HomeMy WebLinkAbout3466 WIMBLEDON WAY - Building Permits�:1�jt�t,�,j-�,,
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(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
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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
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Contractor. GEORGE BRAZIL PIUMBING, HTG. '-
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Address: 3801 LENAWEE AV , - . , , ,
�
. Phone: 714-541-9753
CULVER CITY, CA. , , . - - � Zip: 90232 � ,
� . , License: 679898
ArchlEng:
Address:
Phone: �
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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
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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
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0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
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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
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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
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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
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(714)545-9057
c°""u"°rcs � F.V. CA uc� 552543
92700
UNT:
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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
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pmlmname d tM woM1 lor whirA tA's p�1 e ewnG (Sedion ]oe]. Gi. CI.
IENDEP'S N�IIE:
LENDEP'9 �DORES3:
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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
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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>
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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
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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
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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� �-�
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39. Wat�r Sprvice�FinEl° ! ' ' i ' �` y ' "'T� ' r -
l 1 � 4 1 I ' �J
40. Gas Seryice�5inal� � , � r �:. K r ?) � r -� �. - u +� � -
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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 '
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' 47.�IN74L STRt�CTURE & BUTLDING /I ` ^ C�7 � " �i ' = � ,
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=49..flearic Release to Edison � ' � � j4 - � � "• � -
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�150.•GasjRelease to Southem Califo�nia Gas Co �. 1 (� - - � • .. � � � �• , ,
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No. Date
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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 �
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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