -'� � ' � '
r ; �E-
BLDG 101 . - Phone. 949-460 0655 - � s ,� � . '
5 � LAKE FOREST, CA - '� � � �- -
Zip: 92630,' - - , "�" License: 501201 "
Arch
Address:�. � �
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Phone:
License
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Address:
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7 ORCHARD ROAD'; r '; ' � '
STE 101a.� , � , �� Phone: 949-460-0655
LAKE FOREST, CAs�...., � � �
92630� - ` � ,�.�Cicense:� 39034 �
; � ° ` � ' - �, � SCOPE OF PERMIT � �
CONSTRUCT A 146 SF SUN ROOF OVER AN EXISTING ATRIUM AREA OF SFD. � ,���.. .{'"`„ �
� ,g i<
PlANNlNG � •.� � .. '
� . x� � p., :. s� . �,
� � �¢P
LOT SIZE 5 600 SQ FT 1' � yi�,. _ �
RESIDENCE 'I �55 SQ Pl' _g� s�:_.� _
GARAGE 458 SQ FT. �t '�'T "' ° a. � ,
ENCLOSED 8 COVERED PATIO 146 SQ FT ?�
DRIVEWAY 529SQ°FT - --
LOT COVERAGE - 2,888 SQ Fi. (52 /o) .. �,h;, _ , , ` ,
OPEN SPACE 2 712 SQ. FT. (48%) �'��� $• .. _�,,, d _�... �
Plan �Check �� $108 71 � � . �
Permit:= "`$167:25
SMIP Resr ' $0.90 �.�-;,�'
SMIP Com ;=$0.00� ��;-_
�. �� � ,�
c,. .
�2' ,� ,� '� -_
Calc Valuation. '
Ciaim Vaivation:
�` .
Other,s $0 00 d?' � . � � � , s ` ��
Inspection $0 00 ` �
Total ��=" 5276.86. �'�`� �' u S��y �� ;�
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SETBACKS � � �'�
' � � ; �� � .
MAINSTRUCTURE Front 30 0".. �'� Rear 34'0 � Lefl,� �5 0"'. - ,Right"" 4-g
ACCESSORY Front 0-0 Rear 0-0 left 0 0���,� YARight 0-0
�t� �-
` 59,000.00
Ss,000.00
INQTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes end related
regulations. (Ord. No. 92-28, § 1, 72-21-g2)
EXPIRATION; This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned
for a period ot 180 days.
IN$pECT10N5: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, antl all
required Inspeetlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this parmit.
FOp INSPECTIONS CALL: (714) 7545826
WORKERS' COMPENSATION DECLARATION:
I here6y aHirtn under penalry of perjury one of Ihe following tleclarations: � � .
❑ I heve and will maintain e certificata of consent ro seN-Insure tor workers' compersalion, as provided tor by section 3700 oi ihe Labor Code, for the pertormance of ihe
wark tor which this pertnit is issued. . '• A
e
❑ I have antl will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for ihe pedortnance of the work for which Ihis pertnit is issuetl.
My workers' compensation Insurance carrier and policy number ara:
Carner. Policy Numbec
(Triis section need not 6e complefed il the permit is velued at one hundred dollnre ($100) or less.)
�—*
�� � I certiy Ihat in [he pertormance ot lhe work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers'
mpensation laws oi Califo.�Na,_eDd egree thatjf houltl become subject to the workers' compensation provisions of Sadlon 3700 of he Lebor Cotle, I shall forlhwith
comply with ihese �I � s,--"""'
Appllcant Signatu�e:� - - - - - _ �Dete:_ � L��.�� �
WARNING: FAILURE TO S ION COVERAGE IS UNIAWFUT AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND pVIL FINES UP TOONE HUNDRED
THOUSANDDOLLARE�81 , ;INADDITIIXJTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]O60FTHELABORCODE,IfJrEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby_aflirm.tha4�:am�liceAsed-under Drovisions of Chapter 9(commencing with Section 7000) of Division 3 oi.ihe.Busin9ss and Pmfessions Code, antl my license is in full
� .. .✓--
fo�an�ffect. Lic. # �1� � � � �Class.k✓�
convac�or.s:slgt�m�.; �fT�% —� o'aie:. --u� � �
0
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn that there is a consimction landing agency for the pedormance of ihe work for which Ihis permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARA710NS:
I hereby effirm Iha� under penalty of perjury that I am EXEMPT FROM THE CON7pAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5, eusiness and Professions
Code: Any ciry or county which requires a permit to constmct, alter, improve, demolish, or repair any stmciure, prior to its issuance, also requires the applicant for such permit
to file a signed statement lhat he or she is Ilcensed pursuant b ihe provisions uf ihe Conirectors License Law (Chapter 9(commencing with Sedion 7000) of Division 3 ot lhe
Business and Professions Code) or that he or she is exempt therefrom antl the basis for tha alleged ezemption. Any violation of Section 7031.5 by eny applicant for a permit
subjects ihe epplicant to a civil penalry ot not more ihan tive hundred dollars ($S00).):
❑ 1, as owner oi the proparty, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and ihe siructure is not intended or oHeretl for sale (Sec.
7044, Business and Profassions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himseN or hersaN or ihrough his or her own employees, provided that such improvements are not intended or offered tor sale. If, however, ihe builtling or improvement is
sold within one year of completion, the owner-builder will have Ihe burden of proving that he or she tlid not build or improva for purpose oi sale.). '
❑ I, as owner of ihe property, am EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to consimct the prolect (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner oi property who builtls or improves ihereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am ezempt under sec. Business and f'rotessions Code for this reason:
Signature: Date:
Owner ID veritied by tlriver's license. ❑ Ves ❑ No Drivers License No. Expires:
Verification ot Ownership by (type ot document, i.e. - pro0erty tex bill ar dead):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICA710N: ��
❑ I hereby certify ihat no excavetion five (5) or more taet in depih into which a person is required to descend, will be matle in connection with work authonzed by this
permit, and t o building simcture, scaHolding, talsework, or tlemolition or dismantling thereot, will be more than �hirly-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec.
341, Title 8, � Adminisirative Code).
❑ As owner-buil ill not �oy anyone to tlo work which would require a pertnit from the Division oi Industrial Satety, as noted above, unless such person has a
permit to do sucti' ark frOm. divisior�
Signature:
Division ot Indusiriai Safety Permit
Date:
1 Will the applicant or present or future building occupant neetl b file and certify a Business Plan for emergency response to release or threatenetl release of a hazartlous
materiel? ❑ Ves ❑ No
(Sedion 25505 of ihe Calitornia Healih and Safery Code requires, with some exceptions, ihat a Business Plan be tiled with ihe Costa Mesa Fire Depariment by every
business which has at any one time during a reported year a quantity ot hazardous matenais equal to or graater than a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressurr�).
...........................................................................................................................................................................................................................................
2 Dces or will ihe applicant or present or fuNre building occupant need to filA a regisiretion torm for acutely hazardous materials? ❑ Ves ❑ No
(Section 25533 of tha Californie Health antl Safety Code, with some ezceptions, requires registratlon with the Costa Mesa Fire Department by each business which at any
one time has on hentl a quantiry of acutely hazardous materials equal to or graater then e weight of 500 pountls, or e volume of 55 gallons, or 200 cubic feet of
compressatl gas at standerd temperature and pressure).
..................._.........................................................................................................................._............................................................................................
3 Does or will the applicant or present or fuNre buiiding occupant need to prepare an RMPP (Risk Management and Prevention Program tor acutety hazardous materials)?
❑ Yes ❑ No
(Section 25534 of Ihe Calitomia Healih and Satety Coda provides ihat tho Costa Mesa Fire Deperiment may require Ihe prepara�ion, certNication and tiling with the Fire
Depatlment of an RMPP by businesses which are required ro register ecutely hazardous materials with ihe Fire Department.
................................................................... .................................................................................................................................................................................. ....................... .,.................................................................
4 If an RMPP is presently required, has Section 25534 ot the Calitomia Health and Safery Code been tully comptied withl ❑ Ves ❑ No
........................................................................................................................................................................................................................................................................................................................................................................................
5 Does or will ihe applicant or present or fuWre building occupant require Por ihe work which is ihe subjact ot this a plication a permit for such consimction or modification
from lhe South Coast Air Oualiry Management District or irom any other air polWtion con�rol tlisirict or egency? � Ves u No
(Section 658502 of the Calitornia Government Code requires that the requested information be fumishetl on applications tor nomresidential building permits).
........................................................................................................................................................................................................................................................................................................................................................................................
6 Will any part of the faciliry to he constructed under this permit be within 1000 teet from the outer bountlaries of a school? ❑ Yes ❑ No
Qf "yes", ihe tacility must meet the �equirement oi Sections 25534 and 42303 oi the Calitornia Healih and Safety Code).
..............................................................._............_..................... ................................_................................................................................................................................................................................................................
7 If e permit fmm ihe Sou�h Coest Air Qualiry Manegement Ois�rict or other air polWtion control disirict or egancy is required for ihe work which is the subject of ihis
applicatioq hava all ot ihe disclosures prescribed by Calitomia Health and Safery Cotle Section 42303 besn matle? ❑ Ves ❑ No
............................................................................................................................................. ................................................................................................................................................................................................................
8 Qf'yes", ettach certificate of compliance from the appropriate air pollution control oHicer).
CERTIFICATE OF COMPLIANCE: I certiry that unde� panalry oi perjury ihe information given above is wrrect. I egree to comply with all state laws and city ordinances
regarding Hazartlous Materials and Emissions.
Signature: Dete:
CERTiFICATE OF COMPLIANCE AND AUTHORIZA710N OF EN7RY: I ceniy under penairy of perjury Ihat I have read this application and state ihat the information given is
correct. I agree to comply with ell state laws and ciry ordinances relating to building wnstruction, and au�honze representatives of ihe Ciry of Cos�a Mesa to enter upon ihe
above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized hy this permit until final inspection.
cooe �. N iv
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roo�
201
202
203
204
Final 81ocWRetaining Wall
Final Factory Fire Place .
Final Sign
Final Demolition .
Q97& INT�IJe4@
CODEN INSGELTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval .
222 Final Si�e
250 Final Building/Occupancy
p� �xrm��s
SEP-�8-2a05 07:42 FROM:
Mr. Paul Hope
3435 Wimbledon Way
Costa Mesa, CA 92626
RE: WIMBLFDOiV ViJ,i.AGE
REQUEST FOR ARCHIT
Dear Mr. Hopc:
T0:949+q60+7247 P.1�1
l
�'lla e
8
�o 0
Op
�
CAANGE APPROVAL
As Management Agent for thc Wim liedon Village Association, I have been requested by the
Boazd of Dircctors lo contact you V� response to your Rcquest for Arclutectural Change
Approvul form receivcd March 28, 2�DS in which you statc that you intend to install new high
performance gl,us roof system in exis ing opening.
Piease be advised that your Reque for Arclilteciural Change Form was revicwed by the
Architeclural Cmnmittee ou March '.9, 2005. As a resulY of review and discussion of the
submission, it was thc decision oEthe �,rchilectural Committee to approve your request.
For your files, please find enclosed
fonn.
Should you havc any questions
hesilate to contact Management at
SL�cerely,
VILLAGEW AY MANAGEMF.NT,
'�o �m j�
Carolyn Bem�ett-Oucllet, CCA:M�
Director of Property .Managemcnt
At the Direction of thc Boazd of Di
CBO:bb
Enclosure
cc: Aretutectural Fi]e
Lot File
� �.r-�, Ka�l o�
oY the approved Request for Architechtral Change
irding thc above referenced information, please do not
�) 450-15 l5. Th�utk you.
, M'•0��) �/• 1 1 Ir �`�O_��� •
/' //��A� ��I� ���� nl�I'yNC //lAf1\ GOC /�� AG CAV -
CITYOPCOSTAMESA CONSTRUCTIONPERMIT
Project Address 3435 Wimbledon Way
Applicant's Mailing Address 1 872 N. Case St. , Orange
Owner'sName MF.NDEZ. J_ M. Phone 6(2-1835
Addreu �4"�S Wimhlac]nn Wa3+� ('c�cta M.ca 9 6?Fi
Arch/Eng. License No.
Address
Contractor'sName ANDFRRnN ATR ('ONDTT70ADhone 9�5�
Addresslmailing) 1879 N_ (laca St_ � Oranqa 99Fi65
� Ciry License No. 01 A93A
LICENSED CONTRACTOR DECLA AT ON
I hereby af/irm that I am licensetl �tler rovisions of C�arter 9(commencing
with section �000) of Division 3 f the sin s antl Professions Cotle, antl
my license is in tull torce antl eftec .
ucense Class C-2� icense No. Z57570
� Date !��5�84 Si9nature
W00.KER5' COMPENSATION E L RATI N
, M1'�hereby attirm that I have a certiti ate of consent to self-insure or a certificate '
, Workers' Compenwtion Insurance or certifi¢tl copy Ihereof (Section
i�i'800, Lab. C.)
�� - Por�Y No. 440-83 � como State Fund
\ 8 Certifietl copy is hereby fumishe
� Ce�tifietl copy i5 filetl with Ihe cit � il i5ion.
Date 7�ii/Ad APPlitant
� EXEMPTION FROM WORKERS' NS ON DECLARATION
(This section neetl m[ be completetl it he per t is for one huntlred ($100) or
less).
I certify tM1af in Ihe perfo�mance oi tM1e wo�k � which tM1is permit is Issued, I
shall not emPloy any pe�son in any manner so as to become subject to the
Workers' Compensatlon Laws of California. .
Date Signature
NOTICE: If, afle� making this tleclaration, you shoultl bemme subject to the
Workers' Comp¢nsation provisions of the Labor Cotle, you must fortnwith .
comply with such 0/ovisions o� this pe�mit SM1all be tleemetl revoketl.
CONSTRUCTION IENDING AGENCV
I hereby aifirm that there is a construction lentling agency for the pertormance
oi the work for whlch this permit is issuetl (Section 309] Civ. C.)
Lentler's Name N/A
Lentler's ACtlreis
OWNER BUILDER DECIFRATION--
I hereby affirm that I am exempt trom the Contractor's License Law for the
followinq reason (Section 7031.5 Business antl Protessional Cotle: Any tlty or
counry wM1ich requires a pe�mit to construct, alteq imprave, tlemolish o� �epair
any structure, prlor to its issuance, also requires the applicant tor such permit
to tile a signetl statemen[ that he/she is licensetl pursuant to the provisions of
the Contracror'S License Law (Chap[er 9(commencing with SecHon 7000) of
^�vision 3 of [he Business antl Pwfes5ion5 Cotle) o� that h¢/She is exempt
, refrom antl [he basis for the allegetl exemption. Any violation of Section .
)1.5 by any applicant tor a permit subjects the applicant to a civil �
F�nalty of not more than five huntlretl tlollars ($500).
LJ I, as owner of the property or my employees with �wages as their sole
compensation, will tlo the work, antl the structure is not incentletl or offered
for sale (Section ]044, Business antl Professional Code: The Contractor's
�icense Law tloes not appry to an owner of a property who builtls or improves
thereon, antl who tloes such work himselt/herself or throu9h nis or her own
employees, provitletl tM1at such imp�ovemen[5 are not intentled or of(eretl fa�
sale. If, however, Ihe builtling or improvement is soltl wilhln one year of com-
pletion,�ihe owne� will have the bu�tlen 0f proving he/she tlitl not builtl or im-
erov! to� the purpose of sale).
LI I, as owner of the property, am ezclusively conbacting with licensetl con-
t�actor5to constructthe Oroject�5ection 7044, 8usine55 antl P�ofessions Cotle:
Tne Contractor's License Law oes not apply to an owner ot property who
builtls or improves thereon, antl wM10 contracts for such projects with a mn-
tracto�(5) license pursuant�to-the Contractor's License Law). I am awa�e that
proot oi thei� Wo�ke�'s Compensation insu�ance Shoultl be provitletl to me.
❑,1 am exempl un �$ec[ion B. & P. 0.(or this �eason
Date � o�
i herebv cer N tha I have
Drivers' Lilenffi or 55
1
CMF 0865-46, rev. 4/84
s application ana state that tM1e above
oly with all city antl county ordinances
ytruction, antl hereby authorize reore-
R� Ne above-mentionetl property for
ivlicant to fill in all soaces except tnose within neavy Gortler lines antl sign all aooroo�iate tleclarations.
PERMIT N%��� � TRAC7 NO. LOT NO. UNIT NO.
�
TVPE OFCONSTRUCTION NEW AD� ALTERATION REPAIR
❑ CONVERSION ❑ D�MOLISFT ❑ OTHER q.p, #
DESCRIPTIONOFWORK/USEOFBLDGAdd 3�S—ton a� ond> ;on�n
nni t. to exl ct� nn FAR_ S Main Buildi
TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front
❑ TENANT C� ELECTRICA� ❑ PLUMBING � MECHANICAL B Rear
❑ OTHER A
PROJECT DESCRIPTION SGi. FT. oCCUaANCv C fiight
K
CONSTRUCTIONTVPE VALUATION$ S Left
ZONE GRADING CU. VDS. ACRES p�ng. R¢f. #
Remarks: Planning Notes:
Bar Sink
Backflow Preventer
Backflow Irrigation
Jrinking Fountains .
� loor Drains �
Floor Sinks
3as Service Outlets
Intercepmrs
Kitchen Sink . �
Lavatories
P—Trap
Roof Drains
Reinspec[ion Fee $15
Boiler
Duct- UnderGround
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑0.100,000 BTU �100,OOOBT
Reinspection Fee � $75
ite - Builtling; Canary - ApP���nt; Pink - AGmuntinq; GolAenrotl - AsSessor
Showers
Service Sink
Sewer Cap •
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa .
Urinal
Water Closet
Water Heater
Water Service
laue Fee
Hoodor Typel ❑
Canopy Type II ❑
Refrigeration System
CYO-100,000 BTU ❑100,000 BTU
System Repair/Alteration
Isue Fee
FEES
$ 3
FEES
%.5�
$ 3
499b 7/27/84
2one
Accessory Building:
Parking Req./Provided
EIECTRICAL
Auromatic Washer Transformer ❑ 15-50 KW �
Construction Pole Sub. � 50 + KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher Meter ❑over 100amps
Dryers ❑Gas ❑Electric SubPanel
Fan Motors 00.1 HP 1 S- 8
F.A.U. Inc.Solar 09-15 HP �16-15+
Fixtures Microwave �
Device Boxes Pole light
Outlets Range
Switches Sign
Garbage Disposal Standing Sections
Generetor �0-5 KW �5-15 KW Trash Compactor
Fee �$15 � � luue Fee
15,50 Tf:
FEES
2.
$ 3
Z
O
N
I
N
G
fl
E
�
M
T
S.
DEVELOPMENTSERVICESREQUIREMENTS: ,
2oning Appraved By Date
Buildin9 Approved By Date
Application Issued By �at�
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. S
ELECTRICAL $ � n�_ GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ '�Q,Sn TOTALFEE $ LS.SO
PLAN CHECK 25% $
CONSTRUCTION AND PIANNING POO" iPA
APPROVqLS 'Permit# � Date Inspector pppROVALS Permit# Date . Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � "
3. Electrical Conduit Utility-Undrgrnd. 54. Forms � _
4. Electrical ConduirUndrgmd. 55. Electrical Bonding - .
5. Steel RCinforcement 56. Rough Plumbing & Pressure Test � ,
,6. Electriqal UFER Grnd. � 57. APPROVAL TO COVER-GUNITE - �
7. Footings - • � " 58. Electrical Conduit-Undrgrnd. .
• 8. Foundation . - _ 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-l�Jndrgrnd. ' � 60. Backwash Lines, P-Trap, O Undrgrnd. �
70. Structural Floor System 61. APPROVAL TO DECK . -'
17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
- 12. Sewer Cap 63. Heater & Vent-Final
, 13. Roof Drains . 64. Plumbing System - Final
14. Rough Glumbing � 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 Flectrical-T Bar Ceiling � � � 69. POOUSPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. Duct�,in Structure 70. Underground Hydro
22. Ducts, Ventilating � .71. Product Piping O Gas ❑ Oil ,
23. Gas�Pipe-Rough & Test 72. Underground Flush
24. Roof Framing ' � ' - 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurai) & Monocoat 75. Dry Chemicaf
27. FrameandFlashing , - - 76. DryStandpipe
28. Lathiny & Siding 77. FIXED SYSTEM FINAL. �
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final � S0. FOOD CERTIFICATE ISSUED
33. Final Electric ��?fj7!-( (�(EO Notes: ,
34. Final Heating & Air Conditioning �� �t� (,f�]
35. Final Gas Pipe-Test
36. Hood or Canopy -
37. Final Factory Fireplace .
38: Final Plumbing �
39. Water Service-Final �
40. Gas Service-Final '
41. Solar pomestic-Final ' '
42. Backflqw Preventer ,
43. BackflUw Irrigation . .
44. �Landscape Irrigation System '
45. Sound Attenuation . �
46. Handicap Regulations �
47. FINAI.STRUCTURE&BUILDING '
48. Special Requirements Completed
49. Electri¢ Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTiFICATE OF OCCUPANCY
No. Date �
COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATIO]V F0�'JTR�IJC�'fly�T�L PERMIT31 I.94
on env »nn rnern necen rn� ionor.un nxoe
............___ _.....�...._..f.._f._.........f..,_.._.. RECEIVEDBY PE I � �
For Applicant to Fill in Completely - Use Ink Only -
BUILDING A.P, NO. � y �"� � L/ �
ADOFESS Tract l�i%8 LO% rJrJ BUILDING � � 1� �/
OWNER OR AOORE55 3 S W/r oI �h W
TENANT MCLain Development Co.
UNIT OR
ADDREss 1470 Jamboree �. SPACE NO.
TR.NQ � LOT CC BLK.
ciTv Newport Beach No�' 640-6800 �� 7� ✓J
OOf�6TRUCTION NEW ADD LTER REPAIR MOVING DEMOLISH
IENDER V
BRANCH
OWNER
ADDRE55 VALVE
ARLHITECT Corbin/Yamafu 1 TEL.'�SZ—SS6% USE S
OR ENGINEER �
A�DRE55 3661 $ TUCE St. Ne rt BCY1. Z�NE TYPE GROVP
CONTRACTOR MCLain Develo ment CO. APPROVED
BV DATE
ADDRESS 1470 Jamboree Rd.
TEL.
aTv Ne rt Beach No. 640-6800
STATE CITV APPROVEDSETBACKS
uc. No. 273875 uc. No. 18873
S12E NO.OFBLDGS (FROMC/LSZREET)
OF LOT NOW ON LOT R �J FT.
VSE OF �',,CF
EXISi1NG BLDG.
Separate permi[s are required for L SIDE � /F�T.
electric, plumbing and hea[ing work. qEAR �3�'l'4r.
USE OF BUILDING AND WORK TO BE PERFORMED PLP.NNING ACTION
DATE
Sin le family residence, �/� APPROVED
APPflOVED�� J wT a I p �
New house �r -��� o
I hereby acknowledBe ihat I heve reatl this application antl tcete
thet the ebove info�mation is cOr�act antl ap�ea to comply wlth
all laws reBuleting builtling conrtructlon, antl I shall not employ
any perwn in violation of Ma workman's compansation laws oi
the State of Californla. .
I hereby certlfy that I am properly Iicansatl az a conttector untler SQ. FT.
tha Steta of Calitornla Businass entl Profeuione Cotle, Dlvision 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR
Chapter 9, entl thet suth licances ara (n full torce entl atfect, Or I THE PURPOSE OF ESTABL6NING A PERMfT FEE ONLV:
am ¢xampt from the O�ovisions of the S[eie ot Cellfornie Busineu yALUATION PERMIT FEE S
antl Professions Cotla, Oivision 3, Cheptar 9.
SIB^ature ot PLAN CHECK 5 ��
Permlttee '" �� 5' /G/O �.1 TAX E
or «'// V
Authorized A t oate 70TAL PAID
a��� �