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Home My WebLink About3468 WIMBLEDON WAY - Building Permits(714) 754-5273 • Fez (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 3468 WIMBLEDON WY Suite: Vicinity: Parcei Number: 41204317 appiicant: SELL, RON Address: owner: BAKER, EDWARD R Address 3468 WIMBLEDON WAY COSTA MESA, CA Contractor: SELL ROOFING COMPANY Address: 78032 LEMON YORBA LINDA , CA Zip: 92686 - Arch : Address: Zoning: R1 R1 Phone: 714-528-1758 Zip: Phone: Zip: 92626 Phone: (714)528-1758 License: 323842 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: OB/21I2001 Issued: 08/21I2001 Phone: Zip: License: License: SCOPE OF PERMIT REMOVE SHAKE ROOF AND COVER WITH EAGLEITE TILE. IC80 4660. INCLUDES ATTACHED GARAGE. � Plan Check: $0.00 Permit $16725 SMIP Res: $0.89 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.14 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0-0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 se,soa.00 se,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become vold if work Is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for Ihe work authorized under this permit to be considered legel, such work must comply wi�h ell applicable codes, and all requlred Inapeetlona and final epproval must be obtained. Failure to oblain Inspectlons and final approval wlll result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaas�ae �aroo� WORKERS' COMPENSAnON D�RAnON: � �' I hereby eflirtn under penaly oi pe ne of the following deGarations: I heve end will malmein e ceruficate of consent to setl-Insure tor workers' compensation, es proNded tor by sectlon 3700 ot the Lebor Cotle, lor Ihe pertortnenca ot Ne w for which ihi5 Dermit i5155ued. ve end wlll meintaln workere' compensa�ion insurence, as required by sectlm 3700 of Ne Labor Code, lor ihe poAormance ol the vrork far whlM this pertNl is issuetl. My workers' p setlo/nW� urance ar entl pdiry number are: G/ /- r C� Certior. � / Policy Num6er. � (O I! J S / (Thfs secBon need`nof be compleled i! the permll is veNed af one hundred tlWlers ($100) or Iess.J ❑ I cenily thet In the pertormance o1 the woAc tor w�ich this pe�mit is issueQ I shall not omploy any persan in eny menner so as lo bewme sub�oct to t�e workers' compensatlon laws of Celitomle,¢ egrea thal il should become sub�ect to Ihe workers' compensetion provlslons ol5ection 3700 01 Ne Lebor Catle, I s�all forthwlN comply with these provisions. / � 1�� I AppllcantSlgneWre: � �( Data; �� WARNINO: FNLURE TO SECURE WOPKE0.S' OOMPENSATION COVEfiAGE IS UMAWFUL AND SWLLL SUBIECT AN EMPIAYER TO CRIMINAL PENALTIES rWD CIVIL FlNES UP TOONE HUNDRED THOUSAND OOLLARE (5100,000),IN ADDfiION TO TME C06T OF COMPENSATION, OAAIAGES AS PFOVIOED fOR IN SEGTIXJ 3'l090F THE IABOR �DE, IMEREST, r1NDATTORNEVS FEES. LICENSED CONTAACTORS DECLARATION: I hereby eHirtn Ihet I em IlcenSetl untle rovisic force end eflect. LJc. a Comrectofs Slgneture: B(commendng with Sectlon 7000) oi Divlslon 3 al the B Cless p Dete: Code, arM my Ilcense Is In tull CONS7RUCTON LENDING AGENCV: ❑ I hereDy eHifm ihet t�ere Is e conslructbn lentling eBency tor Ne peAortnance of the work tor wNch Ihis pormit Is Issuetl. (Sec. 3097, CIWI CoOo). Lender's Name: Lentlefs AtlOress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby etllrtn Ihat under penelry ol perjury that I em EXEMPT FFiOM THE CONTRACTORS LICENSE LAW for t�e following reeson (Sec. 7031.5, Buslneu entl Prolessions Code: Any city or counry which requires e permit to consWcL alter, improve, demWish, or repeir eny siructure, pnor to its issuance, elso requlres the epplicant lor such pertnit b Ble e signetl statement thet ha or she Is licensed pursuant to the provisions of the Gonirectors License Lew (Chepter 8(cammencing wit� Sectlon 7000) at DMsion 3 01 Ihe Business and Prolessions Cotle) or thet he or she Is exempt therefrom ana ihe basls tor tne ellegetl ezemptlon. Any vloletion oi Section 7031.5 by eny eppllcant for e permK sub�ects the epplicant to e ciNl penelry of no� more then five hunAretl tlollare (5500).): ❑ I, es owner ot the properry, or my employees with weges as thelr sole compensatlon. WILL DO 7HE WORK, end ihe siructura Is not Intentletl or oflered lar sale (Sec. 7044, Business and Proteulons Code: The Contractors license Law does noi apply to an owner of properry who bullds or Improves Ihereon, and who tloes such work himsetl or herself or through his or her own employees, pmvitletl t�at such improvements are not Intended or oHeretl for sale. If, however, t�e builtling or Imprwement is sold within one year ot completion, the owner-builder will hava ihe burden of proving that he or she ditl not �uild or improve lor purpose ol sala.). ❑ I, es owner of the property, em EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business antl Professions Code: The contreciors Llcense Lew tloes not eppty to an owner of property who builtls ar improves thereon, end who contrecis lor such pra�ect wit� a contractor(s) license pursuent to the Contractors License Lews.). ❑ I am eaempt under sea Business antl Protessions Cotle tor this reason: Slgnature: Date: Owner ID vedlled by ddvers license. ❑ Ves ❑ No Dnvers License No. Ezpires: Vedficatlan oi Ownershlp by (type ot Oocument, i.e. - property ten blll or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION: ❑ I hereDy cenity thaf no excevetian frve (5) or more feet In tlepih Into w�ich a pareon is requlretl to descen4 wlll be meCe In connectlon with wark eut�odzetl Dy this pertnii, and that no DuIlCing siructure, sceHoltling, talsewark, or demolition ar dismantlinp thereoi, will be more Ihen Ihirty-six (36) teet Mgh. (C�ep. 32, Grp 2, Art 2, Sec. 301, Title 8, Celitomia AdministretNe Code). ❑ Ae ownorOulltler, I wiil not employ enyone ta do work which would reduire e permit irom Iho DiWslon ol Industrlel Sefety, es nated ebove, unless suc� percon hes e pertnit to do suc� work fram the division. Signature: Date: DlWsion oi Intlusirial Safary Pertnil Number. CER7IFlCATE OF COMPLIANCE ANU AIlTHOfiIZATON OF ENTAY: I certity under penalty ot perjury that I heve read this epplication end stete ihet the information pNen is correct. I egree ro compty with ell stete laws end ciry ordinances releting to building construction, and au�horiza representatives ot ��e Clty of Cosla Mesa Io enter upon the abovo-descdbed properry for p twn Durp s. I e e not to acupy or allow occupency af eny building euthorizetl by t�is permit umil linal inspection. Sig� re�--�� S// (i �/ w' Ll � Date L AnNOr Authonzed ApDlicant Dale LOOE I. INSPECl10NTYPE 161fi Fixatl System Finel Fire Preventlan 1288 200 201 202 203 Pool Spe Finel Finel Re-Roof Flnel BIaWReteining We0 Flnel Fectory Fire Place Flnal Sign 204 Finel Demolillon peg, INTIiIALS 9�Zo-al G�/' COUE� INSPECTIONTYPE 206 Final Mechenical 208 Finel Plumbing 210 Finel Electrical 272 Final Fire Preventlon 220 Final Planning Approval 222 Finel Site 250 Final Building/Occupancy Q� � (714)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 346b WIMBLEDON WY Suite No Vicinity: Parcel Nunmber: 41204317 npp�icant: NOCK, RON Address: 11612 KNOTT ST . , CA GARDEN GROVE . ;.� j�� , � " Owner:%�'-BAKER,�EDWARD R � Address"� 3468 WIMBLEDON N1AY. i � •� .'�� _ � � . % � ;: ��COSTA MESA; CA ') � �� Contrector: NOGK PLUMBING Address: 71612 KNOTT ST ` CA . GARDEN GROVE •,, a ArchlEng:� �- , , Address: PLUMBING PERMIT PERMIT NUMBER 99-00490 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: � Phone: (714) 895-1246/ . - � . Zlp: 92841 � � , .. � _ . - �- ' _ ^ , , ` - � . ; � .. . - � Phone: �� Zip: 92626 � .... / � . ._., . - ., �Phone: (714j 895-1246 -- ' ' Zip: 92641 . , . : License 707775 Phone: Zip: Litense: `SCOPE OF PERMIT ' � ' WATER HEATER CHANGEOUT. - ; ! ISSUE FEE Backflow irrigation � Backflow Preventer Bathtub Clarifier System � Connect (Ice,Soda,etc) Dental Units Dishwasher � Drein, Floor Drain, 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 $23.50 50.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $O.OD $0.00 so.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 nrv FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation . $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0:00 Sewer Cap for Demo " $0.00 Sewer Connect - $0.00 Sewer Private line , - $0.00 Shower $0.00 Sink, bar $0.00 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 QTY 0 0 0 0 , 0 0 0 0 0 0 0 0 0 0 0 0, 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 08/2411999 Issued: 08/24/1999 SumpPump Swimming Pool Trep Primer , Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent Sysfem Water Closet (Toileq Water Heater I vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Sofiener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 50.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 So.00 TOTAL CALCULATED FEES: $35.80 nrv 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 .�7 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work mus� comply with all applicable codes, and all requlred Inepactlone and final approval must be obtained. Failure to obtain inspections end final epprovel will result in the expiration ot this permiL � FOR INSPECTIONS CALL: (714) 7545626 �I WORKERS'COMPENSATON DECLARAnON: I �ereDy ettirtn untler penaly of per�ury one oi Ihe following tleGarations: ❑ I �eve entl wlll mainteln a cenllicate ot consent to setl-Insure for workers' compensetian, es pmvidetl tor by section 3700 of the Lebor Code, lar Ne peAartnance af tha � work for which this permit I9 issueC. �� I have and will maintein workers' compensatlon insurance, az raquired 6y section 3700 of Ne lahor Code, for ihe pertortnance ol ihe work lor whic� this pertnit Is Issued. My workers' compensation Insurenca cerner and policy number are: �� J O� Cerder: (/�` �i-��n� � Gii�� Policy Number. �f� (This secbon need nof be comp el�rmrtls velued af one huntlretl Col/ers (5100) or less.) ❑ I certity thet in t�e peAortnence af Iha work lor which this permlt is issuetl, I s�ell not employ eny person in any menner so es to become subject to the workers' compensetlon lews of Celifomia, antl agrae that if I shoultl become subject ro the workers' compensetlon pmvisions of Section 3700 0l the Lebqr CoAe, I shell lorihwith comply with these provisions. ��/ �(� Z �/�Q AppliCent S19naturB: 1/ 11 \ Date: �'/O y/ �� / � WARNING: FAILUFE TO SECURE WORKERS' PENSFTION COV RpGE IS UNLAWFUL M1D SHALL SUflIECT fW EMPLOVER TO CRIMINAL PEWSLTIE$ ANp CIVIL FlNES UP TO ONE MUNpRED THOUSAND DOLIARE (SI00,000�, IN ADDITION TO THE C0.5T OF WMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTIIXJ 3]Ofi OF THE LI�BOR CO�E, IMEREST, ANU ATTORNE`f5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm ihet I em Ilcensed undar provlsic forca entl eNecl. Lic. a� Contractor's Signeture: CONSTRUCTION LENDING AGENCV: Chepter 9(commencing with Sectlon 7000) af Divislon 3 of ihe I Class s � : �? Date: _ Cotle, end my Iicense is In full ❑ I hereby attirm t�ei �here is a construction lending egency for ihe peAormance ol the wark tor whlch Ihis pertnit Is issued. (Sec. 3097, Clvll Code). Lendels Name: Lendefs Atldress: Signature: Date: OWNER-BUILDER DECLARATONS: I hereby eHirm iha� untler penalty ol perjury thet I am EXEMPT FROM TME CONTRAC70RS LICENSE LAW lor lhe lollowing reasan (Sec. 7031.5, Business antl Professions Cotle: Any ciry or munry which repuires a permit m consiruct, alter, improve, demolish, or repeir eny structure, prior to its issuance, also requires tha epplicant lor such pertnit to lile a signed statemem Ihat he or she is licensetl pursuant to the pmvisions ol the Contractors License law (Chapter 9(commencing with Sectlon 7000) ot Divislon 3 ot Ihe eusiness antl Professions Code) or that �e or she is exempt therefrom and the besis lor Iha ellegetl exemp�lon. Any violation of Sectlon 7031.5 by any eppllcant for a permit sub�ects the aOD�icant to a civil penalry of not more than frve huntlred Aollars (5500).): ❑ I, as ownar ol tha properry, or my amployees with wages as thelr sole cnmpensetlon, WILL DO THE WORK, and the structure is not Intendetl or oHered for sale (Sec. 7044, Business end Professions Code: The Contredors License Lew does not epply to en owner of property who builtls or improves thereon, entl wha tloes such work himself or herselt or through his or her own employees, provided that such improvements are not intended or ottered for sale. If, howaver, ihe building or improvement is sold within one year of completlon, �he owner-builtler will have the burden ot proving thet he or she did not Dui10 or impmve for purpose oi sale.). ❑ I, as owner ot the property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to constmq the project (Sec. 7044, BuSinesS antl Protessions Cotle: 71ie comrectors License Law does not apply to en owner ot property who builtls or improves ihereon, end who contrects for such pmject with a comractor(s) license pursuant to Ihe Contractors License Laws.). ❑ I am exempt untler sec. Business antl Professions Code for thls reason: Signeture: Date: Owner ID ven�ietl by ddver'Sliten5e. ❑ Yas ❑ No Driver's Licenso No. Ventication of Ownership by (type of tlaumen6 i.e. - pmperry taa bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICA710N: Expires: ❑ I hereby cehlly thal no exwvatlon tNe (5) or more feet in depth into which e person Is requlrea to tlescentl, will he made in connection with work euthorizad by this pertnit, antl ihat no huiltling structure, scattolding, talsework, or tlemdition or dismantling thereol, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, TiUe B, Calilornla Atlministrative Code). ❑ As owner-bullder, I will noi employ anyone to do woAc which woultl require e permil Irom �he Division ol Industrial Salery, as notetl ebove, unless suc� person has e pertnit Io tlo such work Irom the divi5ion. Signature: Date: Division ol Intlusirlel Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTRV: 1 certity untler penalty oi perjury thet I heve reetl this application and state ihat the inlormation given is correct. I agree ro comply wlih all state laws end ciry ortlinances relating to building conslruction, anC euthodze representatives of t�e Ciry of Coste Mesa to enter upon Ihe ebove�descnbed proporty for Inspectbn purposes. I egree not to occupy or albw occuDency o� sny bullding authodzetl by tnis permit untll tirtal irtspectlon. COOE �, INSPECTIONTYPE 7676 Fixetl System Finel Fire Preventlon 1266 Pool Spe Finel 200 Finel Re-Roof 201 Flnal BIocWRetelning Wall 202 203 20a 204648 Final Fectory Fire Place Finel Sign Flnel Demolltion Q�g 1�ID�4S COOE� INSPELTIONTYPE 206 Finel Mechenical 20B Finel Plumbing 210 Finel Eloctrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Pinel Slte 250 Finel Buildinp/OccuDancy PAg INIID�4§ � ..._ • • �11'� Applicanl to fill In all spaces within �eavy bortler lines antl si9n all approDriata tleclarations. C�TV OF COSTA MESA PERMIT NO. TRACT O. LOT ryo BLDG. NO. - I B%% QIO9IBZ I B�OO � G�V�RUCiION PERMIT �(o �/ I(�Z�� t"�`7 , Pro�ct AdJress ,yy�b TYPE OF CONSTNUCTION , . Ownef S� Ph �NEW ❑ ADD ❑ ALTERATION -Addrea,3 �,) ❑RERAIR ❑CONVERSION ❑DEMOUSH ZONING REGULATIONS ArCh/Eng. �� • - - LiCe O. ❑ OTHER A P � Addff35 , DESCRIPTIONOFWORK 5 z �'�'�� ZONE �� -f�,�p PLNG. REF. � Contractor " �- - - - Phone -� TVPE,OF PERMIT ' B P� ��ll Bui� mG SET ACK AddfC55 � ' - � _' ❑GRADING _C�FOUNDATION RUCTURAL � 51 VARD ./_u LICENSED CONTRACTOR DECLARATION '� - ❑ 7ENANT ��LECTRICAL LUMBING ❑MECHANICA �5ip E v �y/n I hereby af(Irm thct I am'licensetl unGer provisions of Cnarter 9(com- � RIGFIT � Ly� mencing wilb sectlon 7000) -of DiviSion 3 of [he Business. antl ❑ OTHE(3 Professions COAe, antl my Iicense is in tull force antl e�fect. V REAR VARD (TO P/L) PROJECT.DESCRIP710N '• License Class ' License No. �` eG�' -' PKG. SPACE REp. DED � ' 50. FT. � Date - ' -' Si9nature ' '� - � n� � �5Q ' - STREET WIDTH "' ARK PEE S , WORKERS COMPENSATION DECLARAT.ION OCCUPANCV_CONSTRUC 6N YP �d hereby aHirm that I have a certlficate of tonsont to self-insure or a VALUATION � 2�'iN� ^�� _4 � � ZoNING APPROVE� BV DATFi1 � Ul9 certlficate of Worker5'� COmpensatlon InSurancn, or a C¢rtHleG copy . . �� UL thereo/ Sectlon 3800, Lab. CJ. � SPECIAC�CONDITIONS: . '' ( GRADING CU. VOS. C Pn°cy No. ' Company � � - -� _ � �rfifl¢d•copy IS her¢by NrnlShetl. .REMARKS:, ' ' � ' ' ' " ' ' _ ' . . _ L .rtifietl coOY �s (iletl with the tlty Builtling Divlslan. ` -" _ : " . EXEMPTION'FROM WORKERS' COMPENSFTION DECLARATION - -- �- � � (This sectlon neetl noYbe completetl it t�e permit is tor one buntlretl - � . � � , . (53001 or less). � - � ' ' "` ' '^ - � -- - � I certtfy that In [he performance of the work for whicb this permit Is ,. . Issuetl, I shall not emPloy any person In any manner so as'to become -PL'UMBING- PL N CHECK - -' '- ELECTRICAC" - PL"AN'CHECK subject to t�e Workerz Compensa[ion Ldws of Cdlifornia. - ` ' _ �ate Si9nature -BATHTUBS'" " -- SHOWERS ' � - - NOTICE: If after making this tleclaration, you shoultl become zubject TOILETSi URINALS �- � � 'GENERATOR p.l KW_ I-lO.KW - ' � to In0 Wotkers' CompGnSation provl5ionz of tne ldbor Cotle, you mus[ � �TRANSFORMER � (orthwlth comply with such provislons or this permit shall be tleemetl LAVATORIES DOUBLE LAVS - � - -��qpp�IANCE . 10-50 KW SO�+KW � ' CONSTRUCTION LENDING AGENCV ' � � KIT.'SINKS - ' "`DISHWASHERS - �-� ^ MOTORS �p-1 H d0 HP� , 1 her¢by afiirm that lher¢ IS a consl�uction lentling agenGy for the per- _ ... _ _. _ (INC. $OLAR) 30 0 ' S0 + HP � SERVICESINKS.� .:SUMPS ' to�mance of the work fo� which thi5 permit i5 IsSUetl ($ectlon 309J 1 '.,.� .. . � . " " � �Civ: C:). - — - - - -�-- - -. - — - , .- ^ FLOOR SINKS�-' ' FLOOR DRA1 'FI%TURES O L- 5 SWITCHES - �Lentler's Name � ' �-' - -" ' " DRINKINGFOVNTAINS ' ' � -- - �GASTUBE-SIGNS Lentler's Atltlress - - OWNER�BUILDER �ECLARATION - - 'INTERCEPTORS ' -CLA IE - - - .POLE LIGHT �^ � � - — I hereby affirm that I am exempt from the CwGattor'S License Law tor ' the•�ollowing reason (SectlOn 7031.5 Bu5ine55-antl �rofessions-Gotle: SWIMMINGG89G� AP Any tlty or county which requires a permit to tonstruct, alter, POLES - METERED SUB -- improve, tlemolish or repair any struc[ure, prior to its i5suance,also re- yyqTER SERVICE ACTERA N ' -- �- --� PANELS MAIN -- SUB ' � - - qul�es the ap'�.Ilcant fo� such pe�mit to tile a sign¢tl 5[a[¢m¢nt that h¢ is�licensetl�pursuantto�the�provisionso(theGontrac[or'sLittnseLaw GASSERVICE OUTL 5 ' ' SERVICE- �- � - �_.AMP-� - - .(Chdpt¢r 9(COmm¢ncing with SeClion ]000) ot Division 3 oi Iht Business antl� Rofessions�Cotle) or tha[ he is exempc therelrom antl�the - yyqTER HEATERS BTU OVTPVT -- -- - - - �� - - basi�_for thc alle9etl exemplion. Any violation o/ Settion ]031.5 by an�,�z�`-p�plifant for a permit subjects.the �apP��nt-[o a�Uvil-penal[y SEWER CONNECTIONS - � - - --� - - (�� - - - - - �ok}"$''�=.more than live huntlretl tlo�lars (E500). � �' "@�-�'s owner of ine property, or myemployees with wages as their SOLAR TANK --- - COL'LECTORS - — r - � — - �— 'Sol2 8ompensalion, wlll Oo Ihe work, antl the Structure Is not Intentletl or offeretl 1or sale. (Section'7044,'Buziness'antl'R'ote551on5 Cotle: The 'SOLAR PIPING SVS: - - " ' ' ' `" " ' ISSUE�FEE -- � � -� Contra<tor's License Law tloes noc apply to an owner ot a property - i who buil(15 0� improvez thereori, antl who tloe5'Such wOrk himsell o� ' ISSUE FEE � �- 1 —_ APPLICATION APPROVED�BV ._.._ .. --DATE 'througn„11is own employees, provitletl tha[ zuch improvemen[5 are not �' � '� p intentletl or offered for sale. If,-however, the builtling or'ImprOvem¢nl ' " - ' � ' '- - - �- -- � - - - � - is zold within one year of tompletion, the owner wiu have the buraen MECHANICAL PLAN CHECK SUMMARV OF FEES. . o( proving ho tlitl not Dull(1 or improve for the purpose ot sale). - - - _ �- ---•BUILDING - -- - - � HEATING SVSTEM 0-100,000 BTV ' PERMIT y - � -� SMIP ', E ❑ I, as. owner� of -lha property, am exclusively contracting with qND DUCTING ' - �� - - � � - / - � � licensetl conlractors lo mnSVuct [he projeC[ (SeCtion ]044, Bu51n¢5z 300,000+BTU PLANCHECK f /,PERMI,T antl �ProfesSioni Cotle: The Contractor's License Law tl0¢s no[ apply to ' ��i ISSUANCE E an owner o/ property who builtls or improves thereon, antl who con- REFRIGERATION 0-300,000 BTV PLUMBING $ . tracts-(rom.such projects with.a contractor�s)..Ilcesnetl pursuant_ro SVSTEM _ _ � . GRADING_ E�� the Contraclor's License Lzw�. � 100,000 + BTU PLAN CHECK E� -- � 1'am exempi untler Section - - B: 6 P. C. for [his BOILERS gTV . �ELECTRICA�' y� --' - � E reason PLANCHECK y MICROFILM s Date a�� ^� •^^• J .. SVSTEM REPAI R, ALTERATION - � TOTA� FEE S � ) MECHANICAL § 1 hereby certifythdl I have reatl this appliwtian aod StatG lha[ [he above EXHAUST SVSTEM MULTIPLE - LE55 AD� intormatlon- is mrre<t.'f agree to mmply witb all Uty antl couniy P�AN CHEGK- E VANCE PC E_ ot�inances antl State laws relating to const�uction, antl nereby aulhorix¢ . f repre5entative5 'of 'lbi5 city 4a' ¢nter upon tbe above ment netl . prop¢rty or i pr1. ,IO-n� 4u(po� s. n �� /�/� Signalure ��+�✓� / �ud��K i Date ^�" � � . FINAL FEE E lct].L.�e= Orivers' l.icense or 55 � . ISSUE FEE� - _ , . _ _ cmr uubo-4o WpRe-OWltling; Canary-ApO��nt; Pink-Acmun[ing; Gol�enroO-Hsse55or _ CONSTRUCTION AND PLANNING -. POOL & SPA " `+, r.t.. APPROVALS Permit # Date Inspector qppROVALS Permit #` � � ' Date -� Mspecto6 1. Temporary Electrical Service or Pole 43. Poof & Equipment L"ocation ' -� "' '-- �� a�-(�j -$ . $oil ipe-Undrgrn ' 44. Steel Reinforcement ' �" • - - - ' ' - - 3. Electrical Coriduit Utility-Undrgrn 45. Forms ' � - ,.4.. .Electr.ical Conduit-Undrgrn . 46. Electrical Bonding - •�='• tee em orce• :•±•; =�. 47. Rough Plumbin & Pressure Test - - C C- 6. Electrical UF�R Gm _. - 48. APPROVALTO COVER-GUNITE "� ' 7.. Footings 49. Electrical Conduit-Undr m�' '' • L' - 3/b -�SZ 8.- Foundation . _ '• 50. Gas Pipe, ❑ Undr rn, Test ' �FS 9. Water Pipe-Undrg?n. 51 . Backwash Lines P-Tra ❑ ndr rn � 10. Structural,Floor System. ' .52. APPROVAL TO DECK C 11.. Froperty Sewer.Line.& House Connection.�_._ _ " � 53. Backwash & Rece tor-Final ' - � 12. -Street $ewer C,onnection _ - � - � '� • - 54. Heater &-Vent-Final � � 13._ Rough Plumbing,-' - -- - " � - - . - 6 _� 14. Rough ElectrioConduit - - - 56. Electrical-Final � 15. Rough Electric-Wiring � 57: Solar System-Final � ' � � - 16: Rough Heatin & Air Conditioning • � � � . � encing & Access Approval 17. Ducts in Structure� - -� �� APPROVED FOR PLASTERING 16. Ducts, Ventilating - } � - � ` - - - - � ' 19. Gas Pipe-Rough &Test• � - ' -- 60. POOL/SPA SYSTEMS FINA� 20.- Roof Framing � � . - - - = - - � - � � � 21: Roof Sheathin - - � --- - � - - � . : ' ' 22: Frame and Flashin - • - - - � � - . . . NOTES: _ � . . � � . • � � � ' � 23. � Insulation � • • � ' '. . - 24. Lathing & Siding � - -� - ' - � - - � - � - - -� � - � " 25. Drywall Nailing - • � - � - " - ' 26. Plaster Brown Coat ' - - � ' - - � �� ' ' " 27. Electrical Power Meter-Final - � - � ' � 28. � Final Electric - - - - - - - � � � ' -29P • Final Heating & Air Conditionin9 - � - - -- - � -- - � � ' - � 30". Final Gas Pipe-Test - - - - - � � � 31. Final�Plumbing � �' " � � 32: -Water Service•Final - � - � � � 33. Gas Service-Final - - - - ; 34. Solar pomestic�Final • ' � - 35. Landsca e S rinklin S stem ' � � � ' ' � � � 36. Sound Attenuation � - � - ' � ' 37. Handicap Regulations - - - - - � � • ` ' 38. FINAL STRUCTURE & BUI LDING -- 39. Special Requirements Completed" ' 40. Electric Release to Edison • 41. Gas Reiease to Souihern Califomia Gas Co. 42. CERTIFICATEOFOCCUPANCY - • No.__ Date � " �1 , F � W O. Q y H �.' F C � F� \ � ¢ > r a x w a � � a Z W S 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX1200 COSTAMESA,CALIFORNIA92fi26 For Applicant [o Fill in Completely — Use Ink Only ADIDRE55 3468 Wi.mbledon Way TENANT�R Wimbledon ASSOC. ADDREss 1470 Jamboree Rd c�rv Newport Beach �n,Edc`40-6800 CLOE DER�ION Imperial Savings & Loan BRANCH Pasadena ADDRE55 ()1 S. Lake Ave. ARCHITECT _ . , ,__ _ , , TEL_ _ _ __ _ CONTRACTOR McLain Dev. Co. ADDRESS 1470 Jamboree Rd TEL. ciTv Newport Beach No640-6800 uc No. 273875 ucYNo. 18873 SIZE NO.OF BLOGS. OF LOT NOW ON LOT O Separate permits are required for electric, pWmbing and heating work. UILOING AND WORK TO BE PERFORMEO PRD - new Construction Single-family dwelling I hareby acknowletl8e thet I have reetl this application enA stata that the above informatlon is correct end a8ree to comply with all laws reBulatinp builtling conrtruetion, end I shall not employ any persan in viOlaSion of the workmen's compensation laws of the State ot California. I hereby cartify that 1 em proparly licansetl as a conttactor untler the Siate ot Galifornia Businesa antl Protessions Cotle, Division 3, Chapier 9, and that such lieenses are in full force and effect, or 1 am exampt trom tha provisions ot the Stata of Cal' ornia Business antl Professions Cotle, Division 3, Chapt 9. � Signat�re of Permlttee or Authorizetl ABent Date 6121 I/21/81 232.35 TL' APPLICA'f10N FOR STRUCTURAL PERMIT • RECEIVE V PERMIT �0 � ^ ^ � ^ �/ J A.P. No. -� /�- o �a -�ss BUI LDI NG ADDRE55 3468 W�F41�12G1Oi3 W3�� UNIT OR SPACE NO. TR.NO. LOT B 10��s aa NEW AOD ALTER REPAIR MOVING DEMO OWNER use PRD APPROVED APPROVEDSETBACKS PLANNING ACTION DATE VALUE m � 'a / �!G! SQ. FT. � ``°`+ J THE AMOUNTSH N UNDER VALUATION IS FOR Cl THE PURPOSE OF ABLISHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE $ q / PLAN CHECK E ^� 0 LL $/ q 3� TAx E f l� f u TOTALPAID E � �jl� OWENSCORNING 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: ��%/o � �1%, rn�al��n GP,c� �-��1 /0�75' `� Street � Lot Number hact Number Exterior Walis � ., Owens-Corning Fiberglas Blanket Insulation �/J /% . . Thickness R-Value Ceilings „ /y Owens-Corning Fiberglas Blanket Insulation � TFiickness 'R-Value Floors Owens-Corning Fiber las Blanket Insulation � Thickness F-Value Foundation Walls - Manufacturer Type � Thickness R-Vali General Contractor License No. By ', T/i�tle -�— Date is�g�a%�/..� A�.,� �1f9ii f_��( O.E//.Ik � /� Insulati ontractor_ ,� �� ) .I License No.,_ / By �li��2�.¢�aJ'�-" Title t1J- Date��`()/-�/ r �5 na�ure) Homeowner Copy (White) � State Copy (Yellow) Builder Copy (Pink) . OWENS-CORNING FIBERGLAS CORP. Insulation Opereting Division a�c No I6�BLfi995�A ��no �� us.n., dwv isn Fiberglas Tower, Toledo, Ohio 43659