HomeMy WebLinkAbout3487 WIMBLEDON WAY - Building Permits��ia»sa-s2�s • Fax (��a� �sa-aess
CITY OF COSTA MESA ,
BUILDIN6 DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
JobAddress: 3487 WIMBLEDON WY
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE.
Parcel Nunmber: 47204275 Zoning: R1
Applicant: PITMAN, VERNON
Address: 7522 SLATER AV
108
HUNTINGTON BEACH,CA
Owner: YOUNG, RAYIVIOND M
Address 3487 WIMBLEDON WAY
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Cont�actoi _ SOUTHLAND'ROOFING INC.
-Addr'ess: 7522 SLATER AV
i "' 108 - . _" /
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, � , % ; ." HUNTINGTON BEACH,CA
, ' Zip: 92647 - � License: 750442
R1
Phone: 714375-9500
Zip: 92647
Phone: - � ' � �
Zip: 92626 � `
Phone:, 714375-9500
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PERMIT NUMBER
699-00725 v
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 05/24/1999
Issued: 05/24/1999
ISSUED BY:
,
Phone:
�License: � �
1
' SCOPE OF PERMIT
; REROOF: T/0 EXISTING WOOD SHAKE; INSTALL 2 LAYERS OF 30# FELT (NO SHEATHING); REROOF WITH "NATURE �
� GUARD" QCBO 5121 @ 5.5#). 31 SQUARES. � � � � � �
FEE SUMMARY
` Plan Check: $0.00 _ � �� Calc Valuation: g��,zoo.00
� Permit: �$187.25 _ — �� Claim Valuation: Sii,2oo.00
�� SMIP Res: $1.12 � ' '
`SMIP Com: $0.00 `
Other: $0.00 � ' '
�
Inspection: $0.00 `
�. Sotal: $188.37 _ _ , '
�. ,
� "' ' =+��''' PLANNING820NING � � � �
SETBACKS � , � �
MAINSTRUCTUREFront 0-0 �' Rea� 0-0 �•. Left - 0-0. Right 0,0 � .
ACCESSORY Front - 0- 0 Rear 0- 0 Left 0- 0 Right 0- 0 -
PARKING Existinq: 0 Required: 0 Pr000sed: 0 ,
NOTES:
NOTICE: The work authorized by this permit shell comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
required Inapectione end tinal approval must be obtained. Feilure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
. •,
WORKERS' COMPENSATION DECLARATION: �
I hereby aHirm under penelty of perjury one of the tollowing tleclerations:, :-� . . � . .,
❑ I have entl will maintein a certificete of consent to self-Insure tor workere' compensation, as provided for by section 3700 of the Labor Code, For Ihe peAormance ot tha
work tor which this permit is issued. " _ .
� I have antl will main�ain workerg' �mpensetion insurance, as requlred by section 3700 of ihe Labor Code, lor the pertormance of the work for which ihis permit is issuetl.
My workars' c mp nsetion Insprance carrier and policy number ere: � z�_��
Carrier. x� Poiicy Number.
(This section need not e com leted il the permif is valued et one huntlred dollars ($ f 00) or less.) �' � � ' "
❑ I certify that in the peAormance of �he work for w�ich this permit is issued, I shall not employ any person in eny manner so as ro become subject to the workers'
compensation laws oi Califomie, antl egree Ihat if I ould �ecome subject to ihe workers' compensation pmvisions of Section 3700 of ihe Labor Code, I shall forthwith
comply with Ihese provisions. C
Applicant Signature: Dete: � L y�/ �
WAtiNING: FAILUFE TO SEWFE WORK�R MPE SAiION OJVERA6E IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER i0 CRfMINAL PENAL7IES AND CIWL FlNES UP i0 ONE HUNORED
THOUSAND DOLLARE (510D,000). IN A�D1710N TO THE COST OF COMPENSATION, OAMAGES AS PPOVIDED FOR IN SECTION 31W Of THE LABOR CODE, IN�EREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLqppTION:
I hereby attirm ihat I am licensed unqer provisions oi Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Protessions Code, and my license is in tull
force and eHect Lic. N Class N
Contraaors Signature: Date: L'� '- Z�!—'�1
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CONSTRUC710N LENDING AGENCY:
❑ I hereby ettirm that �here is a constmction lending agency tor the performance ot the work tor which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lenders Address:
Signamre:
OWNEii-BUILDER DECLARA710NS:
Date:
I hereby aNirm t�at under penatry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any ci�y or counry which requires a pertnit to constmct, alter, improve, demolish, or repair any swcture, pnor to its issuance, also requires the applicant for such permit
to tile a slgnetl statemeN thet he or ghe Is licer.sed pursuent to ihe provisions of ihe Gonirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe
Business antl Professions Code) or thet he or she is ezempt therefrom and Ihe basis tor ihe allegetl ezemption. Any violation of Section 7037.5 by eny applicant for a permit
subjects the epplicant to e civil penal�y o� not more ihan five hundretl dollars ($500).):
❑ I, as owner of the property, or rny emploYees with wages as their sole compensetion, WILL DO 7HE WORK, and Ihe structure is not Intendetl or oNeretl ior sale (Sec.
7044, Business and Pwlessions Code: The Contrectors License Law does not apply to an owner of property who builtls or impmves therean, and who does such work
himsalf or hersetl or thmugh his or her own employees, providetl ihet such improvements are not intentletl or oNered for sala. If, however, ihe building or improvemem is
sold within one year of completion, Ihe owner-builtler will have ihe burden oi proving that he or she did not build or impmva tor purpose oi sale.).
❑ I, es owner ot the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo conslruct the pro�ect (Sec. 7044, Business end Professions
Cotle: Tha contractors Licens4 Law tloes not eppty to an owner of property who builds or improves ihereon, end who coniracis for such project with a conVactor(s)
license pursuant to ihe ConVactors License LawsJ.
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID veritied by tlriver's license. ❑ Ves ❑ No Driver's License No.
Venfication of Ownership by (type of document, i.e. - properry ta�c bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETY pERM1T CERTIFICA710N:
❑ I hereby certity �hat no azcavation five (5) or more teet in depth into which a person is required to descend, will be made in connectlon with work authorized by �his
permi6 end ihat no building strUCWre, scaHolding, falsework, or tlemolition or dismantling Ihereof, will be more lhan ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Californla Adminisirative Code).
❑ As owner-buildar, I will not employ anyone to tlo work which would require a permit irom ihe Divlsion of Industrial Satety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division ol Induslrial Safery Pertnil Number:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalry of per�ury that I hava read ihis application and stete that the infortnation given is
correct I aqree to comply with all stete laws and ciry ordinances relating to building consiruction, antl authonze representatives of Ihe Ciry ol Cosia Mesa to enter upon Ihe
above-descrihed propeny for inspection purposes. I agree not to occupy or allow occupancy ot eny building authorized by ihis permit until tinal inspection.
COOE k.
1676
1266
200
201
202
203
Fixed System Final Fire Prpyen�ion
Pool Spa Final
Final Re-Roof
Finel BIocWReteining Wall
Final Factory Fire Placa �
Final Sign
204 Final Damolition
2466d6
PAiE � 1ti�d19L@ �
6jL-qq 7w�-
CODEN INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electncel
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupancy
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant ro Fill in Completely — Use Ink Only
ADDRESS 3487 Wimbledon Way
T�ENA T�R Wlllw�-edOR FiSSOC.
ADDRE55 14%Q Jamboree RCl
c�rv Newport Beach N�40-6800
corasrRucr�or,Imperial Savin s & Loan
LENOER g
BRANCH PaSadena
ADDRESS 61 S. Lake �iVe
ARCHITECT T^L
.I`nrhin/Vamafiiii 5dQ-77�
nODRESs 179`JL M1tC1'1011 SO. , lrvine
CONTRACTOR McLain Dev. Co. �
ADDRESS 14%� Jamboree i�C1
c�rv Newport Beach No648-6800
LC NO. 2%.3875 LICVNO. ZBH%3
S I Z E NO. OF BLDGS.
OF LOT NOW ON LOT O
USE OF
EXISTING BIOG.
Sepatate permits are required Cor
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
PRD - New Construction
Single-family dwelling
I horeby acknowlad6a that I heva reatl this applicatian antl stete
that the ebove informetion is corract end aB�ee to comply wIM
nll lows raguleNnq builtlinp conatruction, antl I shall not employ
nny porson (n violation of the workmen's companaeNon laws ot
the Stete of Celifornle.
I hereby certify that I am proporly Ilcansatl ez e eoniractor undor
tho Stnto of Califor��a Businexi antl Profeulons Coda, Dlvision 3,
Chaptar 9, antl that such Ilcanws are In tuil force and effect, or I
am exompt from the provisions Ot Iha $teta o! Celitornla B�ainBEs
nntl Protassiana Cotla, Divicion , Chap r 9.
SlBnatura of
Permittea � ��+�
or � 2� A'�
Authorizatl Agant Date
APPLICA'IION Fhl�R�37'R�1��`i'�1L PERMI'1�06•51 T�U
RECEIVED PERMIT N� 47 i81
A.P. No. �� a- o a. -�--
BUILDING
ADDRE55 '�QR
UNIT OR
SPACE N .
TR.NO. LOT BLK. °
NEW ADD ALTER REPAIR MOVING DEMOLISH
X
OWNER
VALUE O%��d�/
USE E
20NEiD � L P�Iv GROUP R-3
APPROVED QI
BV DATE ZO O
APPROVEDSETBACKS
PLANNING ACTION
ZE-7A-
:!Qi�9 FOA SPECIAL
ay�� SQ. FT.
TME AMOUNT SH
THE PURPC6E OF I
VALUATION
5 �o7la a�
m
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> �0
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VN UNDER VALUATION IS FOR N�
"ABLISHING A PERMIT FEE ONLV: � `,
a r
PERMIT FEE E �' N (�
M V"
PLAN CHECK f o �
TAX f � S" / u �
TOTALPAID y30 � (�+
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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:
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:iA� l i I„m1 e�,� /�1,„ � i�a ��"
—GStreet � ��ot Number � Tract Number
Exterior Walls
Owens-Corning Fiberglas Blanket Insulation
Ceilings
Owens-Comin� Fiberglas Blanket Insulation
Floors
Owens-Corninq Fiberglas Blanket Insulation
=oundation Walls
Manufacturer
�� � ��
Thickness R-Value
� �� /�
Thickness R-Value
Thickness
R-Value
Type Thickness R-Value
General Contractor License No.
By Title Date
(Signamre� –�...
Insulatio ntractor��A��.� ��I�f1,//./1�License No. �����.��%�_ ,�'
B �'�Title ✓ � DateC��
y— _.j �a w�e
Homeowner Copy (White)
State Copy (Yellow)
Builder Copy (Pink)
PuO. rvo,16�B1-6995-A Litbo m U.S.A..July t9]I
OWENS-CORNING FIBERGLAS CORP.
Insulation Operating Division
Fiberglas Tower, Toletlo, Ohio 43659 �