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Home My WebLink About3437 WIMBLEDON WAY - Building Permits' � � CITY OF COSTA MESA � '=� � '� BUILDING D/YISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mesa.ca.us � F �. FOR INSPECTIONS CALL; (714) 754-5626 � �,: '� PERMIT NUMBER: B08-00243 c� � ,sv �y�� PERMIT TYPE B_ROOF2 � �,'� STATUS: ISSUED APN: 41204234 ,�, DATE ISSUED: 08/25/2008 O� ISSUED BY: KJB JOB ADDRESS: 3437 WIMBLEDON WY CM Suite/Unif: vicinity: - . Squares: 2000 Valuation: , $4,000.00 SCOPE OF WORK: TEAR OFF. EX7STlNG SHAKES. INSTALL 1 LAYER 30# FEKLT AND METRO SHINGLE"ER#5626. ROOF P(TCH IS 4:12. INCLUDES RESIDENCE AND ATTACHHD GARAGE. , � . . OWNER: TOON, JOHN W Address: ' 3437 WIMBLEDON WAY Unit: PHONE: , City/State/Zip: COSTA MESA, CA , A�PLICANT; JOHNSON, SCOTT . � � Address: 13672 ONKAYHA � � � Unit: : PHONE: 714•778-62g4 ,��-� � City/State/Zip: IRVWE,CA - ' CONTRACTOR: POPA.ROOFING INC � Address: �36720NKAYHAUnit: ' � City/State2ip: IRVINE, CA � 92720 A�CHITECT: . ENGINEER: � FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTALFEES . �. - License No. - 675902 PHONE: 714-778-6294 - CELI: License No.� License No. $o.00 $9725 `$0.00 597.25 PHONE: PHONE: NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under Califomia statutes and related �egulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections artd fina! approval must be obtained. Failure to obtain inspections and final approval will result in the expiraGon of this permit. CO�Et INSPECTIONTYPE ORTE INTITIRLS CODEt INSPECTIONTYPE � 4RI�F INTITIRlS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1�6 Pool Spa Final 208 Final Plumtnng Z00 Final Re-Roof 210 Final ElecVical ' Z01 Final Block/Retaininq Wall 212 Final Fire Prevention 202 Final Facrory Fire Place 220 Final Plannirg Approval 203 Flnal Sign 222 Final Site 204 Final Demolition . 250 Final Builtling/Occupancy WORKERS' COIkPENSAWON DECLARATION� I hereby affirm under penalty of peryury one ot the following declarations: ❑ I have antl vnll maintain a certifcate of consent to seli-Insure for vrorkers' compensation, as provitled for by_ section 3700 of the La6or Code, for the CpeAormance of the work foi which this permit is issued. � have and will maintain workers' compensation insurance, as required by � se ' n 3700 of the Labor Code, for the peAortnance of the work for which this pertnit is issued. My workers' c mpensat n Insurance carner and policy number are: � �er:- � U � (i/ru sectm neetl mt be mmdeted d Ne pertnrt k valued at one hundietlWllars (5100) w less ) 'P_dicy�Number: Dv � S � � � ❑ I certify Ihat in the performance of the work for which this permit is issuetl, I shall not employ any person in any manner so as to become subjec[ to the workers' compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of [he Labor Code, I shall forthwith comply with these provisi s. � y�%d� pli�anl' - naWre °'Dele� WARNING: FAILURE W SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm that I am licensed under pmvisions of Chapter 9(commencing vnth Section 7000) of Division 3 0/ Ihe Business and Professions Code, and my license is in tul� rce and eRect. G� Q ( Lic.#_ �-`7 6 z Clar ss�#--' � y�- �C9p aclors Signature —Date„ � CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn thal lhere is a construction lending agency fw ihe peRortnance o( the Nork (p wfiich �his pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SgnaWre Dale OWNER-BUILDER DECLARA710NS: I hereby affirm Iha[ under penalty of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Business and Pro(essions Code: Any city or couMy which requires a permit to construct, alter, improve, tlemolish, or repair any sWCNre, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuaM to the provisions of [he Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Business antl Professions Code) or iha� he or she is exempt there(rom and the basis tor the alleged exemption. Any violation of Section 7037.5 by any applicant (or a permit subjects Ihe applicant to a civil penalty o( no[ more �han fve hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and the swcture is not intended or offered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, and who does such vrork himself or herselt or thmugh his or her own employees, provided that such improvements are not intentled or offered for sale. If, however, the building or improvement is sold within one year of completion, the ownerbuilder will have [he burden of pmving that he or she did not build or improve for purpose of sale.)., . ,, ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to conslruct ihe prqect (Sec. 7044, Business and Protessions Code: The contractors License Law dces� not apply to an owner of pmperty who builtls or improves Ihereon, and who contracts (or such project with a contractor(s) lirense pursuant to the CoNractors License Lavrs.�. ❑ I am exempt under sec. Business and Professions Cotle for this reason: 305]-66(3/0]) � � Owner ID veri(ed Dy tlnv�se. ❑ Yes ❑ No Driver's�License No. Expires: Venfcation of Ownership by (rype of documenl, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: �� ❑ I hereby cert"rfy that no excavation frve (5) or mwe feel in depth into which a person is required to descend, will be made in connection vrith work authonzed by [his permi[, and tha� no building slrucNre, sca(foltling, falsework, or demolition or dismantling thereof, vrill be more than thirty-six (36) feet high. (Chap. 32, Gry 2. M 2, Sec. 341, Title 8, Cali(Omia Atlminist2tive Code). ❑ As owner-builder, I will not employ anyone to do work which vroultl require a permit from Ihe Division of Intlusirial Safery, as noted above, unless such person has a permit to do such work from the division. Appl¢anfs SignaWre Da�e Division of Industnal Sa(ety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupant need to (le antl certify a Business Plan for emergency response to release or Ihrea�ened release of a hazardous malerial? ❑ Yes ❑ No (Section 25505 of the California Healm antl Safery Code requires, with some exceptions, that a Business Plan be filed wilh ihe Costa Mesa Fire Department by every business which has at any one [ime dunng a reported year a quantity of hazardous materials equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas a[ s[andard temperature and pressure). 2. Does or will the applicant or present or tuture building occupant need to file a regisiretion torm for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Cali(omia Heallh and Safety Code, with some excep[ions, requires registration with ihe Costa Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazardous ma[enals equal to or grea[er than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 3. Does or will the applicant or presen[ or future builtling occupant neetl to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 ot the California Health antl Safety Code provitles that the Costa Mesa Fire Department may require the preparatioq certification and filing with the Fire Departmen[ of an RMPP by businesses which are required to register acutely hazardous materials with ihe Fire Department. 4. I( an RMPP is presently required, has Section 25534 of Ihe Califomia Heal[h and Safery Code been (ully complied vrith? ❑ Ves ❑ No 5. Does or vnll the applicant or present or future building occupanl require for the vrork which is the subject of [his application a permit for such construction or modifcation from the South Coast Air Quality Management DisUict or from any other air pollution control districl or agency? ❑ Ves � No (Section 658502 of Ihe Califomia Govemment Code requires [hat the requested information be fumished on applications (or non-residential building permits). 6. Will any part of Ihe tacili[y [o be cons[ructed under this permil be within 1000 /eet from the outer boundaries of a school? ❑ Yes ❑ No p( "yes", the faciliry must mee[ [he requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7. If a permit trom Ihe SouM Coast Air Quality Management District or other, air pollution control disMct or agency is required for the work which is the subject o( this application, have all of Ihe disclosures prescnbed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance tiom Ne�appropriate air polWtion contml offcer). - ' � CERTIFICATE OF COMPLIANCE: I certi(y that uoder penalty o( perjury.the information.given above is correcL I, agree,to.comply with all state laws and city ordinances regarding Hzzardous,Materials and Emissions., , �- � ' SignaWre Dile ' - ' CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state Ihat the information given is correcL I agree [o comply with all state laws and cily ordinances relating to building constmction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or"allow occupancy of any building authorizetl by this permit until fnal inspectioa .. . , SignaW L'galOwn r(s) �/� Date ^� ' j/ � r-�AnE��ul or¢etlAppliWn! � rUete J L� \ � U=L.� - y�� i '.:._::: � : � (714)754-5273 • Fax(714)754-4856 Job Address: Suite No Vicinity: - -. CITY OF COSTA MESA B!/ILD/NG DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT 3437 WIMBLEOON WY LOFT AREA Parcel Nunmber: 41204234 Applicant: Address: Owner: Address MERCER, BRIAN TOON, JOHN W 3437 WIMBLEDON WAY COSTA MESA, CA Contrector. ��2 Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intertned Pole ELECTRICAL PERMIT Phone: Zip: Phone: Zip: 92626 Phone: Zip: License: SCOPE OF PERMIT i LIGHT & 1 SWITCH FOR LOFT AREA. B99-00497 $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................uP to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee PERMIT NUMBER E99-00346 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: I SS U ED Applied: 04/27/1999 Issued: 04/27/1999 ISSUED BY: Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 524.00 COMMENTS / SPECIAL CONDITIONS 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, 12-27-92) 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepectlone and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expira�ion of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATON DECLARAnbN: I hereby aliirtn under penalry oi perjury one oi lhe following tleclaretions: � � ❑ 1 have and will maintein e certifiwte oi �nsent to setl-Insure for workers' compensetion, es provided for by section 3700 of the Labor Code, tor the pertormance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, es requiretl by section 3700 01 the Labor Cade, for ihe pertortnance of ihe work for which ihis pertnit is issue0. My workers' compensetion Insurence cyrner and policy number ere: Carner: - Policy Numher: (Thls secNon need not be complete0 il the permit is veluetl a( one hundred dollars ($700) or less.) ❑ I certity that in the pertormence of the work tor which this permit is issued, I shell not employ any person in eny menner so as to bewma su6ject to the workers' compensation laws of Celifomla, entl agree that it I should become subiecl b the workers' compensation provisions of Section 3700 of Ihe Lebor Code, I shall fonhwith comply with these provisions. Applicent Signature: Date: WARNING: FAILURE TO SECUFE WORKERS' COMpENSATION COVERAGE IS UNLAWFUL AND SFIALL SUBJECi PN EMPLOYER TO CPIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOEO F-0R IN SECTIIXJ 3')O60F THE LABOR CODE, INTEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aifirm thet I am licensed under provisions ot Chapter 9(commencing with Saction �000) oi Divislon 3 of the Business and Professions Code, end my license is In full force entl eHect. Lia # Class k Contracbfs Signature: Dare: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirtn ihat there is a constructinn lending egency for tha pertortnance of the work tor which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirm ihat under penalry of perjury Ihat I am EXEMPT FROM 7HE CONTRACTOFiS LICENSE LAW tor tha tollowing reason (Sec. 7031.5, Business entl Professions Cade: Any ciry or counry which requires a penni� to consiruct, elter, improve, demolish, or repair any siructure, prior to its issuence, also requires the applicent for such permit to file a signetl statement ihat he or she is licansed pursuent to ihe provislons of the Contrectore Licensa Lew (Chaptar 9(commencing with Section 7000) of DiNsion 3 of the Business and Professions Cotle) or ihet he ar she is exempt therefrom end the 6asis tor ihe elleged exemption. Any violatlon ot Sedlon 7031.5 by eny epplicant for e permit syb�ects the applicant to a civil penelty of not more than five huntlretl tlollars ($500).): '� I, as owner of the property, or my employees wiih weges es lheir sola compensalion, WiLL 00 THE WOHK, entl Ihe slruciure is no[ intentletl or oflered !or sale (Sec. 7044, Business and Professions Cotle: The Contrectors License Law does not appry to an owner of properry who builtls or improves thereon, and who does such work himseli or �ersalf or through his or her own employees, provided ihat such improvemenis ere not intended or offered for sele. It, however, the builtling or improvement is sold within one year ot completioq Ihe owner-builder will have the burden ot proving ihet he or she tlitl not builtl or improve for puryose of sale.). ❑ I, es owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe pro�ect (Sec. 7044, Business end Professions Code: The cop�racto� Licen�� does no� epply to en owner of property who buiids or improves Ihereon, and who conirects for such project wi�h a con�rac�or(s) license pursy9pt to)ria Co or Lic9nse Laws. . lem Owner JD v�ed by Business and Professions Code tor this reason: '��— �Da�e: � ❑ Ves ❑ No Dnvefs License No. Eryires: ot Ownership by (rype of document, i.e. - property taz bill or deed): UIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby certity ihat no axcevelion five (5) or more feet In tlepih Into which a person Is required to tlescenQ will be metle In connection with work authorized by ihis permit, end ihat no builtling sWCWre, scaHolding, felsework, or tlemolition or dismentling thareot, wlll be more then ihirty-six (36) teet �igh. (Chep. 32, Gry 2, Art 2, Sec. 341, Ttle B, Califomie Administretive Code). ❑ As owner-builtler, I will not employ anyqne to do work which would require a permit irom the Division of Intlustnal Safery, as notetl above, unless such person has a pertnit to tlo such work from the division. Signeture: Dete: Division oi Indusirial Safery Permit Number: CERTIFlCA7E OP COMPLIANCE AND AIJiHORVATION OF ENfAV: I cetlity under penalty of perjury ihat I have read this application and state that Ihe iniormation given is corred. I agree to comply with all state laws and ciry or �rf'jia ceSlWaNr�to building construction, end aNhonze representatives of the Ciry of Costa Mesa to enter upon the above-descnbe/�p roperry fo/r �i'nspectlon purposes. I ag e 6 0 occupyor allow occupancy of eny building authonz16� Is permit until final inspection. �//Ll�G / '�2.. � �/��L— � � % ' Signature Of Le� q.p r(s) � Date � And/OrAutho Applicant •Date COUE t. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Finel Re-Raof Finel BIocWFeteining Well Finel Feclory Fire Plece , Final Sign 204 Final Demolition . _ 2666d6 PDIE m � CQDE 1 INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approvel . . 222 Finel Site 250 Final Building/Occupency Qeg IMiTIALS • i�:L� v �� i: i' , �. (7/4) 754-5273 • Fax (714) 754-4856 Job Address: Suite: Vicinity: CITY OF COSTA MESA - BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT 3437 WIMBLEDON WY ABOVE WARDROBE/CLOSET AREA. ParcelNunmber: 47204234 Applicant: MERCER, BRIAN Address: 17422 DERIAN AVE IRVINE, CA ownec TOON, JOHN W Address 3437 WIMBLEDON WAY COSTA MESA, CA Contrector. ��N�n Address: � � Zip: Arch : Address: Zip Phone: License: Zoning: R1 R1 Q NUMBER �' � 699-00497 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: , _-.. i i: i . , � - — . �Phone: (949)2233286`..� \� �- . Zip: 92614 .. . %/ '� i. � , � -Phone: - (714)545=0773��- � �;� _��- � � . � _ l:'.�� ,, , Zip: 92826 � � _ �' � ' \�� ,�. ��;� �;..`� , � Phone:^ :: License:. / ' ' Stalus: ISSUED Applied: 04/14/1999 Issued: 04/21/1999 '_ � �� Eng: � Address: a Phone: I. Zip: � � License: SCOP.E,OF.P.ERMIT.. , ADD A 175 SF LOFT TO EXISTING SINGLE-FAMILY RESIDENCE OVER THE WARDROBE/CLOSET AREA. NONHABITABLE AREA, TO BE USED FOR STOR4GE ONLY. � � � - �� - � � � �- �� FEE SUMMARY = �`.. Plan Check: $56.71 ` � � '� ` � `� � � ��`�.' Calc Valuation: $s,soo.00 Permit: $8725 — �. ' . �J Claim Valuation: $s,soo.00 SMIP Res: $0.50 ,i / SMIP Com: $0.00 - Other: $0.00 Inspection: $0.00 0 Total: $144.46 - '� , � _ � �PLANNING 8 ZONINGa ;' � � . SETBACKS � � � . � . " - " � MAIN STRUCTURE Front 0- 0 Rear 0- 0 �-`'LeR � 0- 0 Right " 0- 0 ACCESSORY Front 0- 0 PARKING Exislinq: o NOTES: Rear 0-0 ,, Lefl . 0=0 _� Right ,0-0 ' i Required: ..0 Proposed: 0 � " � � � ,�.. . : � �� NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California 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 1 BO days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: � I�areby ettirm untler penelry ai per�ury ane oi ihe lallawing tlecleratlons: ' I) I heve ena will melmain e cenllicate o1 consent to selhlnsure for workers' compensation, es proNded tor by sectlon 3700 of t�e Labor Code, br Ihe pertormence of ihe work for whiCh �hi5 permlt Is 19suatl. ❑ I have antl will maintein workers' compensatlon Insurance, es required by seclion 3700 of Ihe Labor Code, for Ihe perfortnance oi �he work tor whld� Ihis pertnit Is issued. My warkers' compensetion Insurence carder end policy number are: Carrier: Policy Num6er: (This secfiwr need not be cromp/etetl Il the permlt Is velued et one hundred dallers ($100) or /ess.) ❑ I canity that in the pertormence of Ihe work tor which thls permit is issueq I shell not employ eny pereon In any menner so fls lo become sub�ect to Ihe workers' compensation laws of Calilomis, end egree Ihat ii I should become sub�ect to the workers' compensatlon pmvislons ol Section 3700 oi ihe Labor Code, I shall torthwith comply with �hese provisions. Applicant Signawre: Date: WARNINO: FWLURE TO SECURE WORKERS' GUMPENSATION COVEMOE IS UNLAW FUL AND SHP115UBIEC( AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED TFqUSAND OOLLARE (E100,000), IN ADDRION TO THE COST OF COIAFENSATION, DAA41GE5 AS PROVIDED fOR IN SECTION 37080F THE UBOR OODE, INiEREST. AND ATTORNEI^5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm Ihet I am licensetl under provislons of Chepter 9(commencing with Sectlon 7000) ot Divislon 3 af Ihe Business end Pratessions Cotle, entl my Ilcense is in full force and effect. LJc. e Cless p Contrectofs Signature: Dete: CONSTRUCTION LENOING AGENCV: � ❑ I �ereDy affirm that Ihere Is e wnsirucllon Iending egency for fhe peAortnance ot the work tor which t�is permit is luued. (Sec. 3097, Civil Code). Lendefs Neme: Lentler's Atldreu: Signature: Date: OWNER•BUILDER UECLARATIONS: I hereby eHirm that under penalry of perjury t�at I am El(EMPT FROM TXE CONTRACTORS LICENSE LAW for Ihe tollowing reeson (Sec. 7037.5, Buslness and Professions Code: My dry or counry which requires a permit to wnsWd, elter, Imprwe, demolish, or repair eny sirucWre, D�a� �o its Issuence, also requires �he epD��ent for such pertnit to file e signetl statemem Ihat he or s�e Is Ilcensetl pursuent to the proNsions ol the Contractors LJcense Lew (Chepter B(commendng with SecUon 7000) of Division 3 of the Business antl Professions Code) or that he or she I5 exempt Iherefram and Ihe basis lar Ihe ellepetl exemption. My vloletion o1 Section 7031.5 by eny epplicant for e pertnit subJects the eppllcant to e ciNl penalry o1 not more then flve huntlreA tlollars ($500).): ❑ I, es owner of Ihe pmperty, or my employees with weges es their sole crompensetlon, WILL DO THE WORK, entl t�e siructure Is not intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contradors License Lew does not eppty to en owner oi praperry who bulltls or Improves Ihereon, end who does such wark himselt ar herself or ihrough �is or her own emplayees, praNtled thet such Improvements ere not Intended or aHered lar sale. If, �owever, the building or improvement is sald within one year of completion, the owner-builtlar will heva t�e burtlen oi proving Ihat he or she dltl not bulltl or Improve lor purpose of sale.). ❑ I, as owner oi the praperty, em EICCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Buslnesg and Professions Cotle: lTe contractors License Lew tloes not apply lo en owner oi property who builds or impmves t�erean, enA w�o contrects for such project w1lh e contrector(s) license pursuant to the Comrectors License Lews.). ❑ I am exempt under sec. Business and Professions Code lor this reason: Signeture: Date: Owner ID verified by drivefs license. ❑ Yes ❑ Na Dnvefs Licanse No. F�cplres: Verificetion at Ownership by (type ot document, i.e. - property lax blll or deed): DIVISION OF INDUS7RIAL SAFE7V PERMIT CERTIFICATION: ❑ I hereby certify ihat no excevetlon tive (5) or mare feet In depth Into which e person Is requlred to descend, wlll be mede In connectlon wl�h work authonzetl by �his permit, entl ihat no building sirucWre, scafrolding, telsework, or demalitlan or dismentling Ihereat, will ba more t�an Ihirry-siz (36) feet high. (Chep. 32, Grp 2, Ar12, Sec. 341, Title 8, Celifomie Adminlslretive Cade). ❑ As owner-builder, I will not employ anyone �o do work which would requlre n pertnit Irom tha Dlvlsion ol Industrial Setery, as noted ebove, unless such person has a permii to do such work irom Ihe division. Signature: Date: Divislon of Industnal Setety Permil Number: CERTIFlCATE OF COMPLIANCE AND AUiHORVJITON OF EMRY: I certily under penelty of perJury that I have reed thls application end steta tha� Ihe infartnation given is correct. I agree ro compty with ell stete laws and ciry ordinances ralating lo building constructlon, end euthodze represantetives oi the City of Costa Mese to enter upon ihe aDove-tlescnbetl pmperty for inspection puryoses. I agree not ta accupy ar allow occupency of eny bullaing euthadzeA by t�ls perm0 untll 11na1 Inspection. Si9neture OI Legal Owner(s) Date And/Or Authorized Applicant Date CODE 1. ixsvecnoxrrre GAIE Iti�LS 1616 Fixed System Final Fire Preven�on 1266 200 201 202 203 204 2u8.os Pod Spa Final Final RaRoof Final Block/Retaining Wall Flnel Factory Fire Plece Flnal Sign Final Demolition CODE� INSiECTIONTYFE 208 Final Mechanical 208 Final Plumbing 210 Flnel Eledrical 212 Flnal Fire Preventlon 220 Flnal Planning ADprovel 222 Flnal Site 250 Final Building/Occupency Q�g INIiTL1L5 � �\ 35l37 L/�/� M��E D �N � y Avolicant ro fill in all soaces except those witnin �eavr boraer lines antl sign all avcroDNate Oeclarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CI7v oF COS7A MESA C�O�NSTpqR�UCTION PERMIT Project Address 3 �137 ""'/' "' `�'"' � �� - ApplicanYsMailingAddress�) �`�/37cv'%n�'CL%�l p"J Owner'sName ?INa`�!� Ph�on/e�f Address �� U��% �,11 � m �3e lTa �! iL� �Y Arch/Eng. License No. Address /1 ��(y� Contractor'sName "/'T� S '�' � hone��y��— Address Imaiiing) Ciry License No. I LICENSEp CONTRACTOR DECLARATION I hereby affi�m lM1al I am licensetl untle� provisions of Chart (mmmenc ng with sec[ion ]000) of Divisio 3 of the Business antl Pr essio Cotle, ntl my license is in f II tor e ntl et Q O License Clas}, ,� � Lic se N. Oate_��/-X� Siqnature • WORKERS' COMPENSATION DECIARATION �� ' nereby aifirm that 1 nave a cerlificale of consent to self-msure or a ticate �Wo�ke¢' Compensation Insurance, o� a certifietl Copy thereof ($ection i0. �ab. C�. ._ _.._-�,�.i�_.i/ nl..-r.._.... � �J... copy is hereby fum toDYis,filetl with tl EXEMPTION FNO141 WORKERS' C010f6ENSAT1aF! DECIA�y,1Q{� L (Thissection neetl not be compleletl if the permit I5 tor one h n redjSI4B) or less). I cerlify lhat in the perfo�mance ot the work for which [his pe�mk is issuetl, I shall not employ any person in any manner so as [o become subject to the Worker5' CompEnsation Laws of Califomia. Date SignaWre NOTICE: If, after makinq this declaration, you shoultl become subject to the Worker5' Compen5ation provision5 Of the Ldbor Cotle, you must fortnwith comply with such provisions or [nis permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby aHirm that there is a consiruction lentling agency for the performance ot In¢ work tor which thi5 permit is issuetl (Sectlon 3097 Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDER DECIARATION I hereby affirm Lhat I am exempt �rom the Contractor's License Law for the following reason (Seciion 7031.5 Business antl Professional Cotle: Any city or County which requirez a pe�mit to construct, alte�, improve, Cemolish o� �epdir any structure, prlor to its issuance, also requires the applicant for such permit to file a si9netl Stdtem¢nt tha[ he/she is licensetl pursuant to [he p�ovi5ions oi the ConVactoYs Llcense Law (chapter 9(commencing wi[h Section ]000) of Division 3 ot the Business antl Professions Cotle) or [hat he/she is exempt refrom antl the ba5i5 fo� the allegetl exemption. AOy viOlation ot Section '�1.5 by any applicant for a permit subjects [he applicant to a civil .ialty of mt more Ihan (ive huntlretl tlollars ($500). u I, as owner o( Ihe property or my employees with wage5 as thel� So�e Compensation, will tlo the work, antl the SVucture i5 not intentletl o� offeretl for sale (Section 7044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes such work himself/berselt o� tn�ough hi5 0� h¢� own employ¢es, provitl¢tl thal such imOrovements are not intentletl o� offeretl for sale. If, howeveq Ihe builtling or improvement is soltl wi[hin one year ot mm- pletion, [he owner will have the burtlen ot provinq he/5he tlia not builtl or im- nrove tor the purpose oi sale). ❑ I, as owner of the property, am exclusivery cont�acting with IicenSetl mm tractorsto construct the project (Section 7044, Business and Professions Cotle: The Contractor's License Law tloes not apply to an owner of property who builtls o� improves lhereon. antl who contracts fo� Such oroiect5 wrth a con- [ractor�s) license pursuan[ m rne Contractor�s License Law). I am aware [M1at proof oi their Worker's Compensation insurance shoWtl be provitletl to me. ❑ I am exempt untler Section B. & P. C. tor this reason Date Owner I her�eUwcertifv that I have rea Signature �\ i(,�-� ` Orivers' License ar 55 � , / OB65-46, rev. 5/88 PE OF CONSTRUCTION LI NEW U ADO LJ ALTERATION 1JYREGAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LJ GaaoiNG LJ FOUNOATIorv LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 54. FT. ocCUPArvcV ^�,CONSTRUCTION TVPE VALUATION $ �•ZONE GRADING CU. VDS. ACRES Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Kitchen Sink Lavatories P-Trap Roof Drains Reinspec[ion Fae $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt �CBO # Heating System & Ducting ❑aiao,000 sru �ioo,000 Reinspection Fee- � $75 White - Builtlin9; Canary - Applitant; Pink - Accountin9; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wesh Laundry TrayS Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-700,000 BTU ❑100,000 BT System Repair/Alteration Fire Dampers Registers Issue Fee A.P. # S Main Building: E T Front ARear C Right S Left Ping. Ref. # Planninp Notes: PEES Automatic Washer Construction Pole Su Cooking Unit Dishwasher . - Dryers ❑Gas ❑Eli Fan � F,A.U. Fiztures Device Boxes 0 uttefs $witCh¢5 Garbage Disposal .. Generator �0.5 KW Zone Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Merer ❑up ro 100 amps Meter ❑over100amps 5KW Sub Panel Motors�0-1 HP�1N,-8 InaSolar �9-75 HP 016-15+ Microwave Pole Light Range $19O Standing Sections Trash Compactor I Reinspection Fee �$15 I I luue Fae $ 3 DEVELOPMENTSERVICESREQUIREMENTS: Zoning Appraved By FEES � Building Approved By �' Appliqtion luuad By $ 3 N 1 N G R E Q M T S. FEES $ 3 SUMMARV OF FEES BUIL�ING PERMIT $ SMIP $ PLAN CHECK $ —0�__ PERMIT PLUMBING $�,� �SSUANCE $ � PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL 5 GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ � PLAN CHECK 25% $ 0100D48313-0�048813 TOT 5.00 DATE: 12/04/89 TIME: 09:20 �� - �-.;. � CONSTRUCTION AND PLANNING ; POOI PA • APPROVALS Permit # ' Date, Inspector AppROVALS Permit # Date Inspector ' 1. Temporary Electrical Service or Po�e r� ! . 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. ;1 � .♦ ' 53. Steel Reinforcement �,� .` .. -' - ' - _ . � 3.�,ElectSicai Conduii Utilit�Y-Undrgmd. - 54. Forms � �� ! 4. _Electrical Conduit-Undrgrnd. ��- 55. Electrical Bonding �i ' ' . 5. St�el ReinforcemenY ' � �. 56. Rough Plumbing & Pressure Test � _` 6i�EleccricalUFERGmd. ' ' � � . 57. APPROVALTOCOVER-GUNITE -- i' � ' t. 7:-Footings ' . 5S. Electrical Conduit-Undrgrnd. �t �,� 8f�Foundafion '. �; � ' .� 59. Gas Pipe, 0 Undrgrnd., Test �! 9.!Wa�ter Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trap, O Undrgrnd. `�� . k 10.�Structurel Floor System � " -, 61. APPROVAL TO DECK t' 11�..Property.Sewer Line & House Connection �� y 62. Backwash & Recepmr-Final > 72± Sewer� Cap � - � " . 63. Heater & Vent-Final � ,� - '��,� 13. Roof'Drains ,� �- ��" . i 64. Plumbing System - Final ' 14. Rough Plumbing�.-' � � 65. Electrical-Final �. 15. Rough Electrical-ConcluiY 66. Solar SYstem-Final 16�Rough Electric Wiring: 67. Fencing & Access Approval 1,7. Rough Wiring Sign 68. APPROVED FOR PLASTERING .�- i$�. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL , 1.9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace - APPROVALS Permit # . �, � 21. Ducts, 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 O Gas ❑ Oil 25. Roof Sheaihing � �= 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing • 76. Dry Standpipe 28. Lathing & Siding ' if� 77. FIXED SYSTEM FINAL 29. Insulation ' 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. ,F,OOD CERTIFICATE ISSUED 33. Final Electric Notes: � 3 g� L'/�i�l-C�ieQ� L��i 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy � . 37. Final Factory Fireplace 38. Final Plumbing � a� � 39. Water Service-Final r,- 40. Gas Service-Final '�� •� i 41. Solar pomestic-Final�.' �"� 42. Backflow Preventer�ri `-� ;.. � 43. Backflow Irrigation:= '•;�`� 44. Landscape Irripation System '�:�� -t- 45. Sound Attenuation� � 46. Handicap Regulatio�s ' ,.., 47. FINALSTRUCTU�RE&BUILDING 48. Special Requirements Completed 49. Electrie Release to Edison • 50. Gas Release to Southern California Gas Co -�` "'1 �� . 51. CERTIFICATE OF OCCUPANCY �� ' , No. Date ��• ' '•: . \ F C a a y y S F G w F a c � a > } .� a m a 0 a z W x 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUIIDING ADDRESS Tract 10278,Lot 54 OWNER OR TENANT MCLd1R DBV010piRB1]t �70. MAILING ADDRE55 1470 Jamboree Rd. TEL. cirv Newport Beach No.640-6800 CANSTRUGTION BRANCH AODRE55 TEL. CONTRACTOR McLain Development Co. ADDRES5 1470 Jamboree Rd. TEL. cirv Ptewport Beach No. 640-6800 STATE ' CITY LIC. NO. Z%.3H%S LIC. NO. 18H]3 S I Z E I NO. OF BLDGS. OF LOT NOW ON LOT USE OF Separa[e permits are required for electric, plumbing and heating work: VSE OF BUILDING AND WORK TO BE PEFFOR� house I hereby acknowletlBe that I hava read this application entl state that the epa�e into�mation is corract anA a8rae to comply wit� all laws regulating builtlinp construction, antl I shall not amploy eny parwn in violation of the workman's compensation laws of xhe Staie a� Califom(a. 1 hereby cdrtity ffiat 1 em properly licensed as a contrector unCer the State Of California Bustnesa antl 7rofeuions Cotle, Division 3, Chapter 9, antl that such lieanses ara in full forca antl effect, or 1 am ezempt irom the provislons ot tha Stata of Celifornia Businass antl ProSesb�ons Coae, Dlvision 3, Chapcer 9. Signature o7 �l .. L� � � „ _ / Permittee /V1JC �Y•�.i.� or Authorized �+B y Date bfi94 ��/�p!?9 306.8p TL �,;. _.. ,,., .,_ ... _ _ _ _ APPUCATION FOR STRUCTURAL PERMIT RECEIVEDBV P �11/� 'TC ,�^,�nn �' �� Q�� A.P. NO. �IZ� OT��O AD�RE55 ��7 W�� VNIT OR � SPACE NO. Ft'O�� ILOTC/( �tlLl JT NEW ADD LTER IREPAIR MOVING DEMOLI VAWE ' i USE E APPROVEDSETBACKS PLANNING ACTION DATE m 'm m SQ. FT. N ] THE AMOUNTSHOWN UNDEfl VALUATION IS FOF m THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �� VALUATION PERMITFEE S N y�� PLAN CHECK E <� a � ��/// V �$ /� / / 2 TAX E 4�e � � � � (! U � � TOTALPAIO E � �� '� �