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Home My WebLink About3445 WIMBLEDON WAY - Building Permits1 - � � . . . . . . . , i . (714) 75a-5273 • Fax (714) 754-4856 • www.ci.coste•mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 3445 WIMBLEDON WY Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 41204238 Applicant: SELL, RON Address: 18032 LEMON YORBA LINDA , CA Owner: KAYS, JOHN H Address 3445 WIMBLEDON WAY COSTA MESA, CA Convactor: SELL ROOFING COMPANY Address: 18032 LEMON YORBA LINDA , CA Zip: 92686 Arch : Address: Zoning: R1 R1 Phone: (714) 528-1758 Zip: 92686 Phone: Zip: 92626 Phone: (714) 528-1758 License: 323842 En9: Address: Phone: ISSUED BY: Status: ISSUED Applied: 08/28/2002 Issued: OB/28/2002 Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/O EXISTING SHAKE ROOF, 1/2" OSB, 2 LAYER 30# FELT, APPLY "DURALITE TILES." ICBO #2656 5.8 PSF Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $167.25 $0.89 $0.00 $0.00 $0.00 $168.14 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Righ� �-� 0- 0 Right 0- 0 $8,900.00 $8,900.00 NO710E: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related regula�ions. (Ord. No. 92-28, § 1, 12�21-92) EXPIRATION: This pertnit shall automaticalty ezpire 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 xrork authorized under this permit to be considered legal, such work must comply with ali applicable codes, and all requlretl Inapeetiona and flnal approval must be obtained. Failure to oblain inspections and final approval will result in the expiretion of this permit. FOR INSPECT10N5 CALL: (714) 754-5628 iaaa�e �e�ao� WORKERS'COMPENSArON DECLARAnON: �' �� 1 �ereDy attirm under penalry of perjury one W Ihe lollowing declarations: ❑ I �ave and will melntain e certiticate of consent to selFinsura tor workers' compensetlon, es provitled for 6y seIXion 3700 ot t�e Lebor Code, for ihe pertartnanca of Ihe /�'ork br which lhls pertnit Is issued. ,� 1 have entl will meintain workers' compensation Insurance, es requiretl by section 3700 oi Ihe Lebor Code, br ihe pertortnance of [he work fw which Nis pertnit Ls Issue�. My warkers' co°� ati Insu,r�°�° c�arder�f d policy number are: /6 6� �`l Cartier. iX/ U.(1'. //�(�-�l� Policy Number. � � 7 (T1iis sectlon nee n be complete i/ the permi ist velued ef one huntlred dollero ($700) or less.) ❑ 1 cenify thet in Ihe pertormance of the work for whic� this pertnit is issuetl, I shell not employ eny person in eny manner so as to become subject ro the workers' compensetlon laws of Celifornia, antl egree I should b me ' t to the workers' compensetlon provislons ol Saction 3700 ot t�e Lebor Cotle, I ahell forihwlth comply with ihese provislons. L/ / Applicant SigneNre: du Date: 7 ! _ a � WARNING: FAILUFE TO SECUFE WORKERS' GYMIPFJd$p7�pJ CpVERAGE IS UNIAWFUI M1D SMALL SUBIECT AN EMPLOVER TO CRIMINFL PENALTIES PND CIVIL FlNES UP TOONE HUNORED T/i0U5AND DdAAPE (E100.000),IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECfION 3�O60F THE UBOR CODE, IMEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARA710N: I hereby attirm ihat I em licensed untle isi�o foroe entl eHecL Lic. a � Contrecbr'sSigneWre: r (commencing with Section 7000) of Divislon 3 of ihe Business entl Prg(esslo�o�a, and my license is In full Cless a « � � Date: - / O — ?i / ^ (a `L' CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm thet there is e constructi0n lending agency lor ihe pedormance ot Ihe work br which t�is permit is issuetl. (Sec. 3097. Civil Cotle). Lendefs Name: Lendels Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm t�et under penalry of periury that I em EXEMP7 FROM T11E CONTRACTORS LICENSE LAW for the following reeson (Sec. 7037.5, eusiness en0 Professlons Code: Any city or county whic� requires e permit to construct, elter, impmve, demolish, or repeir eny structure, prior to its issuence, elso requires Ihe aDP�icant for such pertnit to tile e signetl statement thet he or she Is Iicqnsed pursuant to the pwvisions ot the Contredore License Lew (Chapter 9(wmmencing with Sedlon 7000) ot Divlslon 3 of the Business end Professlons Cotle) or Ihat he ar she is e:empt Iherefrom and the basis for Ihe ellegatl e:emption. Any violetion o1 Sectlon 7031.5 by eny epP�icant for e pertnit sublects the eOPlicant to e civil penelry of not more Ihan five hundred dollars ($500).): ❑ I, as owner ot ihe property, or my employees wlth weges as their sole compensatlon, WILL DO TME WORK, end the structure Is not intentletl or ofleretl for sele (Sec. 7044, Business and Professions Code: 7he Conirectors License Law doas nol apply to en owner of pmperty who builtls or improves tharaon, and who does such work himself or herself or through his or her qwn employees, provided that such improvemenis ere not Intended or oNeretl for sale. If, however, the building or improvement is sold within one year ol complelion, the Owneo-bulltlar will heve the burden of proving ihat he or s�e did not Uuiltl or improve tor purpose ol sale.). ❑ I, as owner ot ihe prOperty, em EXCLUSIVELV CONTRACTNG WITM LICENSEO CONTRACTORS to cOnslruct the prolett (SBc. 7044, Bu5ine5s end Prof855ion5 Code: Ttie contrectors lJcense Law doas not epply to en awner of properry who builds or improves thereon, entl who contracis lor such prqect wlih e contrector(s) licensa pursuent to t�e Contractors License LawsJ. ❑ I am azempt untler sec. Business end Protessions CoOe tor t�is reeson: Signature: Date: Owner ID verified by dAvers license. ❑ Yes ❑ No DriveYs License No. Expires: Verification of Ownetship by (rype of documeni, i.e. - propany tex Dill or tleetl): DIVISION OF INOUS7RIAL SAFETY PERMIT CER7IFICATION: ❑ I hereby certity that no excevetion five (5) or more feet In depth into which e person Is required to descend, will be mede in connectlon wlth work euthorizetl Dy thls permit, entl that no building structure, sCattolding, felsework, or tlemoli�ion or Aismantling thereol, will be mora than thirty-six (38) leet hiqh. (Chap. 32, Grp 2, Ari 2, Sec. 341, TIIIe 8, Cellfomia Administrative Gpde). ❑ As owner-builder, I will not employ anyone to tlo work which would reQuire a Dertnic Irom Ihe Division of Industrial Sefery, es notetl a�ove, unless such person has e pertnit to tlo suc� wark from the division. Signature: Date: Division oi Inaustrial Selery Permit Number: CERTIFICA7E OF COMPLIANCE AND AUTMORIZATON OF ENTFiY: I cenity untler penalty ol perjury ihat I have reatl this epplicetlon and state that tha informatlon given is correcL I agree to comply with ell state laws end clry ortllnences relating �o building consirucUon, end euthorize representetives oi ihe Ciry of Costa Mesa to enter upon Ihe ebove-described propeny lor Inspection purposes. I egrea not to occupy or allow occupency ol eny building authonzed by Uis Oertnit until final inspection. . t Legai sl d" L� �j �' �l �L- tl And/Or Authonzed Applicant Date COUE t. INSPECf10NTYPE 7616 Pixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roo1 . , 201 FIna181ocWRetelning Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition Pdg 1t�BL4 COOE� INSYECTONTYPE 206 Final Mechanical 208 Flnel Plumbing 210 Final ElecMcal 212 Flnal Fire Preventlan 220 Final Planning Approvel 222 250 Final Site Final Building/Omupflncy PAIE I[�ELB �PPLICATION FOR A BUILDING PF-'91T BUILDING PERMIT NO. Eie`t'i"i m Tract Block Lat �O Cermlt No. � Builtling „� P�umbin9 a Atltlrezs 31.+1.+� w 1� �,�ON �A� [ ,^/ ""]'%� �ermlt No. � � � J V � � D Cross Mechanical a Area Street I� �� Permit No. m owner J C n� Type ot ProjeCt: ❑ New ❑ Alte� ❑ ACAitlon � Atltlress 5�� ❑ Repair ❑ Convert ❑ Demo ❑ Occupancy Pmt. CItY �j �^"� A ZIP Phone A.P. I sP. Afrea Archite<t/ Zo�e SPI. Vmt. No. Designer License No. tbatks P/� Front C/L SL Street Witlth Atltlreu rtlz Le(t ght ear CitY ZiP Phone a o�. e g . . Y Engineer License No. � Parkin paces Requira rovi e overe yAtlaress io StrUCt . No, of No. of 6] Cjty Z{p Pnone Helght $torle5 Family � LICENSED CONTRACTOR'S DECLARATION aark Fees Ves Fee m 1 hereby affirm rtiat I em licensed untler PrOvisions of Chepter 9 Requiretl No C•T� ReCeipt (commencing with Section 7000 of �ivisio� 3 ot tha Business antl Y Zoning Approvetl By: Date Professions Cod� and my license is in tull torce and effect � license Clas• "� Licens¢ Number � � �5� T Date Contracmr �--uQ�S %�-�T�^� Misc. E�Aaaress �U o 6 /`li.�E o Proposetl Uze iy City and Zip �.G� � P"� ��5�%L Phona I ��'i32 � of Structure r CONSTRUCTION LENDIN6 AGENCV � I hereby affirm that there is a constructia� lendin9 agancy for the a pertormance of the work for which this permit is issued ISec. 3097, Occ. TYPe Cotle ' Civ. C.1. Class ConSL Year C Lender's Name U E/OCCUPANCY SIZE SQ. FT. Lender's Atltlress J OWNER-BUILDER DECLAFATION � I hereby aftirm that I am exempt from the Convactor's Licanse Law 1� � for the following reawn: � ❑ I, as owner ot tho property, or my amployees with wages as their 2. � sole compenution, will tlo the work, antl the stt�cture is not at„ intendetl or offeretl for sale. 3 � ❑ 1. as ownar of the property, am exc�usively contracting with licensed contractors m construct Ne proje�t. �d„ ❑ I am exempt untler Sec, , 6&PC tor this reawn 4� m a Deta Owner E WORKERS' COMPENSATION DECIARATiON Total Valuation � I hereby attirm xnax 1 nave a certi`iwxe of mnsenx m self-insure, Encroachment Permit ReqWretl ❑ ves ❑ No or a certificate ot Workers' Compensation Insarance, or a certifietl C �aVV thereot G�atling Pmt. G�a01ng .� �licy NoU-%CI I��JlL,Company 7R-Ae-�R'n'gUCA Requiretl ❑ Ves ❑ No PmL No. �a Certifietl copy is hereby turnished. Rough Gratling � Q ❑ Ceriified copy is fiied with Or � ty, E A. � iy ApproveA by: Oa[e DaSe ��%—J' � Applicant 3 CERTIFICATE OF EXEMPTION � FROM WORKERS'COMPENSATIONINSURANCE Z (This section neetl not be complatetl it pefmit is tor $100 or less). C I ceriify thet in4he performance of She work for which ffiis permit is Q issued, 1 shall not employ any person in anV manner so as to become �p subject to the Workers' Compensation Laws ot Califomia. PERMIT EES Data Applicant NOTICE TO APPLICANT: It, after making this Certificate of Structural S Plan C C E Exemption, you shoultl become subject to tne Workers' Compensation provisions of the Labor Code, you must forthwiffi wmply with such SPecial Electrical $ i��est. $ prOvisions or this permit shall be deemetl revoketl. I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS GORRECT. I AGFEE TO Plumbing S COMPLV WITH All COUNTV OqDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, />ND HEREBV AUTH- Mec�aniwl S ORIZE REPIi[SENTATIVES OF THIS COUNTV TO ENTER UPON THE ABO E MENTIONED PROPERTY FOR INSPECTION PVR- pre-Gratle � PG� 1�.. _'_"., __ � "R � InsPection E Pra-Gratle Permit Signature of Applicant or Agent Data Rec. No. E Issue S Q.fcNJ1e0 c.A2iccHrv .� All spaces within this box must be cOmpleted to process P�a� Issua�ce Ch¢[k By: Approvetl: 1 �.mr V.l]J'40 �6V-LOf rev. o/ao F � 6i Q y H s F C W F Q 7 r � z w a �. a z � 3 _COSTA MESA BUILDING-SAFETY DEPARTMENT ;� 'P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Comple[ely - Use Ink Only BVILDING ADOflESS Tract IC��%� � I.Ot. .5(�� OWNER OR TENANT N,cLain Ceve�loF:mei�i: Co. ADDRE55 1470 Jamboree Rd. TEL. cirv - Newport Beach No� 640-68 conisraucrioN BRANCH A�DRESS ARCHITECT _ . , ,__ _ .. TE CONTRACTOR MCLd1I1 Development Co. ADDRESS 1470 Jamboree Rd. TEI. cirv Newnort Beach N�� 640- STATE CITV LIC. NO. 2'7387rj LIC. NO. 188 SIZE I NO.OF BLDGS. OF LOT NOW ON LOT USE OF Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WOfiK TO BE PEFFOR� New House I hereby acknowletlge that I have read this applicotion antl state that tha above intormation is correcT antl agree to comply wlth all lawz regulating builtlinB conrtrucrion, antl 1 shall not employ any person In violation of tha workman's compansation laws ot iha Stata ot Calitornla. I heraby cartity 2hat 1 em properly licansetl as a conttactor untler tha Stata of California Business antl Professions Code, Dlvision 3, Chapter 9, antl that such licenses are in full force end affect, or I am exempt from ihe provisions ot the Stete of Gelltornia Business antl Professions Co e, Division 3, Chapter Slgnatura of �� Permlttae or Authorizetl Ag Date 671% II/14/79 369. �4 T� APPLICATTON FOR�STRUCTURAL PERMIT RECEIVEDBV PERM�T .��in -• r+ � n n A.P. NO. BVILDING ADORE55 UNIT OR SPACE NO. R.NO.D ^ LOT`� V J NEW ADD ALTER�REPAIR USE OVED APPROVEO SETBACKS s PLANNING ACTION THE AMO THE PURP( VALUATION S(��6 �Q PC: VALUE E m /� � � w IX ; v m `� m ` , N �HOWN UNDER VALUATION IS FOR m� ESTABLISHING A PERMIT FEE ONLV: � PERMIT FEE E � � a n LAN CHECK S / ^� o � � � TAX S f u TOTALPAID b � (2P: /j�' OWNER Q-�,5� S, DATE 10/1/80 JOB ADDRESS-. 3445 iVimbledon iVav BUILDING PERMIT N0. A i. 41G-U4L`.�� LV I JU I RHLI lUL/J �IKC LURC VALUC D 4 INSPECTIONS Signa�ure �Daee TVPE \I GROUP L SOIL � G�5 I � V O�. V I� 1 R%� l I U R j� � WRTER � Plum6ine CON. MISCELLANEOUS ROUGH HEATING RND AI UNOERGROUN� L� POM'ER U ROUGM WIHING THENCMES FORMS STEEL REIHF. � FLOOR SVSTEm r{ BONO BERM (� STEL� AEINFOFCE [� � SNEATMING � FR�ME RNO FLASNING (� L�THING — iN � OUT n "� PI 4R. BROWN CO�T V1 51 fUR�I, FIN�L � MEPTING. VENT., REi'RIG. �NO �.C., FINnL � PLUMBING, FINRL ANO G�5 TEST n F�+ 7. W a e h y F O W F� a � > r .� a W a O i:. o. Z {ti S 3 r - COSTA MESA BUILDINGSAFETY DEPARTMENT APPL[CAT[0 ��l'I�IRa'�ID��O. PERMI7 5�: '�j P.O.BOX1200 COSTAMESA,CALIFOHNIA92626 ' - REC D V PERMIT N� 5 0 7 7 5 For Applicant to Fill in Comple[ety — Use Ink Only BUILDING �/� • 1 A.P. NO. ` � ADDRESS 3y�+5 w�N L�yJ�I�+ w BUILDING ��[S �w /�/1 / OWNER OR � � �NE ADDRE55 T (.7Uk�6f�lXA.,, TENANT UNITOR • MAILING ��M� SPACEfYD. ADDRE55 TR,(J� LOT� BLK. CITV `yS� A TEL. Q NO. NEW ADD ALTER REPAIR MOVING DEMOLISH CANSTRUCTION LENDER BRANCM � /� � � � OwNER K?�K.CiO AODRESS USE ��j�' �{�„�' VAWES � /DV ARCHITECT TEL. ��% OR ENGINEER y�y�� ADORESS ZON K�1��✓ TVPE � GROUP T APPROVED CONTRACTOR � �J'(f BV DATE iD � (� AODRESS �� j�O �fj '� TEL. CITV ' %y�IN '�(Z— NO. -��g STATE CITY .,,�j APPROVEDSETBACKS LIC. NO. �j LIC. NO.ZC„iJFj SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT � RO FT. USE OF EXISTING BLOG. Separate permits are required for L. SIDE I FT. electric, plumbing and hea[ing work. REAR FT. VSE OF BUILDING AND WORK TO BE PERFORMED PLP.NNING ACTION P�r�a co.,� �ROVEO � � �o � I horeby acknowledpp thai I have reatl this appllcation entl rtete thet the above Info�r�ailon la correct antl aBrea to eomply wlth all lawa reBuletlnp bu�Itlinp conrtruction, entl I shall not employ any peraon In violati0n of Ma workmen's compenzeNon lews of the Steta oi ColiforNa. I hereby cartify thai I am ptoperly Ilcenaetl aa a contrector untlar SQ. FT. Me Smte ot CelilorniB Business and Protaulons COda, Oivtsion 3, THE AMOUNT SNOWN UNDER V A�UATION iS FOH Chapter 9, entl that sN�h licenses ere In fuil forca antl affact, or I T}IE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: em exempt from Ma provisions ot the Steta of Celifornla Businecs VALUATION PERMIT FEE E entl Professlone Cotle, Divi on 3, Chapter 9. ,� Sip^atura of �/}� PLAN CHECK E Parmltiee �MT �� $ �D'il TAX E O � or �u' �' � C/ Au[horizatl ABent Date TOTA� PAID E SD 0 T L'