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HomeMy WebLinkAbout3466 WIMBLEDON WAY - Building Permits�:1�jt�t,�,j-�,, � y;�1'"���"^Y..� � � •..:;.:: ; . �. (714) 754•5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDING p1VIS10N DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 3466 WIMBLEDON WY Suite No Vicinity: Parcel Nunmber: 41204318 Applicant: RICHARD LEWIS Address: � �, . owner: .DANIELS; JOHN W �� � Address DANIELS, SANDRA S � COSTA MESA,CA - 3466 WIMBLEDON WAY PLUMBING PERMIT r = - Phone: Zip: Phone: 714-546-0110 Zip: 92626 PERMI� ✓ P98-00676 T7 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/01/1998 Issued: 09/01/1998 i i - "� ' ��.=__� ��- � ���. .'. . �, � Contractor. GEORGE BRAZIL PIUMBING, HTG. '- a Address: 3801 LENAWEE AV , - . , , , � . Phone: 714-541-9753 CULVER CITY, CA. , , . - - � Zip: 90232 � , � . , License: 679898 ArchlEng: Address: Phone: � �,� License: WATER HEATER CHANGE-OUT. .- ISSUE FEE BackFlow irtigation BackFlow Preventer � Bathtub Clarifier System Connec[ (Ice,Sotla,etc) Dental Units Dishwasher Drein, Floor Drein, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 sa.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qn FEE SUMMARY - AMT Laundry Tub / Washer . 50.00 Landscape Irrigation �. . 50.00 P-Trap � �. $0.00 Pressuie Regulator � $0.00 Process Riping (per 10 R) $0.00 Receptors ' , $0.00 Septic Tank , , $0.00 Sewer Cap for Demo � $0.00 SewerCanned ' .$0.00 Sewer Privale Line $0.00 Shower $0.00 Sink, bar 50.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen . $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 i _ Qrr 0 0 0 0 0 0 . 0 0 � 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS SumpPump� , Swimming Pool Trap Primer . , Urinal ,' Vacuum Brkr Bkflow(1-4)' Vacuum Brkr Bkflow(5+)- Wash Basin " Wash Basin Set � Waste and Vent System � Water Closet (Toileq Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION � AMT $0.00 $0.00 � $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $17.00 $0.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALCALCULATEDFEES: $33.00 Qn 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 G7 EXPIRATION: This permit shall automatically expire and become void if work is not commenceA within 180 days, or If work Is suspended or abantloned for a period of 780 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permi�. FOH INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATION DECLARATION: ' I hereby atfirtn under penalry ot perjury one ot the tollowing decleretions: ❑ I heve end wlll meintaln e certificete ot consent to self-Insure tor workera' compensetion, es providetl for Oy section 3700 ot ihe Lebor Cotle, for the pertormence of the work tor which Ihis pertnil is issued. �' I �eve end will meintain workers' campensation insurence, es required by section 3700 of the Lebor Code, for Ne peAormance of the work for which ihis pertnit is Issued. My workers' compensatlon Insurance carrler an�tl Pol�icy number ere: 7�/ 17 Cartier. �`J]�,',7� L%M �S47�Q-J f��� � Poliq Number. —/ CV� �V � (Ihls section need not be comp/eted I! fhe permlf Is valued af one hundred dollars ($100) or less.J ❑ I certlly thet In tha peAormance f Ihe work for which lhis pertnit is issued, I shell not employ any person In eny manner so as to become sublect to ihe workers' wmpensa�ion lews oi Califomi , e d g e t t It I should become sublect to the workers' compensation proWslons ot Sectlon 3700 of the Lebor COUe, I shell forthwlth compy wim these provisions. � Cy /��9 „ �Applicant Signeture: Date: T�/Z i5 WARNINO: FAILLIRE TO SECURE WORKER ' C ENSATION COVERAGE IS UNLAWFUL AND S SUflIECf PN EMPLOVER TO CRIMINAL PE TIES AND pVIL FlNES UP TOONE MUN�RED hKK1SAND OOLIARE (3100,000), IN ADDfiI N TO THE COST OF COMPENSATION, DAAMGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE.IMEREST, AND ATTORNEVS FEES. � LICENSED COHTRACTORS OECLARATION: I hereby eMrtn that I am force entl ettect. Lic. N_ ConVectafs Signature: ot Chepter 9(cammencing with Section 7000) ot Division 3 of the E � Class N � � Date: Cotle, and my license is in CONSTRUCTION LENDING AGENCY: ❑ I hereDy affirm Net there is a construction lending agency for the perfortnance oi t�e work for which Nis permit is iss�atl. (Sec. 3097, Civil Cotle). lendefs Name: Lendefs Atldress: Signature: Dete: OWNER-BUILDER DECLARA710NS: I hereby eKrtn that under penelry of per�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business entl Protesslons Code: My ciry or counry which reQuires e permit to constmct alter, Improve, demolish, or repair eny swcture. Pnor to its issuance, also reqWres ihe applicant for such permit to file e signed atetement ihet he or she Is Ilcensed pursuen� to ihe provisions of the Contrectors License Lew (Chepter 9(commencing wlth Section 7000) ot Divislon 3 of ihe Business entl Professions Cotle) ar that he ar she is exempt therefrom and ihe basis for the alleged exemptlon. Any violatlon ot Sectlon 7031.5 by any epplicant tor e pertni! subJecls the applicant to e clvll penalry of not more Ihen tive hundred dollars ($500).): ❑ I, es owner ot t�e properry, or my employees with wages as their sole comDensetlon, WILL DO TME WORK, entl Ihe structure Is not Intended or ottered tor sele (Sec. 7044, BuSiness and ProfeSsions Code: The Conireclors License Law tloes not epply to en owner ot property who builds or improves Ihereon, entl who does such work himselt or herself or thmugh his or har own employees, provitletl that such Improvements are not Imended or ofleretl far sale. If, however, the bullding or improvement Is soltl wltNn ona year of complellon, �he owner-bullder wlll heve the burden of proving thet ha ar she tlltl not builtl or Improve for purpose of sale.). ❑ I, es owner o1 t�e property, am EXGLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the proJect (Sec. 7044, Buslness end Prafessions Cotle: 7Te contredors License Lew tloes not eppty to an owner ot property who builds ar Improves thereon, entl w�o conirects for such prolect with e conirecror(s) Iicense pursuent to ihe CoNractors License Laws.). ❑ I am exempt untler sec. Business and Prolessions Code tor this raeson: Signeture: Date: Owner ID verifled by driver's license. ❑ Yes ❑ No Drivers License No. Ezpires: Vedflcatlon ot Ownershlp by (rype of documem, I.e. - propany tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereDy certlfy t�et no exceva�ion five (5) or more Ieei in tlepth Into w�lch e person Is requlred to tlescenQ will be metle In connecilon with work euthorizad by Ihls permlt, entl thet no building structure, scattolding, falsework, or demolition or tlismantling thereoi, will be more than thirry-six (36) feet hig�. (C�ep. 32, Grp 2, Atl 2, Sec. 341, T1tle 8, Celitomle Atlministrative CoAe). ❑ As owner-builder, 1 wlll nat employ enyone to do work which woultl require a pertnit irom Ihe Dlvision of Intlusiriel Safery, es notetl above, unless such parson �es e pertnit to 4o Such work trom the divi5lon. SigneWre: Date: Division of Indu5lnal 50fety Permit Number: CERTIFlCATE OF COMPLIANCE IWD AI7TMORPATON OF EMRV: I cenify under Denalry ot perjury thet I heve reed this epplication end stete ihat the iniortnatlon given is corred. I egree to comply wit� all stete lews and city ardinences releting to building wnstruction, end auihorize representetNes ot the City of Coste Mesa to enter upon Ihe ebove-deuribed properry for inspectlon puryoses. I agree not to occupy or ellow occupancy ot any 6uiltling euthodzetl by this permit until Rirtal Inspactlon. �pjy INSPECTIONME 1616 1266 Fixed System Final Fire Prevention Pool Spa Final 200 Fnel Re-Roof 201 Finel BIocWRetaining Well 202 Final Fectory Fire Plece 203 Final Sign 204 Final Demoliti0n 264G48 �� �� CODEI qSVECTIONTYPE 206 Finel Mec�anicel 20B Flnel Plumbing 210 Final Electdcal 212 Final Fire Preventlon 220 Final Plenning Approvel 222 Final Site 250 Final Bullding/Occupancy Y� �g �� � i � • � 1 �ooaess a ea�mic: ONNERS IUYE 6 �TJpWIt .. �ss .vv�. ��nmc.00a[sx ELS, JGHNvW �,�5, s'ANLRA S WIMbLELGN WAY A MESA,CA 92b[b AIKXrtECT OB FNf�lEFA: ANCII.OP FNQ'S �DMiE55: ���T�� AAC GEN, bUILDING & AOOF 11b30 WARNER AVE FLGU�i``: AHL38 uc w: UM: (714)545-9057 c°""u"°rcs � F.V. CA uc� 552543 92700 UNT: LICENSEO CONTR�CTONS UECL�fls110N: I he�eDy a11im uMx perely WCpeaAj�u,rya�iphe,ni yl Jeq'm nIcemaeeE urdm pv.itlm� d Cheqr 9 (cvrtvne�q r.'n� SMv� ]000) d Oireion 3 d IM Bmneq,epE PMaabro 7 J L J V> e in hYJoru end aMW. CRY lJt. NO.: IJC. C1A59: d V 1 IJC. jN�O�.: C7lY Oau^1 � 0 � f� Q ' � � G v /r/ (�Q. /H hOr .iL. 0 EN BNLDEN DECUN�TIp1: I MmY �� �� DdWy d pxjry Nm 1 em wmq Imn �M Canmm Uwnw lew tor Or Iobwrq nsson (SWion 1OJ15 Bwr� ud Prdmfbm CoEe: MYW w aouMY v.fiid� npoes� e D�m� 10 mmM. elR. mPvw. bnqleM1, p eapei em/ �YueYve, pw b b uvwioe, eho �pu'vm iM eppGaN /a weh pmM lo Na e tynsd �Itlamptl Ihq M a�M � li�wad W� lo Ihe prwmoiu d��redp� licanee lew �CMpx 9(canmanrbp wGh Swion )000) d Oiv'sion � d Ns lm�an eM Rdmuro Codsl a IIW M a Me b aaemq ilwshpn uq IM Ee�u la ihe etlopeE usmqion. Nry vqW un d Satlim ]W t.5 by my epp4rw la e permi rAjx++ iM eppfraN Io e d�il peneliy W nd mas ihen fwa �uMrW do0u� �SSOOp. ❑ �.nmawd�newro�r«mranda�w.Nnwepmminv.d.wmo��...+��mmewoh.eMm..wnun:miaadsd a M«sd lar Wa (SMion ]Ou. B�ronend Ped«dwu CoM: TAeCorueaaon L'vne lew Aam ria epplyto en owiwM papany vM did� a ino�s+iheiean. rd wtn do» wdi xak Nm WI u Mna� n tl✓aqh he v Mr own anVMb�. V�b �hm w�h impwemam� ua ria imeMed> ol�ded �a eW. II. Mxewr, iM buiqiip a inqwamem u edd wilhin ona yeer d mmplNion, Ihs owrw-0uildsr wYl M1ew IM bvtlen d pwinp M a tlr did ml butl d impws la �M puryma al We). ❑ �.., u.n« M �M o�w�r. ��wmw �owno .En 4oen.w oonu.aa. �u �«,mua u,a c�d� (seenn 1a.. a,.h,...na Prol�dm� Cade: TM Cauream lic«ue lew Oou nol WMY m an ovmer d P�w„Y xfio WiIO� a imPp+a Osson end wM mMacU br W� pqe2a wih e��M�14uroW pu�wN lo IM CON�a[�aa Licen�a Le�. � I am ssemq uAer Senion: B. 8 P.C.. br thn ieswn: om.: oww: i do n.�ev �r mm i.�,� .�.ar. d.oe ��e ms Aw:�.�+«m w c.uom. �mn �e sd+r coes swo�. aws. zssm..oe 2553'. aM tlxt I a mY hnue Wld'vq am+WY T/ wil na (ercY ar) neeE b canW rnh eeid ntle mda� anE tM nG��ab fa •C�Nlam�vtrWcnamoCSimiontrM�NeN�Y dW�+tiOmne.RdrpelrnqMion�PVFdiotim�c�mqhantliw a�.�.. Dme: �DP��� WOflKEfl'S COYVpl9�TON DKLM�PON: I Mreby ellvm under peroRy tl perjury me d iM lolbwinp Aer4mbm: ❑ � na. ene wi� meinien e cenirwe d om.em m..n:�wn r« wan�m: como«mmion,.. wowee �or M sww� a�oo a m. Vea coe.. i> u» ron� a me .cn� i« wr:e, ins wmm o��.e. � � n.rs ena »u meuum, .aws.� mmv�o� m.�i.nm. m,aouved M s.aw� r�ao d me Lenw coe.. a. �ne v«�«nwioe a �hs ��«.na,m4oa,�,a4m.�»a.n«r��•�C9L"�'P.'IP°'1.`A�'�'"n"'w��mna,�e: E7(FIRES c°"'" D8969"7�"`'^_^^ 07/03/98 Pofcy Number. (flu's sMion nesd mt W eanP�MeE I W P�� b fur a» MUMnE da'laa (S1P0/ a Iw.) � I oenN IM m IM P�miwice d IM work b xAich �Nn Wmm u ueued. I ehmi nd emWM �1' D� m arry memr c ea to n.�an. adpn m �n. wM1a.• w�Vnwcn r.. a c.Nm:.. w w�« mr a �.haed e.�on. adjq m tl,. .nlw,• �o.�� wwoo� a saa�, a�ao a in. i.no, cede. i wa i�'".un `��.an mw. ww�,.. o.�ga_((I'd C�' � % � //7rA0 %llAei-e ` Wimlip: FWw b ssun wAw' cMq�tlon rowrap l� uY�rNl. �ntlWII ulNcf �n �r�olo/r ro MMIrI pwvltluW tivll Ilnu �V m aw �u�t�M tMuaud EWbn (J1�4amA bi tlktlon m tlr� cmf ol mmWwfl^M1 M�pp n P'o�� br In s.onm aroe m u�. uw, cae., oa.�.c .�a.rcom.✓. M1... coNSTRUtTION LENqNO anENCr: ��eb/ effum udr psWy al prjuy ihel Nas b a aonkiudbn 4nd4p yriry br tlr pmlmname d tM woM1 lor whirA tA's p�1 e ewnG (Sedion ]oe]. Gi. CI. IENDEP'S N�IIE: LENDEP'9 �DORES3: I ceNN �� I hevs neE thia eppliraiion erA ams iM iM �pwv iMpmetim b cantl. I epns Io canply v.i�� NI tlry enA oouivy ad'vwo� end ntle 4x+reltliq ro bnkiq conprud� ad Mreby unAor¢e mprmenimivq d Ihu dryto enbr upon I�e aEwe�mmlianed popany ����^��^^ MIKE MOORt (5151�6.WP) WAes-&ddpBStlMy:Ora�FM:Cenry-�ppiwX:Pink-Rwamw:C�ddwoJ-M�mar CZTY GF CuSTA MESA - BUILDYNG PERMi'I PERMIT NG: B 085324 PLAN CHECK NG: N CONSTRUCTIUN TYFE: PERMIT IYFt: 5'IR JOB UESCRIPTION : T/G EXISTING S REROGF W/AMER. CENWOGu PtiiM NG; d G8532 GUV'f: N 5Ur : PURPuSE: ALZ SQ FT: 10,30G CLAIM VALUE: 10,300,00 CALC-VALUE; 10,300.0"v GROUP GCC: It-3 i COMMENTS: INSFECTOR TO REQ. NER# TO VERIFY TYPE ANL WEIGii'T G't ROOr'ING MA7ER iF iF ii if if ie li iF iF iF iF ii iF iF iF ie±f aF i't it ie's4 i'r if if w If 3F 1i # iF if if ie i'r v't iF iF+e if if 'ri w ie iF ff ie iF iF iF iiie iF i"r # w'se+F ii ii w ii w w iF iE iF iF'sF 3f if M# iE wvF w ii w Z O N Z N G R E u U I R E M E N'I S 5 a T b A i: ii 5 ------------ MAIN BUILUING ---------- --------- ACCESSOAY' bU1LLINv --------- FANT: FT IN AEAH; FT IN FRNT; F7 IN Ac.t�t: Fi iN LEFT: FT IN RGHT: FT IN LEFT: FT I'tv hGHT: F7 IN PAAKING REQ: PROV: PARCE:L: 412Gd31b ZNE: k�:F NO: PLANNING NuTES> '� . ii iF iF if if if iF iF iF ie if if k ii ie if iF iF iF iE if if ie ie iF w if ii le ie ii ii ii ii if iE iFie iF K 1e iF i' ie iF �F ii iF ie iF if it w if if iF ii iF if ie iP w ii ii ik ie iF ii iF 1f if iF ii if ie w ie ie ie D E V E%L .O P M E N T 5 E R V I � E 5 R E Q U T R E M E N.''f S ZONING APPRGVEL BY . GAI'E: " HUILDING APPROVEL BY : APPLICATZUN ISs�'UEL bY; iiiFiFie'sFiFifieiiifiFiiifiF IFiFieikifie# LEGALIZATIGN:N F E E 5 U M M A R Y UATE: STitUCTURAL SE:GMENT:Y bLLG PMT PLUMbING ELnCTRIC MECHANI� FTRE SMI'riRfiS GRALING PERMIT 174.75 1.03 SMIY/NGN-R£S PLAN ISSUf: FEE , HUILDING-DIV-> PEkMZT ISSUE PLAN-CHECIi TuTAL PAIL LUE iU?ALS----> 175,78 0.00 0.00 175.78 175.7d .0"v REVENUE LIVISZGN TGTALS--> CGLLECTEU: 175.78 UVEkiSHGRT: .u"v HLDG PMT PLUMbING ELECIRIC MECHANIC FIRE SMIP/'iOT GRF.LING YLIeN-CHECK 174.75 1.G3 iF ii iF it if 3F if if iF iE if i'r ii ii iF ii iF ie ik iF iF iF # i'e iF if if if iE if if'st iF ie ie ie iE+i iE w if ii M ie iE iF it w fi iF iF iE if 3e'sf ie if ii ie ii it iF ii i't if i'r iF iF if YF if ii ie iF'vi ii ie'vF ie I N U i V i D U A L F E E d R E A K L" G W N TYPE (�TY D E S C R I F T I G N UNI"L CUST i'GTAL CGST SFR 10300 REROOF bY" VALUE RESIUENTIAL NUZVNE 1.`v0 1"v,3�G.OG ENU UF 'r EES ., �a p " - . ' ' � I �a ,uF� � J!'!la�i`..� ._ —, �.�+��/' ��.�`�'lR�� ......:�: ie-ee-i��ie�:i� vnisi�s.�e RCDiA:01-0614147 PERMIT:B85324 CONSTNUCTION ANDPLANNING POOL ;PA . �APVROVAlS Permit# Date Inspector AppROVALS Permit# Date Inspector �� 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locatio� ' 2, $oil Pipe•Undrgrnd. 53. Steel Reinforcement = 3.�.EtectricalContl`Yiii,Uiility-Undrgmd. 54. Forms t _�,; � rEtectrical CondLi�Uhdrgrnd. 55. Electrical Bonding T -; i S:.Steel Feinforceinent 56. Rough Plumbing & Pressure Test � 6i+Electrical UFER�rnd. 57. APPROVAL TO COVER•GUNITE T� • �'�7,=Footings ; ;.� 58. Electrical ConCUh�Undrgmd. �$�Foundation - � 59. Gas Pipe, O UAdrgmd., Test � _ � - Y. .�9..'.Water Pipe-Undrg'r�nd� 60. Backwash Line's; P�Trap, � Undr9rnd. 10.^Structural Floai Svstem 67. APPROVAL i?O=DECK 1 7. P:operty Sewe[. LinQ & House Connection 62. Backwash & Rqeepmr-Final n 12. SBwer Cap , � y 63. Heater & Vent-Final �t3. Roof Drains 64. Plumbin9 System � Final l4. Rough Plumbiag n 65. Electrica6Final 775. Rough Electrieal�Cbnduic 66. Solar Svstem�Final Z76. Rough Electri�Wiring � 67. Fencing & Access AnProval -+17. Rough Wiring Sign 68, APPROVED F�R PLASTERING �18. Ro�gh Electri421-T Bar Ceiling 69. POOL/SPA SYSFEMS FINAL 19. Ro�gh Heating & Air Conditioning w FIRE DEPT_REQUIREMENT ' ' T - 20 �Ro�gh �ccofY �iAPlace � ` t'; � 5 � 'r �� � APP�iO4lCLS�'� Pgrmit #�� .y Y k 21 -Dusis, iD StBlauie�. �•• •• � S x � 7 � t� � 7p; i Underg<o,�d ydro 22.�Ducis, Ventifatint� � ; - _ F S '`1 � ' 77 yprod4iEPiP��9 �Gas .DOiI y � t a; 23.:Gas�ipeRough & 7e5[ ' - _ r � �n � �.k �� 72, Undergr�und FIutM • � . . _ � . _ _ � . �. 1 • ; : 24:�Rooi Frdming v� - '• r k=' � ? ,,, ��? �, Unda nd.StongeYarjk OGas QOl 25. Foof SKeathin ' � % `� / ' � . g n x �, v Qf/�f' � F /31rOverhead Hy� 26. T-B�r Ceiling (Siru�tural) &'1vtp�ycoat ,/ _�? � ,'? � .. L'5 �Dry Chgrrijwl_, � ; J �� � 27. Frame aDd �lash�� z�; �� �.r > z+!� 76. Dry Standpipe = k� �,'i - 28. Lathing'& Siding. k'�l '� =S;� � E "� "�r 7,.7. FIXE ST hS.! FINAL.� -" � � 29. InsulatiQn ? T t � � � �' I ( �r �fg, FIRE PREV. FIqAL ` = � 'N ' 30. DrywalfdVai[rTg '� y,� � 1 1 S v NEAL'[H DEPT"REIIUFjiEMENT 37. Plaster 6fown Coar ,S ;+ r t � � �. � 7�. FINAL-�PiSPECTtON �. � � _ 32"Eiectricel Po9ver Clecev�Final' 4"3 I � '� ti 8p. FOOD CERTIF,ICATE�ISSUEO Y '� 1. 'T' 33`Firt�lEl�ciri�c, - *f ,� ..r, � � k r ..ptes: j ��r a - � •,jr; 34.'Fingi Heating & AiaConditionin¢ � k I '. �c =. - _ , J _ i. 4 s� '� ' �k � P 35.'_Finai G9� Pi�2•TEStx _, � .. i .- �K � � t � 7 - � - 36. Ho.od or,CanoPvr c o y - �� � I � �c 'E S ��.� � � 4* .r. n ¢� r. :n 37.;kin�l F2�tory Fir,�q5ace� � � - � ' � �X ` 38. Fina1 PWmbing a I �� �� � n � , ;f- S -� R� �-� � �-� -i r � 39. Wat�r Sprvice�FinEl° ! ' ' i ' �` y ' "'T� ' r - l 1 � 4 1 I ' �J 40. Gas Seryice�5inal� � , � r �:. K r ?) � r -� �. - u +� � - 4 T 47. Solar pomesticFinal = r " �� r ,, �'-,' 4 �r t� - � � � T � 42."Backflow Preven,r,'gq; .� � p._ � ;( - . r-+ „ 43. 8ackflow Iri$ ation' F =� -� ° �� r - ,, r � � � 9 r r r` ?' f 1 � !l4. Landscape I'rripation Systerrc; � i . : �*1 � 7 7 � �+: nl +' -� �' " ' _ - w� r .� � K '.45.-Sound Atte�uatiod r -' . ' F � " _ .. "' - �• .Z ' .� ... r ty �:� s � : v . p6..Handicap Regulacions = - i�� ;,=, r- 7 r, �.S i - � .. . = - ' 47.�IN74L STRt�CTURE & BUTLDING /I ` ^ C�7 � " �i ' = � , { ' , ° - � 48.-FINALBLANNIN.G` - u � �m ; ?7 = ' � „ =49..flearic Release to Edison � ' � � j4 - � � "• � - . �t • � � • �150.•GasjRelease to Southem Califo�nia Gas Co �. 1 (� - - � • .. � � � �• , , � u - . 51: CERTIFICATEOF.00CUPAPf V . ; r.> - � - � No. Date F � W a ¢ y y S F G � F Q ¢ > r .� � � a � a a Z � i 3 6068 I/�I/81 306.5I T� COSTA MESA BUILDING�SAFETV DEPARTMENT APPLICATION FOR STRUCi'URAL PERMIT P.O. eOX 7200 COSTA MESA, CALIFORNIA 92626 RECEIVE V PERMIT � �� ' � � � ,� l, For Applicant to Fill in Completely - Use Ink Only BUILOING 3966 Wimbledon Way ADOFESS OWNEROR Wimbledon Assoc. TENANT MHILING 1470 Jamboree Rd ADDRE55 Newport Beac TE - ciTv No. BRANCH ADDRE55 61 S. Ldke Ave. ARCHITECT Corbin/Yainafuji TEL. Si9—%1 OR ENGINEER NO. ADDRE55 17992 M1tC11@�.1 S�.�Irvine CONTRACTOFi McLain Dev. Co. ADDRESS 1470 Jamboree Rd c�Tv Newport Beach No 40-6800 STATE 2%3$%rj CITY 18$%3 IIC. NO. L�C. NO. SIZE NO.OF BLOGS OF LOT NOW ON LOT USE OF EXISTING BLOG. Separate permits are required for electric, plumbing and heating work: USE OF BUI�DING AND WORK TO BE PERFORMED PRD - New Construction Single-family dwelling 1 hareby ecknowledqe that I havB reatl this nppliention antl smte that the ebove Intormetion iz cofreei and epreo to eomply w(ih ell laws rogulaNnB b�iltlin8 constluction, antl I shall not employ uny peraon in viOlotlon of She werkmun's compansetion laws of the Smta of Californle. 1 heteby cartity thet I em properlY Iicensetl ns a conttec[or untler tha Stata of Californle Business antl Protezsions Code, Division 3, Chepter 9, antl chat such licenses are In full force antl attect, or I am exempt irom the provisions of the Stete of Californie eusiness an0 Protessions Cotle, Division 3, Cha teF 9. Sip^etura of Permittee or � Auffiorized ABent Date A.P. NO. [ �,�,— v /O —.'J�! aooa°E"ss3466 Wimbledon Way UNITOR 48 SPACE NO. TR�8,2%S LOT 4H NEW ADD ALTER REPAIR MOVING OWNER WlIf1b1.EC1OI1 p.S50C13� use PRD VALUE APPROVED APPROVED SET6ACK5 PLANNING ACTION G.L- ' / O APPfl( �Ao� 3 tiQLD FOR SPECIpt rti THEAMOVNT'. THE PVRPOSE O VALUATION ON UNDER VA�VATION IS FOR 'ABLISHING A PERMIT FEE ONLV: PERMIT FEE $ a L�� �� PLAN CHECK § TAX E %i�'/ TOTAL PAID S. y�� rj � � � � > m (� N I ] \; m � Y � n � m o � LL U (�, � OWENS-CORNING Fiberglas Blanket Insulation The contractor named below certifies that the Owens-Corning Fiberglas Blanket Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Blanket Insulation is in- stalled in conformance with current energy conservation regulations, California Administrative Code; Title 25, State of California, in the building located at: . �.� �llo vl//�rl fJ�tf�O.r �./✓ =�` %'�� /��5� ' Street � Lot Number Tract Number Exterior Walls � �� Owens-Coming Fiberglas Blanket Insulation 3/ /`� Thickness R-Value Ceilings . /,, - /��/ Owens-Gorning Fiberglas Blanket Insulation //� l/ . • Thickness 4 R-Value Floors Owens-Corning Fiberqlas Blanket Insulation F^�indation Walls Manufacturer . Type Thickness R-Value Thickness R-Value General COMractor License No. By Title — Date �Signalure) ,r �— ����-7� Insulati ontr tor. q/���%�/��%������2�'no.�'1!J //i.�i/�/iL-'rensa No. �L2 By ����62dC�!ria� Title �/'� Date �l�'J��/ �sS�oam,el Homeowner Copy (White) State Copy (Yellow) Builder Copy (Pink) Pu�. No. t6�BL699SA Litha in US F.. July 1 W] OWENS-CORNING FIBERGLAS CORP. Insulation Operatinq Division Fiberglas Tower; Toledo, Ohio 43659