HomeMy WebLinkAbout3472 WIMBLEDON WAY - Building Permits��
(714) 754-5273 • Fax (714) 754-4856 • vrvrx.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 3472 WIMBLEDON WY
Suite:
Viciniry:
Parcel Number: 41204315
npplicant: RON SELL
Address:
owner. AYCOCK, THOMAS B
Address 3472 WIMBLEDON WAY
COSTA MESA, CA
Contractor: SELL ROOFING COMPANY
Address: 18032 LEMON
YORBA LINDA , CA
Zip: 92686
Arch :
Address
Zoning:
Phone: 714-528-1758
Zip:
Phone:
Zip: 92626
Phone: (714)528-1758
License: 323842
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: it/07/2001
Issued: 11/07/2001
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
� T/OFF, SHEATH AND REROOF 2800SF RESIDENCE W/LT WT (5.8PSF MAX WT) CDERLITE ROOFING, IC8032656.
SMOKE DETECTORS REQ PER97UBC.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$16725
$0.89
$0.00
$0.00
$0.00
$168.14
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0. 0
PARKING EX�stinq: o
NOTES:
Rear 0-0
Rear 0. 0
Reouired: 0
FEESUMMARY
PLANNING 8 ZONING
Left 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
�
$8,900.00
sa,soo.00
NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRA710N: Thls permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor �he work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetlona and finel epprovel must be obtained. Failure �o obtain inspections and final approval will resuN in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2a4&a816�00)
WORKERS' COMPENSATION DECLARATION: . '
I hereby eftirtn under penalry of perjury one ot the tollowing tleclarations:
❑ I heve end will melntain a certificate oi consent to self-Insure for workers' compensation, as Drovidatl for by section 3700 oi the Lebor Code, for the peAortnance of the
work for which this pertnii Is issuetl.
❑ I have end will malntain workers' compense insurance, as required by sectlon 3700 0l the Labor Cotle, for Ne peAortnance of tha work for which th�l4 p��epp�� It is iswed.
My workers' n tlon In`pOP6nca ca entl policy number ere: / � 0� ! e �C (J
Carrier: �o J �� 1
A' Policy Number:
one
or IesS.J
❑ I certify thet in the pertortnance of Ihe work for which this rmit is'ssued, 1 shall not employ any person in any manner so es to become suh�ect to tha workere'
wmpensatlon laws of Celitomia, end e t t ii I sho baco sublect to Ihe workers' mpensation provislons of Sadlon 3700 of the Le� r Cotle, I shall forthwlth
comply wlih these prOvi5ion9. �1� /�� �
Applicant SlgnaNre: i�!/l Date: " ( — /
�� WARNINO: FAILURE TO SECURE WORKER$' CdAPENSFTION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE NUNDRED
TilIX15AND DOLLARE (5100,0OO�.IN ADORION TO THE COST OF G17MPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 31O60F THE LABOR CODE, IMEREST, AND ATTORNEVS FEES.
LICENSED CONTRACTORS DECLARATION:
I hareb eHirtn ihat I am licensed undor mvislons of Cha t r g.(commencin with Sectlo/n� 00) of Oivislon 3 of the eusiness and P,jolessio^� entl m Ilcense is in full
force and etfecL Lic. e �� 8 ! Cless A Ci � 7� Y �
� Contracbfs Signature: �ate: � — � ^ � _ /
CONS7FUCTION LENDING AGENCY:
❑ I hereby eHirtn t�et there is a construqion lending agency for Ihe peAormance ol �he work br w�ich �his permil is issued. (Sec. 3097, Civil Code).
Lentler's Neme: Lender's Atldress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I heraby ettlrtn that under penalry of perjury that I em E%EMPT FPOM TME CONTRAC70RS LICENSE LAW for Ne following reason (Sec. 7037.5, Buslneu end Professions
Gotle: Any ciry or wunry which requires e parmit m construd, alter, improve, tlemolis�, or repair any structure, prior to its issuance, also requires the applicant lor such pertnit
to flle a signed stetement thet he or she is Ilcensed pursuant to lhe provislons ot tha Coniractors License Lew (Chepter 9(commencing with Sectlon 7000) ot Dlvision 3 0l the
Business end Pmfessions Catle) or thet he or she is exempt therefmm and the besis lor t�e elleged ezemption. Any violation of Section 7031.5 6y eny eDP����t for e pem+t
sub�ecis the epplicant to a clvll penelry of not more Ihan five hundred dollars ($500).):
❑ 1, as owner ot Iha properry, or my employees with wages as their sole compensation, WILL DO TF1E WORK, antl the structure is not Inlended or oMered for sale (Sec.
7044, Business end Professions Coda: Tha Coniractors License Law tloes not apP�Y �o en owner of property who builds or improves ihereon, end who tloes such work
himseN or herself or through his or �er own employees, provided that such Improvements are not Intended or ottered lor sale. If, however, the Duiltling or Improvement is
sold within one year ol completion, the owner-builtler will have the burden ot praving ihai he or she did not build or improve tor purpose oi sele.).
❑ I, a5 ownet oi the properry, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct tha pmject (Sec. 7044, Business antl Professions
Code: The contractors License Lew does not epply to an owner ol proparty who bullds or Improves ihereon, and who coniracts for such project wlth e contrector(s)
license pursuant to �he Comrectors License Lews.).
❑ I em exempt undor sec.
Signature:
Business and Professions Cotla for Ihis reeson:
Owner ID verified Dy tlnver's license. ❑ Yes ❑ No Drlvels License No.
Vetlficetion ol Ownership by (type ot document, i.e. - pmperty ta< bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N:
Date:
Expiras:
❑ I hereby ceNfy thet no excevetion tive (5) or more feet in depth into which a person is required to descend, will be made in conneciian wit� work euihorized by this
permi6 and that no building siructure, scattolding, falsework, or demolition or tlismantling ihereoi, will be more then ihirty-sia (36) fee� high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Callfomia Administrative Cotle).
❑ As owner-builder, I will not employ enyone to tlo work which would require e permit irom �he Division of Industnal Safery, as notetl ebove, unless such person hes a
pertnit to tlo such work irom Ihe tlivlsion.
SignaWre: Date:
Division of Intlustrial Salety Permit Number:
CER7IFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAY: I cerlify undar penalry of perjury that I have read this application and state that the infortneUon glven is I
correct I egree b comply wlih ell stete la nd city ordinences relating to building consimction, end authorize represemetives of the City of Gosta Mesa to enter upon the
above-descnbed property lor inspectio urpo es. I egr�ot t��py or allow occupency ol eny buildinq authonzed by this permit until Finel inspection.
CODE t. INSGECiIONTYPE
1616 Flaed System Finel Fire Prevention
1266 Pool Spe Finel
200 Final Re-Roo�
201 Final BIacWRelainlnq Well
202 Final Fectory Fire Placa
203 Final Sign
204 Final Demolition
2e� IMRIpLS
�-f�-if—� ���
COUE 1 INSPELTION TYFE
206 Flnal Mechanical
208 Finel Plumbing
210 Final Electrical
212 Finel Fire Prevantion
220 Flnal Plenning Approval
222 Final Site
250 Finel BuildingiOccupancy
aeie
AOP���anl lo fill in all soaees except tnose witnin heavy Doreer Ilnas anO sign all aDOropriate aeclaratlons.
CiTY oF COST,4 MESA�� G/�O�NSTRUCTION PER/Mi/I�1T ��Ir��
. Prolect Addres � `�"" �� .�N� '?' ✓�4 �.Nof-�L
�-Applic�t's Ma�l'ng Add e �� � y
Owner'sName %�Nrv%'4s� �!C�� PI{o�l .'�iZ-�'���//Jn
Address
Arch/En9. License No.
Address
Contrac[o.'s Nam Phone
Address (mailingl �
�—
City LicenSe No.
LICENSED CONTRACTOR DECLARATION
1 hereby a�(irm [hat I am licensetl untler provisiop5 of Charte� 9(commencin9
.with section ]000) of DlvisiOn 3 of the Business antl Profe551on5 Cotle, antl
my license is in full force antl eitect. �
License Clasz License No.
Date Signature
WORKERS'COMPENSATION DECLARATION
' I hereby affirm that I hav¢ a certiticale of consent to Sotl-insure or a certiflcate
�of Wo*kers' Compen5ation Insutance, ot a cert�fietl wpy i�e�eot (Seclbn
1800. Lab. C.) . " ' "-•
�olicy No. Company �
B Certifietl copy is h¢reby /umishetl.
i Cer[ifietl copy Iz filetl wfth ihe city Builtling Di��sion. -
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
�(This sectlon neetl no[ be completetl if tne permit is for ane huntlretl ($100) or
lessj.
1 certify that in the Oerformance of the work for �+hiGh thi5 pe�m�t ISlssuetl, I
shall�not employ any pe�son In any manne� as to bec e yibject to the
Wo! e1 T S�t� LdwS Of Cdll�q+� `i �
. Date $ignatu�e���� 'R'� .�
�NO ICE: If, a te� making this tl¢tlar on, y0u shoultl b8come'Subjec to the
Wo kers' Compensatlon 0/ovlsions of [he 12bor Cotle, you must fortitwith
compty with su[h provisions o� t�is De�mit shall be tl<¢m¢tl revoketl.
CONST0.UCTION LENDING AGENCV
I hereby a((irm that Ihere is a construction lentling a9ency for the performance
of ihe work tor whiGh (hi5 permit i5 issued (Seclion 3097'Civ. C.)
Lentler's Name �
Lentler's atlaress ,
OWNER BUILOER DECLARHTION '
I hereby affirm.that I am exempt fram tfie CanUac[or's' License Law for the
fnllnwino reaznn (Sectinn ]0315 Rusiness antl Prote55ional Cotle: Any cITy or
res a permi[ m consiruct, arter, nnv��ve, ueuiu
to ils issuance, also requires the apD���ant for
. to flie a signetl statement tnat ne/sne Is ucensea Pursuam io ene provuiuna u�.
the Coniraclor's License Law (Chapter 9(commencing wlth Section 7000) of
Division 3 of the Bu5ine55 antl Profe55ion5 Cotle) or [ha[ he/She is exempt
[herefrom antl lhe basis for the allegetl exempti0n. Any violation of Section
>031.5 by any applicant fOr a,permit subjects tM1e applicant to, a civil
enalty of not'more than five huntlretl tlollars (ESoo). �
J I, as owner of the property o� my employ¢es wi[h wd9¢5 as thel� sole
� mmp¢nsatiOn, will �Oo the work, antl the st�uctufe I5 not IntenEetl o� otteretl
fo� sale (Section ]044, Business antl Pro(e55io�a1 Cotle: The Con[racto�'s
licen5e Law Aoes nOt apply to an owne� of a proVe�ty wno builtl5 or improves
thereon, antl wno tloes suth work himselt/her5ell or [hrough his or h¢r own
em0loyee5, provitletl Ihal such imD�ov¢ments are not Intentletl o� offeretl for
sale. If, howeveq [hc Duiltling or improvement is soltl wlt�in ona'yoar ot com-
pletioq the owner will have the burtlen Of provitl9 h¢/She tlIC nOt builtl or Im-
prove for tne purpose ol salo). .
❑ I, as owner of the Droperry, am exclusively cont�acUnq with licensetl Con-
Iractors to wns[ruc[ lne Orojec[ (Section ]064, BNSine55 antl Protesslons Cotle:
. The ConUactor's License Law tloes not appty tu an owner of property who
builtls or improves thereon, antl who contratts tor Such projeGls wlth a con-
`tractor(s1 license pursuant ta the Contractor's Li�ense Law). I am aware that
� proof o( tM1eir Wo�ke�'S Compensation insuranc¢ shoultl be provitletl to me.
� L7 Pam exempt untler Se<tion � B. & P. C. f�r this reason
Date Owne�
in antl state that the above
tlty antl county ortlinances
and hereby authorize re0re-
�ve-mentionetl propeyty for
Orivers' License or 55 �
�-3—Ig2�12 �� -1e�-75 �I- 5 l I ��
TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHE���1 ?1O �O
DESCRIPTIONOFWORK/USEOFBLOG. — _
TYPEOFPEFiMIT LJGRAowc IrYFOurvDAriorv 12T5TaUCTVaaL
❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL .
❑ OTHER
PqOJECT DESCRIPTION 50. FT, oCCUPANCv
CONSTRUCTIONTVPE U^:–.� VALUATION$�
ZONE GRADINGCLLVDS. ACRES_
Remarks:
3ar Sink
3ackflow Preventer
3ackflow Irrigation
3athtubs
Clarifiers �
� IS�1 WdS�ICf
Jrinking Fountains
Floor Drains .
Floor Sinks
3asService Outlets
Interceptors
Kitchen Sink �
Lavatories
P-Trap
Roof Drains
I
Reinspection Fee $15
Boiler .
Duct - Under Gwund
Duci � S[ructurel
Duct-Ventilating �
Exhaust System ❑ Multiple ❑
Firepl/Fact BIL IC80 #
Heating System & Ducting
❑ ai oo,00a aT� O i oo,000 eT
Reinspeaion Fee � $15
CMF 0865-46, rev. 30/84 White - Builtling; Canary - APOliwnt; Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
$ewer Cap '
Sewer Connection
Solar Collectors'
Solar Pipin9 '
Solar Tank �
Swimming Pool w/Spa
Urinal
Water Clout
Water Heater
Water Service
Auto-Wash
Issue Fe0
Hood or Typel ❑
Canopy Type II ❑
FEES
Re(rigeration Sys[em
❑aioo,000eTu ❑ioo,000eru
System Repair/Alteration
Registers
0
laue Fee � $ 3
A.P. � L} o{ �
S Main Building:
E
T Front
B Rear
A
C Right
K
g Left
Ping. Ref. �W —
Planninu Notes:
Automatic Washer
Coretruction Pole Su
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Eb
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �45 KW
• p�B2 4/�2/85
—'S 2one �
Accessory Building:'
�J
�
� .
' Parking Req./Provided
ELEC7RICAL '
Transformer ❑ 15-50 KW
❑ 50+KW
Meter �up to 100amps.
Meter ❑over 100amps •
Sub Panel' ' �
Motors 061 HP � 1'h - 8
Ina Solar �9-15 HP 016-15+
Microwave _.
Pole Light
Si9n
; Standing Sections
15 KW Trash Compactor
�ile�:.f` TL
FEES
Z
O
N
1
N
G
R
E
Q
M
T
S
1Reinspection Fee I$15 I I luue Fee I $ 3 I
DEVELOPMENTSERVICESREQUI{/�� MEN7)S: Q
2onin9 APProred By ^'r�/w� � Data Z- L
Building Approved 8y ' Date Z
APPlintion Issuad BY � �� Data 4
SUM ARV OF FEES
BUILDINGPERMIT $ � SMIP $ •5O
PLAN CHECK $ q ••�� PERMIT .
PLUMBING � $ ISSUANCE $
� PL4N CHECK 25% $ � ENERGY P.C. $
ELECTRICAL $ GRADING, $
� PLAN CHECK 50°.G $ MICROFILM $ '
MECHANICAL $ TOTALFEE $ 24 _4 .
PLAN CHECK 25% $ , � �
' CONSTRUCTION AND PLANNING - POOL � 3PA
APPROVALS Permit# Oate Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole ' 52. Pool. & Equipment Location
2. Soil Pipe-Undrgrnd. � � 53. Steel Reinforcement .
, 3. Electrical Conduit Utility-Undrgrnd. � �� 54. Forms � . �
- 4. Electrical Conduii-Undrgmd. 55. Electrical Bonding ,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - '
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � .
7. Footings eo ��✓ 3� 58. Electrical Conduit-Undrgrnd.
8. Foundation , 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor System r 61. APPROVAL TO DECK -
11.. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �
12. Sewer Cap '� 63. Heater & Vent-Final ' ' '
13. Roof Drains 64. Plum6ing System - Final ,�. .
14: Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit � 66. Solar System-Final
16. Rough Electric Wiring , 67. Fencing & Access Approval
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # .
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical
27. Frame and Flashing l+�j.� , 76. Dry Standpipe
28. Lathing & Siding , 77. PIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION �
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED '
33. Final Electric Notes:
34. Final Heating & Air Conditioning �� '.
35. Final Gas Pipe-Test � �
36. Hood or Canopy
37. Final Factory Fireplace .
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final �
41. Solar pomestic-Final - •
42. Backflow Preventer �• � �
43. Backflow Irrigation � �
44. Landscape Irrigation System
45. Sound Attenuation '
46. Handicap Regulations '
47. FINALSTRUCTURE&BUILDING � 9 ,� • _
48. Special Requirements Completed
49. Electric Release to Edison � ' �-
50. Gas Release to Southem California Gas Co ' � ' '
,51. CERTIFICATE OF OCCUPANCV � - - - . - � -
No. Date �
� ..
�
� .
�
N
6
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��
� � .,
o� !;
�. r.. ��-Lol
: '' � s `��
Ci sta Mesa Bui!d�r� C-, 1.
�1' " TE.��� �3�✓
THESE PUN5 MUST BE C:! JOB A� TIMcS �
MAKE NO CHANGES WITHOUT PRIOR APPRJVAC;
Of DEPf.
THE I::Uf S�"c C:2 CRA�TIS� C= A PC?v.f C t l: �"0'JkL
OF PLH�S !.':D L'FLG;:CFTICNS SH?LL P�� f: C..':�7ROEp
TO 6E A{'C;VI? f�R. CR FP: !f"fiC'f. L C, ;':'! C:�1�iIC�.�
OF A�Y CF iHC fSC'JI.:�::� C- T°G C:L-. t J f=^,dR PHE.
SI&ViINC TO C1YE FUiHCR:TY TJ A'i0!A?`c G2 GY�E! THE
PROVI£:C\S CF 7Hi'> CG�: °HFLL BE 1':C:, IX=L°f IN $0
FARlS 1;,E HUhR Or2 L'SF 4t�:i�4 IfA:,ld:1:':2_:: 1; tA'nFlIL
7!'E IL£;nYL'E G ii f�fiV1T E�::.J l?:'I FW4S AND
SPECI�;CA?.C:�S S��kLL �u! ffiCVCCf iN"e C.;:! 9IA; OfFIC��C
FROM TFESQ.iT:B FE:Juldl45 7HE CC'RE�TI�)1 C' CRROdS
IN SAID ftR2:S !A� S�"ECI(IC.�P,�::: : 2 f.',�'d ARC%EN1iNC
BUILDIRC CF'E„'.T:Crfi Btl!CG C^R4:EJ CI THEREUND62 WHEi
1N VICLi,•;'•,Uf lY'3 CCL'E C�7 CF F:'d'f OiHEi OF,Jih;idf.`
9FTNE .
� i � • ,,,..�
STRUCTUSAI APPROVAL ONLY
SEPARATE PEflMITS ARE REQUIRED
f0(� i!.E�:TP!C,AL. PLUMBING,
ti�!>"i�:!i; tIt`:�;Z!I' �NG ^ ��
`?i.�!�.i':ar.fu,, WURK
�
E%=, �TM.^- : `E.�.T�P2�Z � i
f Tfi :i i
� ��' i
' 4I;�'i,i; :"y �j
�%}`;. c'.i �'�.' s '�
.. . _.__L_.�--�._'- �
�..__—._„^,_�-�... _•�t.,: '�i'sL'i`�e !:i'f: iii M1[ i
Fu't �J u. :.-.
t' ���t�sG. ,, , �,:p: ::it :;"If i�F �
CKIIrOh:rle; uv:olu�a OF I,Vuti:�RlAi 54iEfY� 1
Bf CONSULTED FOF FCDITIO?�Al
fiE�(IIFEMiNiS.
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PATIO COVER DETAIL - 12/9/81 - NOT TO BE WSED FOR SUNDECK, fTC.
O�VERHAN6
I 7_'- ( 7
2
�
I
z
1
w �Z �� p,..
Z �STATE-�--��_,r,
� SIZE $PACING SPAN
.RAFTERS: 2��4� = � '� I�-�
FOR DRAIN Min. 1/4
_ .t.� SLOPED
4� %
`BEAM
Z"•
STAYE SIZE
3�16 %2"•T-ST
POST-BEAM
CONNECTION
� � S�Laqe 32°k —�
Predrill Ledper �� �
Pradrlll E4stinp y�-3Deap �
JOIST MANGER—�
Or ol�er approved met
of �uppu�t ♦ tis.
AL L L UMBEN OOUGL AS f/R
CONSTRUCTION GpADE FOR
TABLEN0.1
q1�20R BETTER FOR TABLE N0.2
4—VOST
.L��J -p •
SHOW SIZE SMOW SPACING �
SHOW LOCATION ON REVERSE SIDE, .
DROP PATIO I
�-- S�OPE TO DRAIN— 2"maz•@door
.� . •. � •'3 ' � THICN SLAB °��'.
�'' '� � PUDD�ED SAND FILL
..
�� Remove G.on An0 Weedt Down To Natural GroAe
12� � '
' CONCRETE MI% 1�3:4 MA%IMUM WATER CONTENT
POST ANCHOR �I���..�'� 7t GALLONS PER SACK CEMENT.
For Pip� Posl, EmDeA r�Z� P�ovide 26 Ga G.I. FlosAinq At Wood floor Coi
Pipe in Footinq to within 3" of Bottom, e�d
?roride datail of Flarga or Weld Plate Screwed or Bolted to Frame.
NTINUOUS
LEDGER
TYPICAL JOIST ANCHOR
NOTE � USE REVERSE SIDE FOR PLOT PLAN.
No. 1 No. 2
UBC STD. TABLE UBC STD. TABL[
25-21 J•6 25•21-R-1
Fo� open egg crete alumi- For folid sheathing.
num or plartic roof . Shin�le� or built up
covering. roofup.
MAXIMUMSPAN SIZE SPACING MAXIMUMSPAN
17' 2" 2•• x 6^ � 12 O.C. 12• 0'•
15• 7,• 2•• x 6" @ 16 o.c. 10• 5••
13• 8•• 2., x 6" @ 24 o.c. B• 6,•
10' 11•• 2•• x 4" @ 12 o.c. -
9' .71•• 2•• x 4" @ 16 o.c. _.
8• 8,• 2•• x 4" � 24 o.c. -
NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO WALLS
ARE TO BE BUILT. USE N0.2 CHART ONLY.
�. FOR PROPOSED OR FUTURE ROOM OH WMERE PATIO VIIALLS
ARE TO BE BUILT SUBMIT COMPLETE HOUSE AND AODITION
� PLANS FOR APPROVAL.
COSTA MESA BUILDING OEPT.
77 FAIR DRIVE
I N S P E CT I O N S: 7 54-5627
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6086 I/21�81 289.81 TU
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR SYRUCTURAL PERMIT
P.O.BOX1200 COSTAMESA,CALIFORNIA92626
RECEI VED BfY PERMIT . .,, ' . _ _ ,. _
For Applicant to Fill in Completely — Use Ink
BUIIDING
OWNEROR Wimbledon Assoc.
TENANT
MAILING 14']� Jamboree RCI
ADDRESS
CITY Newport Beach No'-6�0-680
cor�sraucrionrjmperial Savings & Loan
BRANCH
AODRE55
ARCHITECT Corbin/Yamafuji No�549-712
OR ENGINEEi±
ADDRESS 17992 Mitchell SO.� Irvine
CONTRACTOF MCLaln Dev. CO.
ADDRE55 1470 Jamboree Rd
arr Newport Beach No�'640-680
LC NO. 273875 LICYNO. 1HH%3
SIZE INO.OFBLDGS. Q
OF l0T NOW ON LOT
USE OF
EXISfING BLDG.
Separate permi[s are required for
electric, plumbing and hea[ing work:
USE OF BUILDING AND WORK TO BE PERFORMED
e-familv dwelli
I hereby acknowletlpe xhet � have reed this epplication end zteta
thet the abova intormation is corract entl agree to comply with
all laws regulating builtling construction, entl I shall noi employ
any permn in violation of tha workmen's compensailon laws ot
tha State of California.
I hereby certify thet I am pro0erly licensatl as a eontrecior untler
the Stata of Californie Business ond Professione Code, Oivision 3,
Chapier 9, antl that such licenses are in tull force antl ettact, or I
am exempt from tha provlsions of the $ta[e of Californla Business
and Protessions Cotle, D�' JIsion 3, C Pxer 9.
Signatura of J'/�O�f�
Permittee
or �
Auiho�izetl Agent Date
A.P. NO. /y.���
BUILDING 3472
ADDRE55
UNITOR S�
SPACE NO.
TR.NO. LOT
10275
NEW ADD LTER
X
Wimbl
OWNE0.
use PRD
ZONE POiL-� TY
APPROVED ,
ev
APPROVEDSETBACKS
PLANNING ACTION
.• �
VALUATION
$9Z 3Zv
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edon Wav
BLK.
MOVING DEMOLISH
AssoC
VALUE �
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��o,,,�P R— 3
DATE
P
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6 �
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UNDER VALUATION IS FOR m
"ABLISHING A PERMIT FEE ONLV: �
PERMIT FEE $ 3 �� v
� m
�PI.AN CHECK E m
0
TAX S f
�y u
TOTALPAID E �I G�I. Y
OWENS-CORNING
Fiberglas
Blanket Insulation
The contractoe 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: /
�y'%� /,!/,m�����1n„ �%a,v � 5/ //%�.�s
J Street Lot Number � Tract Number
Exterior Walls
Owens-Corning Fiberglas Blanket Insulation
Ceilings
Owens-Corning Fiberqlas Blanket Insulation
Floors
Owens-Corning Fiberglas Blanket Insulation
Foundation Walls
Manufacturer Type
General Contracto
�� �� /�
Thickness R-Value
� " /�
�
Thickness R-Value
Thickness R-Value
Thickness R-Value
_ License No.
By Title Date
(S1gneWre� n
Insulati ontr tor�����������Y�n ' _,�/./�lJ//l�/h��.License No. ��
By_ �sf�dC.-d� Title • ��� Date��/�/Y'/
� gnamre� /
HomeownerCopy(White) � �
State Copy (Yellow)
Builder Copy (Pink)
Pu�. No. tfi-8��699SA LitM10 in U.S.A.. July 19]p
OWENS-CORNING FIBERGLAS CORP.
Insulation Operating Division
Fiberglas Tower, Toledo, Ohio 43659