HomeMy WebLinkAbout3443 WIMBLEDON WAY - Building Permits�ry � CITY OF COSTA MESA �
�oS` F, � 4: . 1 BUILD/NG D/VISION
i`�� 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • vnvw.ci.costa-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754•5626
q,w.o.�w �,•,
PERMIT NUMBER: P09-00076
PERMIT TYPE PLUM
APN: 41204237
JOB ADDRESS: 3443 WIMBLEDON WY CM
Vicinity:
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
ISSUED
06118/2009
RMD
SCOPE OF WORK: PLUMBING PERMIT FOR A WATER HEATER CHANGE OUT, SAME LOCATION.
OWNER: KUO, CHUNG CHOU Address: 3443 WIMBLEDON WAY
PHONE: City/State/Zip: COSTA MESA, CA
APPLICANT: BLOCK, ROBERT Address: .
PHONE: City/StatelzZip:
CONTRACTOR: ALL STAR WATER HEATERS INC License No. 812894
Address: 30300 PUERTO VALLERTA
PHONE: 800-727-0977
City/State: MENIFEE, CA ZipCode: 92584 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE:
PERMIT FEE:
TOTAL FEES:
$0.00
$35.80
$35.80
10 C�►yIG�WSG�'
ty : 5•21.. � 1 ct�
NOTICE: The work authonzed 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspectians and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
GODE/. INSPECiIONTYPE jlRj� INTITIRLS GO�E� INSPELPONTYPE OnTE NI�RLS ^
1616 Fixetl System Final Fire P2vention 206 Final Mechanital p�__'�_�� _ //
1266 Pool Spa Final 208 Final Plumbing ` V� /�
200 Final Re-Roof 210 Final Electncal v����T�
20� Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Appmval
203 FinalSign 222 Final Slte
204 Final Demolition 250 Final Building/Occupancy
p
W4RKERS' COMPENSA710N DECLARATION:
I hereby affrm under penalty o( perjury one of Ihe following declarations:
❑ I have antl vnll maintain a certiftale o( consent t0 5elf-InSure (or vrorkers'
compensation, as pmvitletl for by section 3700 0( the Labor Code, for the
peHormance of the work for which this pertnit is issuetl.
� t have antl vnll mainta'rn workers' campensation insurance, as reqoiretl by
seCtbn 3700 of the Labor Cotle, for Ihe pedortnance of the work for which Ihis
petmit is issuetl. My vrorkers' compensation Insurance carrier and policy
numberare:�. , �P � 1
(E�errier�., L �%• Ll(�—('�
`� —(Tha secton neeO iaf be mmrp^le�tetl A lne 7pe�m�rt7 a valveC al Gon�e� ^hu�ntl�etl doNars (5100� orless.)
Polr"�c�yf umber: �zS � c )e���✓�'S
❑ I certify that in the pedormance of the wnrk (or which this pertnil is
issued, I shall not employ any person in any manner so as to become subject
to lhe workers' compensation laws of Califomia, and agree that if I should
become subject to the vrorkers' compensation provisions of Section 3700 of
,�51E�hall forthwith comply with these provisions.
� E-(`J-Oc�
AppyWN's�5iqnalure r'Date�
L'_'.iw
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PHNqLTIES AND CIVIL FWES UP TO ONE HUNDRED THOUSAND DOLLARS
(5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
P.TTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions o( Chapter 9(commencing
with Section 7000) o( Division 3 0! the Business and Professions Code, and
my license is in (ull (orce antl effect.
Lic,�'" L Class� #"'N' �.�lJ
- �--� /a -� q -D�
�"�CpnlractorsSiB�at� Dab
L.ti.r'.�;v�c�... , -
CpNSTRUCTION LENDING AGENCY:
O I hereby aKum Ihat there is a construction lending agency la the
peAortnance of the v,ork for which this pertnit is issued. (Sec. 3097, Civil Code�.
Lender's Name:
Lender s Address:
OWNER-BUILDER DECLARATIONS:
� hereby a((sm that urWer penalty ol perjury thal I am EXEMP7 FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 703L5,
e�siness and Professions Cotle: Any city or counry which requires a pertnit to
construct, alter, improve, tlemolish, or repair any sWCWre, pnor to its
isguance, also requires the applicant for such permit to file a signed statement
that he or she is licensetl pursuaN to the provisions o( the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 0( �he
BUsiness and Professions Code) or lhal he or she is exempl therefmm and
�he basis for the alleged exemption. Any viola�ion of Section 7031.5 by any
aGplicaN (or a permit subjects the applicant to a civil penal�y of nol more Ihan
fivy hundred tlol7ars ($500).):
Q I, as owner o( the property, or my employees with vrdges as their sole
cqmpensation, WILL DO THE WORK, and the stmcture is not intended or
offeretl for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided Ihat such improvements are nof intended or of(ered for
sale. If, however, the building or improvement is sold within one year of
cOmpletion, the owner-builaer will have the burden Of proving that he or she
did not 6uild or improve for purpose of sale.).
❑ I, as owner of the property, am EXCIUSIVELY CONTRACTING WI7H
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professbns Code: The contractors License Law dces not apply to an owner of
propertyw�0. Duiltls w improves thereon, and who cont2cts for such pmjec[ with
[a contraetg(�j,licenSa pursyant to the Contractors License Laws.�.
» _
�q. I am exempt under sec.
Business and Professions Code for this reason:
N
Owner ID verifed by ariver's license. ❑ Yes ❑ No ,'
Dnver's l.icense No. �_ Ex�i�: �
Verification of Ownership by (type o( tlocument, i.e. - pmperty tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION:
❑ I hereby certAy that no excavation frve (5) or more feet in depth inro which a
person is required to tlescend, will be made in tonnectbn with wVrk authorized
by this pertnit, and that no building SWCNre, scaifdding, lalsetwrk, or dem0lition
a dismantling (hereof, will be mae than thirty-six (36) (eet high. (Chap. 32, Grp
2. Art 2, Sec. 341, TiHe 8. Califomia Administrative Code�.
❑ As owner-builder, I will not employ anyone ro do work which would
require a permit from the Division of Industrial Salety. as noted a6ove, unless
such person has a permit to do such work from Ihe division,
Appliwm's S�gnawre oaie
Division of Indusinal Sa(ely Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or luWre builtling occupant need to file and
certify a Business Plan for emergency response to release or threalenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Cali(omia Health antl Safely Code requires, vrith some
exceptions, that a Business Plan be filed vnth the Costa Mesa Fire
Departmenl by every business which has at any one time tluring a repoAetl
year a quantiry of hazardous materials equal to or greater than a weight of
500 pounds, or a volume ot 55 gallons, or 200 cubic feet of compressetl gas
at standartl temperaWre and pressure).
2. Does or will fhe applicanl or present or future building occupant need [o fle
a regis�ration form for awtely hazartlous materials7 ❑ Ves ❑ No
(Seclion 25533 of the Cali(omia Health and Safety Code, with some
exceptions. requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater Ihan a weighl of 500 pounds, or a
volume of 55 gallons, or 200 cubic (eet of compressed gas at standard
IemperaWre antl pressure).
3. Does or will the appfiwnt or preseni or future building occupant need to
prepare an RMPP (Risk Managemeni and Prevenlion Program for acutely
hazardous materials�? ❑ Yes ❑ No
(Section 25534 of the Cali(ornia Health and Safety Cotle provides that the
Costa Mesa Fire Depanment may require the preparation, certification and
fling vnth the Fire Departmen[ of an RMPP by businesses which are required
ro register awtety hazartlous materials vrith the Fire Department.
4. If an RMPP is presently required, has Section 25534 0( the Califomia
Health and Sa(ely Code been fully complied wilh? � Yes ❑ No
5. Oces or will the applicant or present or (uture building occupant require (or
the vrork which is the subject of this applicalion a permit for such construction
or modification from the South Coast Air Quality Management District or from
any o�her air polWtion control distnct or agency7 ❑ Ves ❑ No
(Sectbn 658502 of the Califomia Govemment Code requires Ihal lhe requesletl
informalion be fumishetl on applications for non-residential building pertnits).
6. Will any pan o! the faciliry to De wnsWcled untler this permit be within
1000 feet from the outer boundaries of a school? ❑ Ves ❑ No
Qf "yes", the faciliry must meet the requirement of Seclions 25534 and 42303
of Me Califomia Healfh and Sa(ety Code).
7. If a permit from the South Coast Air Quality Management Dislrict or other
air polWtion contml tlistrict or aqency is requiretl for the work which is the
subject of this application, have all of the tlisclosures prescribed by Califomia
Healih and Safety Code Seclion 42303 been made7 ❑ Yes ❑ No
8. Qf'yes", attach certificate of compliance from ihe appmpriate air pollution
control oHicer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correcL I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
signaWre Dale
CER7IFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the iniormation given is correcL I agree to comply with all state laws and ciry
ordinances relating to building consWction, antl authorize representatives of
the City o( Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy ol any building
aulhorized by (his permit un(il finat inspecfion.
y SionawreolLegalOvmeqs) Dyte
SignaWre Da�e � �/ (_' ���
305]d6(3/0)1 � - 7
Au0/w-AYlhplztb Appllont ' - - L.p�.�.�� -1—
. `+
(714) 754-5273 • Fax (714) 754-4856 • wvrv+.ci.costa•mesa.��DING PERMIT �� FAIR DRtVE, COSTA MESA, CA 92626
JobAddress: 3443 WIMBLEDON WY
Suite:
Vicinity: RESIDENCE & ATTACHED GARAGE
Parce� Number: 41204237
Appllcant: ROBERTS, CHRIS
Address: 18193 MUIRWOOD CT
FOUNTAIN VALLEY. CA
Owner: KUO, CHUNG CHOU
Address 3443 WIMBLEDON WAY
COSTA MESA, CA
Contractor ISLAND PACIFIC ROOFING
Address: 18193 MUIRWOOD CT
FOUNTAIN VALLEY, CA
Zip: 92708
Arch :
Address:
Zoning: R1 R1
Phone: (714) 557-6516
Zip: 92708
Phone:
Zip: 92626
Phone: (714)557-6516
License: 631472
Eng:
Address:
Status: ISSUED
Applied: 10/31I2000
Issued: 10/31/2000
issueo sv: r
Phone: Phone:
Zip: License: License: �
SCOPE OF PERMIT
REROOF: T/O, INSTALL i/2" PLYWOOD, 2 LAYERS 40# FELT, APPLY"GALAXY SPLIT SHAKE TILES/PREMIUM
DUR4LITE 2000 (ICBO #2093 @ 5.7 PSF)."
1900 SQ FT
Plan Check: $0.00
Permit: $167.25
SMIP Res: $0.87
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $168.12
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING ex��: o
NOTES:
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
sa,�oo.00
$8,700.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 9248, § 7. 7241-92) .
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period oi 1 BO day9. �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectione and final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2aas-as (s�oo�
WORKERS' COMPENSATION DECLARATION:
I hereby attirtn untler penalty of perjury ona of tha following tleclarations:
❑ I have antl will maintain a certificate oi consent to salf-Insure br workers' compensation, es provitletl for by section 3700 oi the LaDor Code, for the peAormance oi the
wark for which Ihis permit is i5suotl.
�JjMave antl will maintain workers' compensation insurance, as requireG Dy section 3700 of the labor Code, tor the peAortnance ot Ihe work tor which Ihis pertnit is Lssued.
My workers' compensation Insur nte Wrder enA policy number are: / l��/ /,,
Cartier. �.6 I�/�/� Poliry Number: � /lh `S %
(This section need nof be camp/efed il fhe permit is ve/ued ef one hundred dWlars ($ 700) ar /essJ
❑ I certity thet in the peAormance ol the rk for which ihis Dermit is I55ueQ I shell not employ any person in any menner so as to become subl�i to tha workere'
compensallon lews of Calitorni en egree iha� il I shoultl become sub�ec� Io lhe workers' compensation provlsions ol Section 3700 0l ihe Labor Cotle, I shall forihwiih
comply with Ihese provisions. ) /
Applicantsigneture: Date: /G�3�L�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL M!D SNALL SUBJECf rW EMPIOVER TO CRIMINRL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED
THOUSAND DOLLARE (5100,000), IN ADDITIIXJ TO THE COST OF COMPENSATIqJ, DMMGES PS PROVIDED FOP IN SEGTON 3)OB OF THE LABOR COOE, INiEREST, qND ATTORNEVS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm Ihat I am licensed under provislons of Chepter 9(commencing with Sedion 7000) of Dlvislon 3 0l iha Business and Professions Cotle, end my license is in tull
force and eHecL Lic. q Class x
Contractors Signawre: Dete: G��G,
CONS7RUCTION LENDING AGENCY:
❑ I hereby aNirm ihat Ihere is a constmction lending egency for the peRormance oi Ihe work tor which �his permit is issued. (Sec. 3097, Civil Code).
Lentler's Neme: Lender's Adtlress:
, Signawra: Dete:
OWNER-BUILDER DECLARATIONS:
I here6y attirm Ihat untler penalty of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, eusiness and Professions
Code: Any city or county which requires e permit to construct, alter, improve, tlemolish, or repair any slmcWre, prior to its issuance, elso requires ihe applicent for such permit
to tile a signetl statement that he or she Is Ilcensetl pursuant to the provisions of the Contreciors License Lew (C�epter 9(commencing with Section 7000) oi Division 3 of iha
Business and Professions Cotle) or that he or she is exempt therefrom and the basis lor the elleged exemption. Any violation of Section 7031.5 Dy any epplicent for e Dermit
subjecis ihe applicant to a civil penal�y of not more Nan five huntlretl Aollars ($500).):
❑ I, as owner ol Ihe property, or my employees wlih weges as their sole compensation, WILL DO THE WORK, enG Ne siructure is no� Intendad or otlered for sale (Sec.
7044, Business and Professions Cotle: The Contrecbrs License Law tloes not appiy to an owner of property who 6uilds or improves thereon, and who does such work
himself or herself or through his or her own employaes, pravided thet such improvements ere not intended or aHered tor sale. If, however, Ihe building or imOrovement is
sold within one year ot completion, the owner-builder will heve the burden of proving ihat he or she did not build or improve for purposa of sele.).
❑ I, as owner of t�e propetly, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Protessions
Coda: The conirectors License Lew tloes not epply Io an owner ol propany who builtls or ImO�oves thereon, entl who coniracts for suc� project with e contrector(s)
license pursuanl Io the Comractors License LawS.).
❑ I am exempt under sec.
Signalure:
Owner ID venfied by drivers licenso. ❑ Ves ❑ No
Business entl Pmfessions Code for Ihis reason:
Veritication af Ownership by (type of document, i.e. - propeny tex blll or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Drive/s License No.
Date:
Expires:
❑ I hereby certify that no excavation fve (5) or more leet in depth imo which a person is requlred to descend, will be made in connection with work euthorizad by this
pertnit, and Ihat no building structure, Scalloltling, lelsework, or tlemolition or Aismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomia Adminislretive Cotle).
❑ As owner-builder, I will no� employ enyone to tlo work which would require a permit irom the Division ol Indusiriel Sefety, es noted ebove, unless such pereon hes e
permit to do such wark from the division.
Signature: Date:
Division of Intlustnal Safery Permit Number:
CER71flCATE OF COMPLIANCE AND AU7HORIZATION OF EN7RY: 1 cenity under penalry ol perjury that I have read this application and state that Ihe intormetion given is
correct I aqree to wmpty with all state lews end ciry ordinences relating Io Duilding construction, entl authonze representafives of t�e Ciry ot Costa Mesa to emer upon Ihe
ebove-tlescnbed property for inspaction purposes. I agree not to occupy ar ellow occupancy of eny building authorized by this pertnit until finel inspection.
Signalure Qf� �er(5)
�
And/Or dzed Applicant
COOE �. INSVECTION TYPE
1616 Fixetl System Final Fire Prevention
1266 Paol Spe Final
200 Final Re-Rooi
201 Final Block/Retaining Well
202 Final Factory Fire Place
203
204
Final Siqn
Final Demolition
PAIE U�LS
;� ,�rJ�/
/��j/�ate
Date
CO�E� INSGECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final ElecMcal
212 Finel Pire Prevention
220 Final Planning Approval
222 FinalSite
250 Final Builtling/Occupancy
PdIE 1Ii�ALi
APPI
GTY OF COSTA MESA '-
CONSTRUCTION PERMIT
i
Arch/Eng.
Address
' Contractor�
Address .-. L
reby affirm th�t I am Iicensetl un
icing -with sectlon 7000) of . O
'2551005 COtl�'dlJtl My IIC2IISQ
J� /
t to fi11 in a11 spaces within
PERMIT NO.
Phone
- License No.
9
heavy Cortler lines anG sign all approDriate tleclarations.
- TRACT NO. LOT NO: BLDG. NO. �- -- -
�OZ7S� SI ' -
TVPE OF CONST�RUCTION - � �
�� NEW � �I,ADD ❑ ALTERATION -
❑ REPAIR.O.CONVERSION ❑DEMOLISH
❑ OTHER �
DESCRIP ONOF�WORK --r�� (r A / F
- �d,s,� -
vL ' TYPE OF PERMIT � ' �--' � -- -
` ❑,GRADING ' ❑ FOUNDATION ❑ STRUCTURAL--� �
�OTENANT ❑•ELECTRICAL OPLUMBING ❑MECNANICAI
m-� �
ntl OTHER '
t ��`, t
_ : PROJECT DESCRpTION' �'/ Q t .
�SQ. FT. �Lt� p/C i% 0 %� ' __ _'"
WORKERS'COMPENSATIONDECLARATION_ j�OCCUPAfVCV ' CONSTRVCTIONTVPE :JLN-�
I hereby aHirm that 1 have a certifiwte of consent to self-insure or„a , VACUATIOIV ��y o� .ZONE
�certifirate of Workers' Compensation .Insurance, or_a ceriitietl copy . _ . _. __ _
�^ereot (Section 3800, lab. C.). GRADING CU: � �5. � ACRES
:yNo. " Company - - - - � � -- -
.:ertlfietl.copy is hereby furnishetl. _ _ ,,.
�J Certlfietl copy is�filed with the city Builtlinq Division.
EXEMPTION FROM WORKERS' COMPENSATIOMDECL'ARATION
(7his section neetl not be completetl it the permit_I5 for one �untlretl
(SI00) or less). . -'- '
t certify that ln lhe performance of the wo�or which Ihis q�imi[ is
�(("TJ,f7.' ' �EI�'_' 'g �/'J'� ' '
Ik
LUMBING ` - ' '. �PLAN CHECK - , -
�Dateiivi.r_Ni � Si9nature ' 1. �m ii � r.arv . . _...... _.._ .....,.._...,
NOTICE: If after making thiz tleclaratio`n, you shoultl bewme subjec[ TOILETS.•� - URINALS' - -
to the Workers' Compensation provitions of the Labor Cotle; you mu5t �
forthwith <ompty wiM such provi5ion5 or this permit sM1all be tleemetl LAVATORIES DOUB�E'LAVS -
revOketl. ._J � _ __ _. � - KIT.SINKS- " �' DISHWASHERS �
'CONSTRUCTION LENDING AGENCV ..
�I hereby aftirm [M1a[ [here is a construction lending agency for the per- SERVICESINKS � ,�,•SVMPS'
,formance ot the work for which this permit is issuetl (Section 3097� -
�Civ: C.). - ' "-^' - - • '- FLOOR SINKS `--' ' FLOOR ORAINS
'.LentleYs Name
ientler'S Atltlress DRINKINGFOUNTAINS ' '- ' ' ' -
�OWNER BUILDER DECLARATION - ' INTERCEPTORS -� CLARIFIER$"'
1 hereby affirm that I am exempt /rom tbe Contractor's License Law for
the tollowing rea5on (Section ]031-5-Business antl-Prote551ons.Cotle: SWIMMING POOL -'P TRAP' `�-- - -
Any city o� county whith requires a pe�mit to const�uct, alte�,
improve, tlemolish or repair any�structure,-prior to its issuance, also re- yyATER SERVICE -'- A�TERATION '
q�ires [h¢ ap� licant fOr suth permit to file a signetl s[a[ement that he
is licensetl�pursuant to [he�provisionsof the�Contractor's LlcenSe�Law GASSERVICE OUTCETS '
(Chapter 9(commencin9 with Section ]000) of Dlvislon 3 of the
P"•�ness antl-PrWessions Cotle�-orthat�he is exempf therefrom�antl the -yyqTER HEATERS - BTU OVTPUT ---
for the allegetl exemption. Any violation of Sec[ion 7031.5 by
nppliwnt for a permit sub�ects [he applicant to-a dvil penalty- -SEWER CONNECTtONS " --- --
_�ot more than live huntlretl tlollars (5500). �•'
,0 1, 55 own¢r of lhe"property,"or my"employees'wiih'waqes-as Ihelr SOLAR TANK " CO�CECTORS �
sole tompensatlon, will tlo the work, antl the structure is nol Intentletl
br oHeretl fo� sale. (Sectlon 7044, Busiheds and Professions Cotle: The ' SOLAR PIPING SVS. ' '--'
ContraCtor's License Law tloes not apply, to an owne� of a p�operty �
who builtls or improves thereon, antl -who tloes such work himself or ISSUE FEE �- -�� �' -'"
through hIs own employees,.p�ovitletl that suth improvemen[s are not
intended or oHeretl for sale. If, howe'ver, the'builtlin9 or improvement MECHANICAL P�AN CHECK
is soltl within one year of mmpletion, the owner will have the burtlen
of proving he tlitl not builtl or improve for [he"purpose of sale). HEATING SYSTEM Od00,000 BTU
�� �I, as- owner ��of the property, -am exclusively contractin9 with. . qryD DUCTING ' ' -
licensetl contraclors to wnstruct the projeCt (SeCtion ]044, Business 100,000'+ BTU
antl Professions Cotle: The Contractor's License Law tloes not appry t0 '
an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU
Iracts-from�such prolects•with a contractor(s)_licesnetl pur5uant to . SVSTEM - - ..
the Contractor's License Law). 100,000 � BTU
0 I am exempt'untl¢r Section � B. & P. C. fortM1is - - - -�
BOILERS BTV
Feason-�- - - .__ _
�Dale Owner SVSTEMREPAIR,ALTERATION
I hereby cerSify tnat 1 ave reatl this applicaiion antl state [hat the above EXHAUST SVSTEM MULTIPLE
information is co I agree to'comply'witM1 all city ana county
O(tl10dOC25 d00 dWS ICIdfIOU t0 [nnztnictinn anrl haraM1v airt6nriow
Signature � �� ��� �" �'"�' Data���Wn��� "I
Drivers' Li�nse or 55 x �� � �SSVE FEE - _
CMF 0865-46 WM1ite-Builtling; Canary-Applicanf; Pink-Accounting; Goltlenrotl-Assessor
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2144 7/12%82 '
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G REGULA710NS " ,
.ZONE i��f -V/V�.��_ PL�Go. RUEF
SETBACK GL ST. F4 �IGI � ROPE�F
��SIpEVAR� ���,h(i " _
64.02 7�
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�, REAR VARD (TO P/L) Z,� �—y �� � .
' PKG. SPACE REQ'.- -- ' - 'PROVIDED � ' - '
' STREET WIDTH ' - , PARK FEE $' - '
20NING APPROVED BV OATE
.SPECIqL CONDITIONS!-- "- _ ' - " - ' "' ' �
" _ '" ' ' _ " _ . ,.. - . ,�' I
'iELECTRICAL- ' PLAN CHECK ' ' -
�trvtnriuH -OY'KW'=1-IOKW_
TRANSFORMER � � •
APPLIANCE' 30-SOKW-_�SO+KW- �_
MOTORS �'0-1 HP-_110 HP _
QNG.SOLAR) _30-SO.HP_SO+.HP'_
FIXTURES ' OUTILETS'-� SWITCHES� - �
GAS TUBE SIGNS • - � . - �
'POLE LIGHTS -- - - -
.PANELS- - 'MAIN
,SERVICE - -- - �
0
_- "_we
AMP -
- :APPLICATION APPROVED BV--- ' - �. DATE1 /z
SUMMARVOF',FEES ,��� ,
- '�BUILDING � �Q � � "
�PERMIT $_1iL_1Jl�Jf, SMIP' S '�%•y�
�PLANCHECK E-�i.Qr PERMIT . ' i
...ISSUANCE. E ' �
�PLUMBING E � ���
- � GRADING E
. 1PLFINCHECK E . . . .. I` ' ' E ,�
�ELECTRICAL' E -' - ' -
�•PLANCHECK E ^ MIC0.0FILM E -
- MECHANICHL $ _ '. TOTAL_FEES� '
PIAN CHECK � S - - LESS AD- � _
VANCE PC 'E _"
. (
- FINALFEE 5��
CONSTRUCTION AND PLANNI G` _ � . ' ' ' POOL & SPA . ' ' , � . .
APPROVALS Permit # Date Inspector qppROVALS > Permit # Date Inspector �
1. Temporary Electrical Service or Pole -� � � 43. Pool & Equipment Location - -� - � � -
._2._ _$oil, ipe,Undrgrn,��' - � -� 44. Steel Reinforcement � � -� � �
- 3.� Electrical Conduit.Utility-Undrgrn ' . 45. � Forms � - - - � -
- 4. .Electrical Conduit-Undrgrn . 46.. Electrical Bondfng " - - - - � - - - - ��
tee ein orce � • 47. Rough Plumbin & Pressure Tesf - - �
6. . Electrical UFER.Grn _ � �48. APPROVALTO COVER-GUNITE -- - - - - - -
7. Footings 49. Electrical Conduit-Undr rn � ' � • �
� 8. .Foundation _� ' -- _ 50. Gas Pipe, ❑ Undr rn, Test � � '
9. - Water Pipe-Uridrgrn __ " 51. Backwash Lines P-Tra -"❑ � ndr r ' " "- "- ' - '
.10. .StructuralFloorSystem � -�52. APPROVALTODECK - " � � -� "
�..11: ..Property�Sewer Line & House Connection �53. _Backwash & Rece torFinal _ � " •
-12. Sireet Sewer Connection_. _ _ � ' ` ' � - - - - 54. Heater & Vent-Finat �
� 73. Rough.Plumbing _ � ' - - ' � - � - � � � ' �
14. Rough ElectrioConduit '"" " - � '56.- �Electrical-Final - �� ' - �
15. Rough Electric-Wiring -� •- ` - � 57. SolarSysfem-Final ' � � ' �
76. Rough Heating & Air Conditioning _ - ��-Fencing & Accest Approval '
17: Ducts,-in St'r'ucture - � � ' - 5 . APPROVED FOR PLASTERING ' ' '
= 18. Ducts, Veniilating � - ' • - - � . - . _ . ..,, _. - . �
19. Gas Pipe-Rough & Test � � - . _ _ ` 60. POOL/SPA SYSTEMS FINAL � � ' � �,
20. -Roof Framing � - "' � - -- --- -- � ' '
21. RoofSheathin - - � � � - � - � � , � �• �• - '. �
22: -Frame and Flashin �/ _ � c�. NOTES: '�
' 23. Insulation - - � � � - - - -- � ' - ��
i 24t Lathing & Siding . .. .. . '_ s-- � � � ' . . . -
� 25. Drywall Nailing - - _ - -- � � " - � � �
' 26. Plaster Brown Coat ' - � � � � ' � �
27. Electrical Power-Meter-Final - - � �� � � � �
' 28. Final.Electric � � - � - - � � - - � � • � • � ' �
�� 29. Final �Heating & Air Conditioning - � - �� � - - - - - - � � + - � •
� 30'. Final Gas Pipe-Test - - � � ' � - - � - �
31. Final Plumbing � - ' � � � ' ' ' �
' .32'. Water Service-Final � ' � � - � �
`=-33� GasService-Final ��- � � �
' 34. Solar pomesticFinal - ' " � - � ' ' � �
35. Landsca e S rinklin S stem � ' ' ' � �� �
36. Sound Attenuation - � � � - � � � �
. 37. Handicap Regulations � ' - - - � � � ' �
38. FINAL STRUCTURE & BUILDING ' ' '7- ( - � �� ' ' �
' 39. Special Requirements Completed - � � � �
i 40. i Electric Release to Edison � � ' � -
47. Gas Release to Southern California Gas Co. ' '
42. CERTIFICATE OF OCCUPANCY . �
� .No Date
COSTA MESA BUILDINGSAF�=�.„";�'�'DEPARTMENT
b�e4 I�ii4�79 s9F.7� TL
.. .; , . .... _ .
APPUCATION F0._ �fRUCTURAL PERMIT
.._. __... .___ ............�....,....�.. �.....f..,_.._.. RECEIVED BV PE T Q " ' ^ , � �
For Applicant to Fill in Completely - Use Ink Only ' �f'7����
ADIDRESS Tract 10278 Lot 51 A•P�NO. 1�.�Q }I—��
OWNER OR ADIDRE55 3�,J WJI j'Y! I Q W
TENANT MCLain Development Co.
MAILING � UNITOR
ADDfiE55 SPACE NO. .
1470 Jamboree iiCl. TR.NO. LOTSI BLK.
TEL. IO��g'
CITV Ne ort Beach No� 640-6800
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENOER v
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. USE E
OR ENGINEER Corbin/Yamafu' i ryp, %rJ2—rJrJFJ%
ADDRESS 3661 Spruce $t.� Ne OI't ZONE DR M TYPE GROUP
APPqOVED
CONTRACTOR MC Lain Development Co. ar DATE
nooRess 147o JamUoree Rd.
TEL.
aTv Newport Beach No.640-6800
STATE CITV APPROVEDSETBACKS
LIC. NO. Z%3S%S LIC. NO. LSH%.3
SIZE NO.OF BLDGS. (FROM C/L STR�jT)
OF LOT NOW ON LOT qpry7 ���7
USE OF
EXISfING BLDG. � S�
Separate permits are required for L. SIDE S FT.
electric, plumbing and heating work.
REAR O FT.
VSE OF BUILDING AND WORK TO BE PERFORMED P�P.NNING ACTION
OATE
Sin le famil residence APPROVED
New house �:�OVEDC� �" �O fg'�-7R
I hereby acknowledga that I have reed this epplication end state
thet the above intormation is correct antl agrae to comply with
all laws reguleNnB builtlinB �onrtruction, en0 I shall not employ
any pe�son in violatlon ot tha wo�kman's compansation laws of
Me Stete of Celifornia.
t hereby cert(fy thot I am properly licensetl as a contrector untler SQ. FT.
the Steta of Californle eusiness antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VAIVATION IS FOR
Chepter 9, antl thet zuch lieenses are In full force and effeci, or I THE PUFiPOSE OF ESTABLISHING A PERMR FEE ONLV:
am axempi from tha provisions of the State of California Business VALUATION PERMIT FEE S
and Professions C e, Division 3, Chapter 9. •�
Sig^etura of ��/ '/ I / PLAN CHECK S �e
Parmittee ' '•-- $�%/i /y2� TAX �^J E _
or / �� r
Authorizetl AB Date �/ TOTAL PAID b
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