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Home My WebLink About3484 WIMBLEDON WAY - Building Permits0 J . , CITY OF COSTA MESA (/�yTpMF'r , BI/ILDING D/VISION >y � y77 FAIR DRIVE, COSTq MESA, CA 92626 • Q74) 754-5273 • Fax (714) 754-4856 • �wiw.costamesaca.qov �. � FOR INSPECTIONS CA�L: (714) 754-5626 �'""°"'^`°�' PERMIT NUMBER: M11-00123 PERMIT TYPE MECH P;PN: 41204309 JOB ADDRESS: 3484 WIMBLEDON WY CM Vicinity: � � SQ. FT: 0 STATUS: ISSUED DATE ISSUED: 11/09I2011 ISSUED BY: KJB Suite/Unit: SCOPE OF WORK: REPLACE DUC7 WORK. NO OTHER WORK AUTHORIZED BY 7HIS PERMIT. OWNER: GILBERT, SHIRLEY Address: 3484 WIMBLEDON WY Unit: PHONE: 7'14-8523614 �� _- City/State/Zip: COSTA MESA, CA APPLICANT: SCHNIERER, STEVEN �� Address: Unit PHONE: 951-241-6876 � Ciry/State/uip: CONTRACTOR: SERVICE CHAMPIONS Address: 22971 SAVI RANCH PKWYUnit: City/State: YORBA LINDA, CA ZipCode: 92887 i" ,�,.. MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $37.20 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: $0.00 TOTAL FEES: $37.20 c,. License No. 799170 PHONE: 714-777-7777 CELL: 'NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related 'regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 160 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with ail applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiretion of this permit. COOE t. INSPEC110N iYPE OpTE IN1111AL5 Ci O�E � INSPECPON iYPE �� IN� i616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 final Fire Prevention 202 Final Faclory Fire Place 220 Final Planning Appmval 203 Final Sign _ 222 Final Site 204 Final Demolition _ 250 Final Builtling/Occupancy WORKERS' COMPENSATIO}1 DEC4qRqTION: I hereby aKrm under penalry of perjury one of the foilowing declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provitletl for by sgction 3700 of Ihe Labor Code, for ihe peAormance of the work for which thig permit is issued. I have and will maimain workers' wmpensation insurance, as required by ection 3700 of the Labor Cotle, for the performance of ihe vrork for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carriec lo�)e�c T.ns Co. (�' N� (ihis sMion need rrot ba mmpleted dt�e p¢rmif is valuetl at aie huMretl ddlers ($100i orless f PolicyNumber: �JCP(3C.IOZ$O\I ❑ I certify that in the pertormance of the work tor which this permit is issued, I shall nol employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that if I shoultl � become su6ject to the workers' compensalion provisions of Section 3700 of the�La�bor Code, I shall forthwith compiy wiM these provisions. �.�..i.�.t)y CA-�-ti 11I9I�� Appli�an�'s SignaW�e Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAVJFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLqRqTION: I hereby aKrm that I am licensed unqer pmvisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Pro(essions Gotle, and my license is in full force and effect. Lic. # i�19 �?O C�ass tt C7-0 G��- S/! � 1��4�r ConirectoYs Sigremre �ate ' CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn Ihat ihere is a constmction lending agency (or Ihe peAortnance of the vrork for which lhis pertnit is issued. (Sea 3097, Civil Code). Lenders Name: _ Lender's Address: SlgnaWre Date OWNER-BUILDER DECLARATION3: I hereby aKrm �hat under penalry of perjury that I am EXEMPT FROM TNE CONTRACTORS LICENSE LAW for �he (ollowing reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires ihe applicant for such permit to fle a signed statement that he or she is licensed pursuaht to Ihe provisions of ihe Conlractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or (hal he or she is exempt Iheretrom and the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant for a permil subjects the applicant ro a civil penalry o( not more Ihan fve hundred dollars ($500).): ❑ I, as owner of the pmperty, or my employees with wages as their sole compensation, WILL DO THE WOftK, and the structure is not intended or ofteretl for sale (Sec. 7044, Businesx and Professions Cotle: The Contractors License Law does not appty m an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided tha[ such improvements are not intended or offered for sale. If, however, the building or improvemeni is sold wilhin one year o( completion, the ownervbuilder will have ihe burden of proving Ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of the pmperty, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS lo construc[ the project (Sec. 7044, Business and Professions Code: The contractors License Law does not appy to an owner of property who builds or improves thereon, and who contracis for such projecl with a contracbr(s) license pursuant to the Contrdctors License Laws.). ❑ I am exempt under sec. Business and Pmfessions Code for Ihls reason: 305]-06 (3/0]) Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by (rype of document, i.@. - propetly taz bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no excavalion five (5) or more fee� in depth into which a person is required lo descend, will be matle in conneclion with work authorized by lhis pertnit, and that no buildin9 siructure, scaftolding, falsework, or demolition or dismantling thereof, will be more lhan thirty-six (36) feet high. (Chap. 32, Grp 2, AA 2, Sec. 341, Title 8. Cali(omia Adminislrative Code). ❑ As owner-builder, I will not employ anyone lo tlo work which would require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work from the division. Applicanfs SignaWre Oate Division ot Industrial Safery Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupant need to file antl ceAify a Business Plan for emergency response to release or threatenetl release of a hazardous ma�erial? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safery Code requires, with some exceptions, Ihat a Business Plan be filed with the Costa Mesa Fire Department by every 6usiness which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cu6ic feet of compressed gas at standard temperaWre antl pressure). 2. Does or vnll the applican( or present or future building occupant need to file a registralion form for acutety hazardous materials9 ❑ Yes ❑ No (Sec�ion 25533 of the Califomia Health and Safety Code, with some exceptions, requires registretion with �he Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal �o or greater ihan a weigh� of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl temperaNre antl pressure). 3. Does or will the applicant or present or tuture building occupant need to prepare an RMPP (Risk Management and Prevention Pmgram for awlely hazardous materials)? ❑ Yes ❑ No (Seclion 25534 of the California Healih and Safery Code provides ihat Ihe Cosla Mesa Fire Department may require the preparation, certifcation and filing with the Fire Department of an RMPP by businesses which are required to register awtely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code been (ully complied with? ❑ Yes ❑ No 5. Does or will �he applicant or presenl or future building occupani require for ihe work which is the subject of this application a permit for such construction or modi(cation from the South Coast Air Quality Management District or fmm any other air pollution control disMct or agency? ❑ Yes ❑ No (Sec�ion 658502 of the Califomia Govemment Cotle requires that Ihe requested infortnation be fumished on apPlications for non-residential building pertnits). 6. Will any part of ihe faciliry to be constmctetl under this permit be within 1000 feel (rom the ouler boundaries of a school? ❑ Yes ❑ No Qf "yes", ihe faciliry must meet Ihe requirement of Sections 25534 antl 42303 of the California Healih and Safety Code). 7. If a permit fmm the South Coast Air Quality Management District or other air polWtion control dislrict or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safery Code Section 42303 been matle? ❑ Yes ❑ No B. Q( "yes", anach certifcate of compliance fmm the appropriate air polWtion controi oKcer). CERTIFICATE OF COMPLIANCE: I certiry that under penalry of perjury ihe information given above is correcL I agree to compty with all state laws and city ordinances regarding Hazardous Materials and Emissions. . Signalure Uate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certiry under penalry o( perjury that I have read lhis application and sta[e [hat �he information given is correc�. I agree to comply wilh all state laws and city ordinances relating to building construction, and authorize representatives of ihe City of Costa Mesa to enter upon the above-described pmperty for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fnal inspection. SignatureotLegalOwner�s) Date ��xt2 ��-- +�� 9 � u MNorAUNorizeaApplican� . Oa�e Cliinn�r'Lonev 7 nu�13 - 7 }- � st,�: ,�nd� �,.�: Ccrtiticntrol�.ompli:wcc•.20{IhlCasidmuialflN�fC.9hcr�aEin�:r C7�-11:-Alif=i-IVAC / �� ll � �1 �� L'qf�n'ccmmu fJgenql': IhnC� l'ermir tlf: l,c J,.,I�D A �f , Q—�� I �,„�,.,,��„ �,,,, �-,,..,. - �. — o�� n i r �u�tt,,�' � �Tumuce AFUE CO)' �% � ❑ Seib:icl: � Servetl bY system udded re IU¢ / in ❑ Liduor Coil C1S ` O HSYF ' ;;! mc t�lio �e iSpuce i11 noi nbm<ir preseru, nm.n Lr .. . � ❑ Coi wg Unil L�k _ �❑ ]tesi;;lnuce . inamllc�L C1 . 1..� lt G lCZ 1. 5-S) . . . Lquipmuu 7�ppc Choosc Ihe cqwpmenl befnµ mslnlled; if mnre Ihan unt sycicni, uec anol6er CI�- I lt-AL'1�-h1 VAC im� eacli xysmni. � , �� . "L Minimm�i CquiP��eni liflicienme�. I? SEHI: 7E':I !�i'UC, 7.711SPF 1in lypicnl ieuidetlliel S\'StemS. ...�. . . .. .. . . . . . . .. . . . .. �Coutrsictor(Aucumencntiyii'Anthor's/Respousiblcllesi��ner'ti-lleclnrvCitinStat�ement) _ , ,_ _ -- . • I cerli(y �hal [his CertiGca�e of Compli,inec documen�aiion is accurale and eamplete. � - � - . � � . �. , . , � � . • I am eligible under pivisiou l�of �6e Califonu.i Husiness and. Professions Code «� ;�ccepi respousibiliiy Sor ihe d�si6ni idenliLed-mi [his � Cenificate oi Compliance, � � � � � � . � � - . ., . , . .. I cenify tha� the enerbry teamrec and per(i�rmmiee speciGcaiion:: for lhc cSesi�,ni identified on Ihic'Ceriif�ca�e of Complianee contorni tq 4he �- �-� � � requirements of'Title 24, Yen;i.l uiid G of the Calilorni;i Cade�ofRegulaGmic. � � ' - - . . �� .,. . . . . . ' �. The desigii fentures idenlitied on tlus CediLcate of ComPliamepm consisient with tlie informatimi documented on o�her applicuble�� ---� �� -- . .. .. . . .. . _ . . . . complianee ibrms, worlsYiFe,lc,.calculatiom, plans and specif�cntions suhmittedYtiYlic enforcemem-�gency (or upproval with th�,pertnb. ,. ... _ .... . _ . . .... .......... .... . .� , - - nonlicauon: . . � ._. . .. . .. . - . � Name: .. ...... . . . . . . .. . . . . . .Si�.mawr�t.... . �� .... .. . ... .. . . . . .. . . . .. �-� �- �.Compen�^ � , �..:.. -...�.-:.� : .._ . . .. ....... Late .. . . . . . . I� .. . ._.. . . .... . .....� . .. ._ ... � �Cv�CR L+�aM lOY1S . . . . . . � . .. , ...:11Iiq'1t . :. ....... .. . . Hddress:.. . . . .... ..:.... . .. _ _ . . _ . . .. .. . ...... . _. ... ..bicense: � . ZZ911 Sa�� o.x�c% 1�%�w � � .. 7Gq\'l0 .. . . . . . . .. CiN/State/Zip: YO�rbc� L�r�e�a-�-CA �288� ". .. . . .. Piione�. '214-`�i'7-'7ll'1 � . 200�`I kesidential Gompliance Fm�ms l✓m-e)r 3U)tl �...ici��v..�«✓,l��a.c:�Nt� �'F�c��Lvy�i� ,- . - • C'�1I��Ctl:�l'CJ�IIIZL' i�i�IT1=7L'L':TTERlILfi1J/SEr1L) 2(111� P�uiidiieh L'ner�;5� L�'f'ficicnc�� Standards,"te,videnti,Al ?31�AC AH:erztf.iun,ti �,` CIim�eCe Zunes ]�nd 3 tlit-ni��li 7 C'��—(, •_ �.as�i�,,�iF_s�� nt�srr»ss �Nn riior�ssrorv�� con�. s�cTion� �t:to Urillf'ul or deli6erate diaregard and violation nf the building Isiws, including N�c Caliii�rni�i Ruildin� Codu, and local permil requirr.ments constitutes a causc for disciplinary action fi�am the Contractm�ti Statc L.icense Bnard worldn;; in crnil��etipn willi the local buildino department. This aciion may cvnsisi of fines up tn 9�5,(100 per violation nr suspensionirr.vocation df;� conn�actor's licensc. � VdI3Tn' IS A 1'L�1LMI'1' RP,(IUII:Ell'? A written oonstruction pennil shall br; ohCainr.d fi�nm tli;: enforaement a�nnr.y prior tn the emctimt, coustruction, reconsn�uction, inatallatiou, rclocatim�, oi' aVCeration of an; me�hanic�l eystem, except ps pennitled.in HppendF: Chapfer I, Section I 12.:'. of thc 2007 Culifomi.� Mechenicul Code. Projects requiring permits include, bw ai•r. noi limitul ta. • New FTVAC installation � � • HVACChmi{;e�ut � . • Replacemen� of f'umuce, coil, PAU, or condeuxer . - Relaaation of an existin��; EiV AC unil � . . , . ._. . . . .._. �• Addiug�or replaci��g more. than-40fi elueting�ui unconditioned spacc 21111A RUILI>ING LN�ItGJ' �r�ICI�N.C]' S'PATII)AP1?S (Titic. 24, Purl (,1 RL'OUII�NLriTS II�CLTTI�I'� 1. Heating equipmeN must have a minimum 78%AFUE (Exception: WaII�K floor tiimaces; room heaters). � 2. Centtal air. conditioners & heat pumps.less than-6.i,000 Btu/hr must have a minimum 13 SEER. .'.- . - ;. IVewly instailed oi replaced ducts must have x minim�m ins�lacion value oClt-42: �� . A sefback rype.thermostat (24 hr.clocl: wi[h four set points) i; required fo� all al[erations. i. ive,w or replacemem ducts must meet the mandatory requirements of Section 150(m I' �• All ,joints and openings in the in thc; I-NAC system must br. sealed. ' • Only UL 1 S1, UL ISlli, or UL 1 F1R approved tanes or mastic shall he used to seal ducl openiligs. • Connections of inetals duets and the inner core of fle>: ducts shall'o� meenanicaliy ias[ened, Fle�: duets musl br, connected usino a rnetal slee.vJcouoline. ^ Fiex ducts tnat are susoended must be suonorted every 4ft. mn>: ior norizoncal nms with no more than �" of sag oe[ween suppotts and "o it. mar, ior venical runs. 6. Tne. CT-uR-NII:CII-04 must oe completed and sim�ect by the installin� conttactor. T�ne InsDecior Will co1{eCt this fomi and verify tnat the model numbers are the same as the insealled equipment. ! �� Pfl61ECT RODNESS: 3 Q$ Q WIMBLEDON WY '� uxiT: OWNEN'SNAME: MILLGR, KENNETH N � aooRess: MILLER DONNA M 3484 WfMBLEDON WAY � COSTA MESA,CA 92626 • FPCM/ENGINEFfl: TOGHIA CONSTR. ENG'G NEG.NO.:?SZ9'] ROOflE55: ZOOqZ $tjiC}i F11� UNIT: zlQ HB CA 92648-3702 PEHMITiEE: LOREN WATRINS ( 714 ) 841-2521 AODflESS: %$91 ELLIS 1 HUNTINGTON BEACH CA 92648 • UCENSEO CONTNALTOB OECIAflRTION: I �C�¢Gy aHirm I�al I am liren5etl u�er 0«ns al C 9(camme�ng wit� Sec�ion , 7000) ol Oivision 9 al I�¢ Business an0 Pmf¢ssions Cade. an0 my license is in full torce and ell ' aTruc.: 0560^37 sr uc.:6163: ° � cuss: IDate: _ � `� ^ 2 Signalur�_ . — _ WOPNEPS'C MPENSRTIONOEC NRTION: IherebyaHirmthatlhaveacenitiwteolconsenttosell-insureoracertiliwtealWarkers' Compensation Insurance. or a cenifietl coOY �hereof (Seclion 3800. Lab. C�. POLILY NO.: E%P. ORTE: COMPRNY: � Ce�ilie0 coDY is �ereqy Wmis�a!�] Cery�'y0 wpy�leO�rJ�ff�e ciry Buil��Divi ' n/ E%EMPf10N FNOM WONNg115' COMPENSATION OECNMTION: s s¢cbmfFtttl m(he canplelN i� Ne D�� is r hmMreA (5100) of less�. I certily ��at in ��e pedormance oi Ihe work lor which ��is per ' i5sue0K5haIl no� emplo�n o as �o8ecame � � su�lan ^to i�e Woders' C(a�mpensaption Laws oi Califomia. t�lM Oate: C/ y� } 1'�7 % Signat � �— — 1 NOTItE: It, al�er makinq t�is Geclaraiion, you shaultl become subject to t�e Workers Compensafion pmdsians ol the Lahor Coae. you must lonhwiln camply witA such pmvisions ar tNs oe�mit shall Oe aeemea revokee. CONSTflUtTION LENOING ACENCY: I �ereGy aflirm IAai IAere i5 a ton5irut�ion lentling aAe��Y �or the Oetlormante Oi �he work lOr whit� IOis p¢rmil is i55ueE (SetliOn 3097. Gv. C�. LENOEX: RUOflESS: OWNEfl BWLUFfl OELLRMTION: 1 �eROy allirm that I am evempt irom t�e fAnirattOR' State LicensE Law for ihe followinA reason �Seclion 7q71.5 Business antl Profe55iowl Coae: My dty ol county w�ich reQuires a permit Io wnsirucl, alter, improve. Eemolish, or re0aii any siructure. Wb� �o its iStuance. also repuires Ih¢ appGqnt lor 5ut� perrttit to file a 9B�ea statemenl 111a1 �USAe is litensetl pursuam io t�e O�ovivws ol I�e Cantracmrs' State Licenu Law �Ctupter 9(commenpnq vnt� Sectlon 7000) of Division J ol ihe Business an0 Pmles9ons fAEe� or tllat Ire/sne is eeempl t�ereltom anC I�e EaSR for I�e atle0� exemplian. My violatiql ot Setlion 7U91.5 by any appliWnl lor a Dermil wUjKts ihe applitant to a CiW Denalry oi I1ot rtqrt than lire �uMreO OolUrs (5500�. 1, as axner of ine D�oce�Y or my emGbyees wiN wapes as thtir sde compeittation, w01 Eo �he work, anU the ❑ svucmre is nol intenaea ar onerea lar sate ISec�ion 70a4, Busineu an0 Professional CoEe: T�e Contracmrs' Sute License Law Eoes nat apoH to an owner of a Oroperty wln �Wds ar improves rtrereon, aM wln Goes sucli vmrk Inmsellmersell or inroupn Ais ar 11er own employees. pmviGeE ItWI wc� im0�wemenis are not inten0e0 or otlere0 lar Sale. II, �owever Ue OuilOinp or imD�ovemenl 6 SaIE vnt�in one ylar of fArt�etqn. t�e owner will have Ilie Ourtlm of provinp he/5ha Ei0 nol DuiIG or improve lor Ine purpose af sale�. I, a5 Owner ol Ihe D�ODeriy, am e�Gusive1y mnlratiinp m�h GC¢nSeG Conlrati0rs l0 LanSirUC1 tl1e Dmlet� (S¢tlion 70C1, Bu5ine55 ❑ aM Prohuions CoOe: ilre Convxtors' Sute Lka¢e Law Oces mi appty to an oxner of O�apPsIy who Euil65 a impraves Ihereon '. an0 wno conlrads br sucn prqecls mtA a fAntractorlsl IkRnSe ourwant to the fAntractors' State License Law�. I am aware i i�ai 0�� ol ��eir Worker's tompensation insurance sMNO Oe proviEeC to me. I� I am erempt unaer Setibn: 0. 8 P. C. �o� ma reamn: Oaie: Uwer. I Eo �ere�y cenily Ilui I am iware o� aM unEersWnE ��c repuiremEn6 0� Calilamu HealtO inE $afeiy CaOe $ec�ions 25505, 25537, ana 2553<and Ihat 1 or any �Nure �uilding occupanl vnlVvnll no� (urUe one) neeC Io campty vni� 5ai0 staie c04es anE I�e reQuiremenis lai a permil lor consimcii0n or mOCJiWtian irom IOe Air Wa1M1y Mandgemen� qs(rici. fl¢SiGenUdl cansWtliOn appliWlions are eKempt imm Inese pmvisions. Date: ApDliwnL I �ereGy cetlily ihal I have r¢a4 ihi5 ap0lica�ion antl S�a�i or0inances antl slale IawS ielaling lo �vilding consVuclion pmpetlY �or insp¢clion Ourposes A � Oate'..(„[� ��ignalurp� and odver's ocense o� sociai Secuniy a: ¢ rArrect.l �6ai�a6 W�ile—BwlCing', Green—Cotle Enb¢emenl; Canary—AOp�icanC Pmk—Revenoe: GolQonroa—Assessor CITY OF COSTA MESA - BUILDING PEAMI7' PERM. NO: H 057192 PERMIT NO; B 057142 PLAN CHECK NO; 01215-92 S GOVT; N SUFP: N CONSTRUCTLON TYPE; V-N PERMIT TYPE; STR PURPOSE: ADD JOB DESCRIPTION ; CREATE LIGHT STORAGE ABOVE GARAGE SQ FT: 400 CLAIM VALUE: 2,900.00 CALC-VALUE: 6,920.00 GROUP OCC; R-3 /M-1 COMMENTS: ADD LIGHT STORAGE ABOVE GARAGE !E iF iF if 1k if IF lf 3F i(� 3E iE iE iF 3f ft %1f 1E �(� 3f if iF # 1f� IE if 3E iE # iE iE 1f 3F iE if iE it iE �b IE aE ### iF i( 3F 3f 3E iF IF iE iF �k K� IE if 3f Y� 1F # fE 1F iF iE �� iE 3h 3F 3F iF ff jF # If if if iF , 'L U N I N G R E Q U I R E M E N T S S E T H A C.K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: 18 FT IN REAR; 11 FT IN FRNT: FT IN REAR: FT IN LEFT; 5 FT IN RGHT: 5 FT IN LEFT; FT IN RGHT; FT I1J PARKING REO• PROV: PARCEL; 41209309 'I.NE: PDR- REF NO: PLANNING Nf5TE5> INSTALL FLOOR ABOVE GARAGE; NO EXTERIOR AI�TERATIONS, > i6 iE iE if if it iE iE �lE iF 1E �lE �E 1f 1E 3E iE 1F iblF iF 3f 3f 14 3f i(� #�f �1E �E iE 1E 9F 3f if if !k iE �Y.T )F 3t 3E if If �1F 3E if iE ih iE 3E iE iElf� if df 1flE if iF iE-1F iE af ie IE if if iE iE # if iF i(� iE iF i!� ie iE D E V E L O L'M E N T S E R V I C E S R E Q U I R E M E N'T S �• 7.nNING APPROVEA BY--' ; S eC DATE; �� BUILDING AFPROVED B•Y : DATE; �r2�j_',Z APPLICATION ISSUED'B•Y: DATE; '�4!�/� iF11�3fN�lEN�iE1@iFiFiE#�iF1EiF1FIfiElfiei(�3F R� . te. �k :itTiFiElF ifiEiflflf�i(�#iiY.�1EiF'h} x �itjF N�ifififlE)EK�3fi(�1F�lEiFif�lElElPifaF3F3b3f1Fii�Ei(�lflEiEitiEiEiEiFlfiFlEiFiF3EiFi6ifie .1Ei6ifiEi4lFifih:(�i(�7FIEiEifiFi:lEiejhl'tifiEiE3EiFi(�iEi'rif�lf3EikiF1F LEGALIZATION;N F E E S U M M A�R Y STRUCTURAL SEGMENT;Y BLDG FMT PLUMBING ELECTRIC MECHANZC FIRE SN,IP/RES GRADING PERMIT 90,00 ,[9 SMIP/NON-RE5 PLAN 58.50 issv� r•�.e - BUILDING-DIV-> PERMIT ISSUE P,�.,AN-CHECR TOTAL PAID DUE TOTALS----> 90,69 0.00 , 58.50 149.19 149.19 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 90.69 OVER/SHORT: ,00 HLD90P00 pLUMBING ELECTRIC MECHANIC FIRE SMIP/T69 GRADING FiAN-CHECK iE iE N� !F M� �Y� iE 1F M IE iF K� N iF K i'r iElE iE if it iF iE ii i(��E iE 3F 3c iF 3E �F if iF�F.iF iE iE ii IF if 16lE iF if 1E If iF if Y� it if if 3f if k If iE if K� 1i 1F k 3(- if ih iE iS� iE iP ik IE?t ih# if if if iF I N D I V I D U A-L F E E H R E A K D O W N i'YPE QTY D E S C R I P T I-O'N UNIT COST TOTAi COST 5FR 400 RES-GARAGES TYPE V: 1"1,30 6,920,00 END OF FEES 9 �. _ � _. , r - �' -, . (:ON51'RUCTION AND PLANNING POOI °A APPROVALS Permit �` � 5�e Inspector qppROVALS Permit # Date Inspector s' 7. Temporary Electrical Service or Pole 52. Pooi & Equlpment Location �. 2. Soil Pipe-Undrgmd. � 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgmd. � r. 54. Forms , 4. Electrical Conduit�Undrgrnd. • - 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electr�cal UFER Grnd. - 57. APPROVA� TO COVER�GUNITE 7. Footings � ' 58. Electrical Conduit•Undrgrnd. � 8. Foandation - ' �'�" 59. Gas Pipe, O Und�grnd., Tcst �� 9. Water Pipe-Undrgmd. , _ 60. Backwash Lines, P�Trap, � Undrgmd. .� 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connectio� � 62. Backwash & Receptor�Final � 12. Sewer Cap , , 63. Heater & Vent-Final ��_ 13. Roof Drains •'�" � ; 64. Plumbing System - Final - 14. RoughPlumbing - � .-� 65. Electrical�Final - 15. Rough Electrical-Conduit , , � ' l 66. Solar System-Final , �� i? 16. Rough Electric Wiring • „ 67. Fencing & Access Approval � 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling ' 69. PQOI/SPA SYSTEMS FINAL -� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough PactorV Fireplace APPROVAIS Permit # 21. Ducts, in Structure 70. Undergrovnd Hvdro 22. Ducts, Ventilating 77. Product Pipin� O Gas ❑ Oil 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. S[orage Tank O Gas ❑ Oi� 25. Root Sheathing 74. Overhead Hydro 26. T�Bar Ceiling lStruct�ral) & Monocoat � 75. Dry Chemical 27. Frame and Flashing y��y�.A 76. Dry Standpipe �u�Rt 28. Lathing & Sid�ng 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMEN7 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final � '� 80. FOOD CERTI.FICATE ISSUF 33. Final Electric Notes: �%l��// /�f'�"�]Jo 34. Final Heating & Air Conditioning . I n��y • � 35. Final Gas Pipe-Test . 36. Hood or CanopY 37. Final Factory Fireplace 38. Final Plumbing ' 39. Water Service-F�nal � 40. Gas Service-Final 47. Solar pomestic-Final 42. Backflow Preventer � 43. Backflow Irrigation 44. Landscape irriqation System 45. Sound Attenua[ion 46. Handicap Regulations 47. FINALSTRUCTURE & BUILDING � ( I�?i . �' 48. FINALPLANNING ( ' � 49. Elettric Release to Edison - � � 50. Gas Reiease to Southern California Gas Co ' � 51. CERTIFICA7E OF OCCUPANCY � No. Date 6108 � 1/21/B��i;� 2qA.30 COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAU�PERMIT '" '' •.v Vv• •_VV VVV•^•••`V^, V^`•• V•••• ^+`V_V RECEIV BV PERMIT - For Applicant to Fill in Completely — Use Ink Only N� 4 7 7 6 7 ADIDRESS 3484 Wimbledon Way P"P' N�' ' �� O — B UI LDI NG OWNEROR Wimbledon ASSOC. ADDRE55 3484 Wimbledon Wa TENANT UNIT OR MAILING 1(�'�0 Jamboree RCl SPACENCl,'� ADDRE55 TR.NO. LOT BLK. c�Tv Newport Beach No�640-680 10275 57 CAN5iRUCiION NEW ADD LTER RE7AIR MOVING DEMOLISH LENDER Imperial Savings & Loan X BRANCH Pasadena OWNER Wimbledon �15SOC.'. � AODRESS USE PRD VALUEs 6 � O ORENGINEER Corbin/Yamafuji rE`.549-712 ADDRESS 17992 Mitchel SO. � Irvine ZONE r '� TVP — VGROUP �� APPROVED '�Q SI CONTRACTORMCLd1R D2V. CO. BV DATE I ADDRESS 147� Jamboree RCl c�Tv Newport Beach No`640-6800 STATE 273875 CITV 188-73 APPROVEDSETBACKS IIC. NO. LIC. NO. SIZE NO.OF BLDGS. (FROf�kC{KFR66i) OF LOT NOW ON LOT O qOM � D FT. USE OF � EXISTING BLOG. Separate permits are requ'ued for �. SIDE FT. electric, plumbing and heating work. REAR FT. USE OF BVI�DING AND WOIiK TO BE PERFORMED P�p,NNING ACTION PRD — New Construction ZE_ �3,,� DATE �_ n APPROVEO ( Single-family dwelling ,o,rP ve �� 12 g� tiOLD FQR SPECIAL RE � I hereby acknowletlga thet I have read this eppllcallon antl state that the above information is correct and agree to comply with all lews reBulating builtling construction, antl I ahell not employ eny perwn in violation of the workman's compensailon laws of tha Stata of California. // 1 hereby canity that I am properly licensatl es e eonttector untler �v SQ. FT. the S[aie of California Business and Profeuions Cotle, Division 3, THE AMOUNTSH N UNOER VALUATION IS FOR Chapter 9, antl that such licenses are in fuil force end effect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: em exampt from Me provisions of e5tate ot Californla Businezz VALVATION / PERMIT FEE 5 and Professions Cotle, D' ision 3, ter . • � PLAN CHECK 5 518nature of /_ Permittee $^ � �f/ TAX E � or � I /S � AuMorizetlAgent Date � TOTALPAID E �Q i �: m `�J 7 (� m ` 'o \ � M l m�0 LL � f^ ul�J OWENS-CORNING �iberglas ��anket lnsulation 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: � �/,5�� //l�,�r� �i!/r%n if%✓ t�- S ' /�;��s- r'� Street Lot Number � Tract Number Exterior Walls Owens-Corning Fiberqlas Blanket Insulation Ceilings Owens-Corninq Fiberglas Blanket Insulation Floors Owens-Corning Fiberglas Blanket Insulation Foundation Walls Manufacturer - General ✓LJ , —L� Thickness R-Value � �� Tliickness R-Value _„"`�----_ Thickness R-Value Type Thickness R-Value License No. By Title Date is�9�a�e�� / ��, ��'7�.— Insulat� C�/nt�y%ayfor " /,'��-��,�y `�1,��s �1/f,//i� License No.��J�1.a_ By �'��""� �'�Zd � - " Title V� Date ��Il ,F/ (SignaWre) Homeowner Copy (White) State Copy (Yellow) Builder Copy (Pink) Puo. No. 16�BL-699SA ' Li�M10 In U.S A.. July 19]] OWENS-CORNING FIBERGLAS CORP. Insulation Operating Division Fiberglas Tower, Toledo, Ohio 43659