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Home My WebLink About3482 WIMBLEDON WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • wvrw.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3482 WIMBLEDON WY Suite: Vicinity: Parcel Number: 41204310 Applicant: SELL ROOFING COMPANY Address: 17072 ROSEBUD YORBA LINDA , CA owner: NEIGHBORS, JAMES MILNE Address 3482 WIMBLEDON WAY COSTA MESA, CA Contraaor. SELL ROOFING COMPANY Address: 17072 ROSEBUD YORBA LINDA , CA Zip: 92686 Arch : Address: Zoning: R1 R1 Phone: (774) 9933328 2ip: 92686 Phone: Zip: 92626 Phone: (714)993-3328 License: 323842 Eng: Address: Phone: Status: ISSUED Applied: 11 /22/2000 Issued: 11/22/2000 ISSUED BY: �/d'l � Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF WOOD SHAKE INSTALL 1/2"OSB AND INSTALL EAGLE TILE 5.7PSF ICBO# 4660. Plan Check: $0.00 Permit: $167.25 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 Existiny: o NOTES: Rear 0- 0 Rear 0- 0 Reauired: 0 FEE SUMMARY PLANNING & ZONING left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 $s,soo.00 sa,soo.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) �� EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permi�. FOR INSPECTIONS CALL: (714) 7545626 2d46d6 (N00) WORKP.qS' COMPENSATION DECLAHATION: _ � I hereby affirm under penalry ot perjury one of the followin9 declarations: 1 ❑ I heve end will maintain a certiticate of consent to selt-Insure for workers' compensetion, as provided for 6y section 3700 of the Labor Code, for the peAortnence oi Ihe work for which t�is Dermit is issued. I have end will m intain workers' compen n insuran as required by sectlon 3700 0l the Lebor Code, for the pertortnance oi Ihe work for which Nis pe�mit i5 issued. y workere�uranc rner end poli number are: �U�O (% S�� Cartier. Policy Number: (This section need not be completed i/ the permit is velued a! one hunOred dollars ($100) or less.) ❑ I certify thet in the pedormance ot the work for w�ich this pertnit is issued, I shall not employ eny person in eny manner so as to become subject to lhe workers' compansetion laws of Californi tl egree that If`1 hould b/ep/pme subjact to Ihe workers' compensation provislons ot Secllon" 37�00 ot tha Labor Cotle, I shell forthwith com � eseprovisions. � i�7"✓l�I � �Data: ) � / —/'�� Ap ' m Signatur : AR INO: F E TO SECLIRE WORKERS' COMPENSATION CAVERAGE IS UNIAWFUL AND SHALL SU&IECT AN E TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED D OOLLARE (f100,000). IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IIJrEREST, AND ATTORNE`fS FEES. 'ORS DECLARATION: licensed under provisio Chapter 9(commencing with Section 7000) o Business end Prolessions Cotle, ana my license is In full qa x C�-7J9 �e: /o — 3 — o z BONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm that there is a construction lentling agency for the peAormance oi �he work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lenders Address: Signature: Da�e: OWNEH-BUILDER DECLARATIONS: I hereby affirtn thet under penalry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Proteuions Cotle: Any city or Counry which requires a permit to Construct, alter, improve, demolish, or repair any structure, prior to iIs issuance, elso requires the applicant tor such pertnit to file a signed statement that ha or she is licensetl pureuant to ihe provisions of �he Contrectors License Law (C�apter 9(commencing with Seclion 7000) of Divislon 3 of ihe Business antl Pmfessions Code) or that �e or she is eaempt therefrom antl the basis for the allegetl exemption. Any violatlon oi Section 7031.5 by any epplicent tor e permit subjecis the applicant to a civil penalry of not more ihan five hundred dollars ($S00).): ❑ I, es owner ot Ihe properry, or my employees with weges es iheir sole compensetion, WILL DO THE WORK, and Ihe sWcture Is not intendetl or o%eretl tor sele (Sec. 7044, Business antl Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himseli or herself or ihrough his or her own employees, provitletl that such improvements are not intentletl or ottered tor sale. If, however, the 6uiltling or improvement is sold within ona year of comp�etion, ihe ownerbuilder will have ihe burden of proving ihat he or she did not build or improve tor purpose ot sale.). ❑ I, es owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business and Professions Code: The conirectors License Law doas not epply to en owner oi property who �uiltls or improves thereon, antl who contracts tor such project with a contrector(s) license pursuant to ihe Contractors License Lews.). ❑ I am exemp� untler sec. Business and Profession5 Code for thi5 reason: SignaWre: Date: Owner ID veniied by drivers license. ❑ Ves ❑ No Dnvels License No. Verification of Ownership by (type of document, i.e. � pmparty tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify iha� no excava�ion tive (5) or more teat in depih into which a person Is required to descend, will be made in connection with work authorized by this permit, entl thel no builtling stmcture, sca%olding, talsework, or demolition or dismantlinq �hereof, will be more than thirty-six (36) feet �igh. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Calitornia Administretive Cotle). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit irom ihe Division of Indusinal Safety, as notetl above, unless suc� person hes e permit to tlo such work irom the division. Signature: Date: Division ot Indusinal Safery Pertnit Number. CERTIFICATE OF COMPLIANCE AND AUiHORIZATON OF ENiAY: I certiry under penalty of perjury that I have reatl this applicetion and state that the information given is I correct I agree to coypfy wi�h all s�ja laws and ciry ortlinances relating to building constmction, antl aNhorize representetives of Ihe Ci�y of Cos�a Mesa to enter upon ihe above-described gdp�r(y for inspe }QIo' ng�oses. I egree not to occupy or allow occupancy ot eny building authorized by ihis permit until finel inspection. COUE t. INSPECTIONTYiE 1616 Fixetl System Final Pire Prevention 1266 Pool Spe Final 200 Finel Re-Roof 201 Finel BIocWRetaining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition �:I. / : � _r CODE� INSFECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final EIecMCal 212 Finel Fire Prevention 220 Finai Planning Approval 222 Final Site 250 Final Building/Occupancy PAIE It�Lfl F � a Q � � �� F� G L[l F Q ci � > N .� � w a 0 � a z W 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only nooaes"s 3482 Wimbledon Way T� NANT�R Wimbledon �iSSOC. ADDRE 5 l.i%� Jamboree RCI ciTv Newport Beach n�,o.`'640-680 cor,sraucrioN Imperial Savinqs & Loan 1 LNlIFF BRANCH Pasadena ADORESS 6]. S. Lake liV2. ARCHITECT Corbin/Yamafuji Te�.549-712 OR ENGINEER NO. 17992 Mitchel So.,Irvine ADDRESS CONTFACTORMCLd1R DeV. Co. ADDRESS 14%0 Jamboree RCI cirv Newport Beach rTio`.b40-6800 �IC.No. 273875 LICYNO. �.HH%3 SI2E NO.OF BLDGS. OF LOT NOW ON LOT � USE Of Separate permits are required for electric, plumbing and heating work: PRD New Construction I hereby acknowletlge that I have reatl this application antl state that the above informatlOn is cOrrect and egrBe to cOmply wlth all laws reg�lating builtlin8 consttuction, antl I shall not employ any person in violatlon of the workman's compensation laws of the State of California. I hereby cartify xhat I am properly licensetl as a conttacior under the State of California Business antl Professions Code, Division 3, Chaptar 9, antl that such licenses ere in full force and effect, or I am exempt from the Orovisions ot th S te o alifornia Business and Professians Cotle, D' sion 3, C 9. Signature of Permittee or y� Authorizetl Agent Date �� ' VVHs IIC�(VI _CQJIUU I'y 6aea ii2liei V 2e9�ei TL� APPLICATION FOR"STRUCTURAL PERMIT -' "' "' RECEIVE V PERMIT N� 4'7766 A.P.No. ;�:- oy�- ss BUIIDING ADDRE55 VNIT OR SPACE NO. TR.NO. LOT BLK. NEW ADD ALTER �REPAIR MOVING OEMOLISH OWNER Wi.mbledon �iSSOC. VALUE USE pRil S ED //'� DATE l /Zp �O 1 APPROVEDSETBACKS (FROM Cl�S2f)P FRONT �' FT. F. SIOE � FT. L. SIDE I� I� FT. REAF{ /� �� FT. PLANNING ACTION � � �C�l �� APPROVED l V\' av r.�xo —� tiOLD FOR SPl P � i ^/J v US� D V SQ. FT. N THE AMOUNT S OWN UNDER VALUATION IS FOR m � THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: � � VALUATION PERMIT FEE $ N � m �• PLAN CHECK $ o � 5 9�� 3 TAX $ .� � � u TOTALPAID E � OYVENS•CORNING Fiberglas �lankef 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: / / ��/,i' � v�/ l •'ti�/fliGil I,r✓t/ # :� l� /C/�% �S � Street `lot Number Tract Number , :rior Walls �/ v � Owens-Corning Fiberglas Blanket Insulation � Thickness R-Value Ceilings ,� �, Owens-Coming Fiberglas Blanket Insulation � � f Thickness R-Value Floors Owens-Corning Fiberqlas Blanket Insulation Thickness R-Value Foundation Walls Manufacturer Type Thickness R-Value General Contracto License No. By Title _ Date (Slgnaturel7 ��u��-�- �� , Insulat' nV tor ��-�p�!�+' /��%+-License No. i / By— Title �� DateS��/a/�'F/ (Si9^aWre� Homeowner Copy (White)� � � . � � . State Copy (Yellow) Builder Copy (Pink) � OWENS-CORNING FIBERGLAS CORP. Insulation Operating Division PuO. No. t6�BL-699iA wno �� us.n.. ��iy �sn � Fiberglas Tower, Toletlo, Ohio a3659