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Home My WebLink About3490 WIMBLEDON WAY - Building Permits(714) 754-5273 • Fau (714) 754-4856 • w�wi.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT .-....wu. -d}�d.ri^�$tt.tii� Job Address: 3490 WIMBLEDON WY Status: ISSUED Suite No Applied: 03/09/2001 Issued: 03/09/2001 Vicinity: ,,,::.,,,.,�. - w -��»i(i':i4V Parcel Nunmber. 41204306 -J"-' ISSUED BY: I �/ �ir o_ % _G-�% � -, ./�� `�c� Applicant: STARK, Address: � , � � h �� Addri �� 'HRIS //" �"'`�-� `� `� � � r� o �,'� � % � � �`� \ � � �� I A ,/� /� � /,---� ��"� , Phone: �_818-407`1247 � `-'� � � � �� '�,,- � 1-" '-Z�P»o� '- --� '�� /\ C � , -- --_. `,.�/�`� �j `%�%��.- � _ �� /�_ - � � �� r�/%1� �� jAME jR'" �� \ � �LEDON WY �� %v"l �n� !i/ Phone: `�� % / ISA, CA Zip�.92626 ��\\ ( .�. TES GPf �-��+'" ,� q.�� '�'' oi7 �-'°�.��- j°�x �"-� Phone: 1� � �. eo C y '�' ) ��_-J �::--- T_ �� . (800) 444-8865�" �NORTH�HOLLYVJOOD,>CA Zip: 91605 � � �/ License: 771905 �� I ' �-_ =___'__�->>:- -_--�- �i � C�.`�''l�`)1' (�� i'�J�i� f�.�1��' � ISSUE FEE�``� V' BackFlow irrigation Backflow Preventec Bathtub � Clarifier System Connect (Ice,Soda,etc)� Dental Units Dishwasher Drain, 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 ) a �. " LII SCI �NGE OUT. . P'i'_F.. �c . ""�',t ,� o ��La_und`ry' Tub $0;00 �0'� � � �$0.00; 0\ '$0:00��- 0 � � $0.00 �0� vso.00 o/ �`$0.00 0 1' `$0:00\ 0\ )j � $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 0 0 0 0 0 0 0 0 Sink, Floor �"'- Sink, kitchen Sink, service/mop Spa (private) Spa (public) �,°o� o�AMT�'Q' :hev�� . $0.00'J�0 mp^o �$0.00 , 0 0 00 �(l $0;00�° 0 0 �r � ' $0.00 � 0 rr tO�ftU�� -50.00-r0 --=-$0.00- 0--�� $0.00 0('\\ �t$0.00�0 U� $0.00 �0�� .J'�� $0.00 V 0 ,.- �" $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 COMMENTS / SPECIAL CONDITIONS � � � � � Waste�and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION $0.00 , $D.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 535.80 aTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 C 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 void if work is not commenced within 180 days, or if work is suspended or abandoned for a period'oi 180 days. `�-- v� ,_ . INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all required Inspectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration'of this permit. FOR INSPECTIONS CALL: (714) 7545626 � 2a16-46(fi/00) WORKERS' COMPENSATON DECLARATION: � I here6y attirm untlar penalty of perjury one of Ihe following tleclaretions: � �. ' �� ❑ I have and wlll mainiain a cenificate of consent to self-Insure tor workers' compensation, as provitletl for.by section 3700 of the Labor Cotle, lor the pertormance ot the work tor which this pertnit is issuetl. ❑ I have antl will maintain workers' compensation' urance, as required by section 3700 of the Labor Cale, tor ihe peAormance of Ihe work forwhich �his pertnit is issuetl. My workers' compensation Insurence car' an policy number are: � Carner: (This se at one huntlred dollars Policy Number: ❑ I cetlity that in lhe perfor a ce ol} wo � or which this permil is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensatlon la o '� rri3' tl egr that it I should hecome subject to ihe workers' compensation provisions ot Sectio 3700 oi the Labor Code, I shall iorthwith ^ camply wit_ h_ t�e .� f� � n I 'ApPlicantSiqnelurer— Date: 4 U WARNING: FAILURE TO SE RE RKER ENSATION CAVERAGE IS UNIAWFUL ANp SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES LIP TOONE HUNDRED THOUSANDDO�LARE�S100, , NADDITIONTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDFORINSECTION39060FTHElABORfADE,INTEREST,ANOATTORNEP5FEE5. LICENSED CONTRACTORS DEC TIO : � . I hereby aNirm that I am licensed u tler p vis on of Chapter 9(commencing with Section 7000) of Division 3 of the 8usiness and Professions Code, antl my license is in tull force end ettect. Lic. k Class s Co�ntr�ctots.�.' Date: �7 � CONSTRUCTION LENDING GEN . ❑ I here6y aHirm that there is a construction lending agency tor t�e pedormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to constmci, alter, improve, demolish, or repair any stmdure, prior to its issuance, also requires the applicant for such permit lo file a signed statemem Ihat he or she is licensed pursuant b the provisions of the Comractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 ot the Business end Professions Code) or iha� he or she is eaempt iherefrom and Ihe 6asis for �he allegetl eremp�ion. Any violation ot Section 7031.5 by any applicent lor a pertnit subjects the applicant to a civil penalty of not more Ihan tive hundred doliars ($500).): . ❑ I, as owner of the property, or my employees with wages as ihair sole compensation, WILL DO TME WORK, antl the structure is not intended or oHeretl for sala (Sec. 7044, Business and Professions Gode: The CONractors License law does not apply to an owner ot property who builtls or improves ihereon, and who does such work himself or herseli or ihrough his or her own employees, provided thai such improvemenis are not intentletl or offeretl for sale. If, however, ihe building or improvement is sold within one year of compietion, ihe owner-builtler will have the 6urden of proving that he or she did not build or improve br purpose of sale.). ❑ I, as owner oi the property, am E%CLUSIVELY CONTRACTMG WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Profassions Cotle: Tha contraaors License Law does not apply �o an owner of property who builds or improves Ihereon, antl who comracis for such prolect with a comrector(s) license pursuant to ihe Contractors License Laws.). .�► _. ❑ I am exempt underisecT. Business and Professions Code tor this reason: Signature:l, +� � �f�'J��'iw._ Data: Ownei ID verifietl'by tlnver's I ci anse� ❑IVes�i`i� No Drivers License No. Ezpires: a� Verificetion of Owneisfiip by (type ol dQcument; i:ei- pwpeny taz bill or deetl): DIVISION OF INDUS7RIAL SAFE7Y ❑ I hareby cenify that no excavation tive (5) or more feet in tleplh into which a person is requiretl to descenq will be matle in connection with work authonzed by this permit, and that no building stmcWre, scaHolding, falsework, or demolition or dismantling Ihereot will be more ihan ihiny-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ti�le 8, Celifornia Administrative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work w�ich woultl require a permit irom ihe Division of Indusirial Safery, as noted above, unless such person has e permit to tlo such work from ihe division. Signature: Da�e: Division oi Industrial Safery Permit Number. CO�E I, INSPECTIONTYPE 1616 Fixed System Finai Fire Prevention 1266 200 201 202 203 Pool Spa Finel Final Re-Root Final BIocWRetaininq Wall Pinal Factory Fire Place - Final Sign 204 Final Demolition Qej[ INTRI LO�E� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Efectrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy PdIE InTrru�s 0 . � f o � > � J .�� (714) 754-5273 • Fau (714) 754-4856 . CITY OF COSTA MESA BIIILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 3490 WIMBLEDON WY Suite: Vicinity: HOUSE & GARAGE Parcel Nunmber: 41204306 Applicant: SELL ROOFING COMPANY Address: 17072 ROSEBUD .,.�-- Owner: Address .�- YORBA LINDA�C � /�' WRIGFIT!JAMES,R� i � n/i i- � � �nnn �nn��oi.onnr.i.�niv1 CA \\ZI°� lllyY(� �J%L'\ /� ns �RQIIF;�/O, INSTALL 1/2" O�S O WEIGHT' ROOF. � U 141J I� n 111�,1 I �---- l `�'�"l �� . 'lan'Check: � $0.00 � i� Permit: $167.25 �' SMIP'Res. $0.89 SMIP'Com: $0.00 '- IOther $0.00 nspection: $0.00 �� _ , ��Total: $16814 n� � �� ': \�� ---\�. D�n ACCESSORY PARKING NOTES: Ezistinq: BUILDING PERMIT Zoning: R1 R1 � Fhone:-714-99333l28� ��ip� 92686 � � ` i(1 ti Lt �`� _Ptione: Zip: 92626 Phone:., 714-993-3328 323842 � � � ° � Eng: , PERMIT NUMBER�� 99-01232 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 08/09/1999 Issued: 08/09/1999 ISSUED BY: :�tiE�CBOif4660UGITI�I�t � .Calc Valuation: !� �$ i -Claim Valuation: �e!! . � �,. � �� `vns,�l °�"� �,o o °0�. , a>,J�� GP.LANNING &'ZONING ��` � 8 o°v�,�o$�° �� o�, � r� �a�P �� D �� " - ./� 10�L�eft,�r 0-0 Rightv�%,0-0 � 0 Left 0- 0 � Rig ��0 0� o� �, P ��,�,`�,,%�% NOTICE: The work authorized by this permit shall comply with all applicable handicap accass 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 if work is suspended or abandoned for a penod of 180 days. � � � - , . INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inepectiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR,INSPECTIONS CALL: (71A) 7545626 WORKERS' COMPENSATION DECLARATION: - - . a fiereby ettirm untler penelry of perjury one of t�a following declaretions: � . � ❑ I have and will maimein a cartificate of consent to self-Insure for workers' compensation, as provided for by section 3700 oi the Labor Code, tor the pertormence oi the work for which this permit is issued. ❑ I have and will eintain workers' compensatl insurance, as requiretl by section 3700 oi �he Labor Cotle, for Ihe pertortnance of Ihe work for which thispppqqqrrrmmm it is issued. M workere' en tion In ce carn entl oli number are: /Q� /�� Y P �Y Cerrier: + Policy Number. la (This section neea not be co}Tip etetl il fhe e it is velued et one hundred dollers ($100) or /ess.) ' - - ❑ I certify that in Ihe pertormance of the work for which this permit is issued, I shell not employ eny person in any manner so as to become subject to the workers' compensation laws o� Californi d agrae t it I should become subject to the workers' compensetion provisions of Section 37p 0 of e Labor Cotle, I shell forthwith comply with ihese provisions. N//� 99 Applicant Signeture: ' ��L Date: ��I/ ( / WARNING FAILUPE TO SECURE W FKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVEfl TO CRIMINAL PENlLLTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 3]O6 OF THE LABOR CODE. INiEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aftirtn that I am licensed un r ovisic force antl eHect Lic. # Contractor's Signeture: 9(commencing with Section 7000) of Division 3 of the Business and Prol�ipSs Code, antl my Ilcense is in full Class x ( Date: �/� —' � CONSTRUCTION LENDING AGENCY: � ❑ I hereby aRirm ihat there is a construction lending egency for the peAormance of t�a work tor which this permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lendefs Adtlress: Signawre: Date: OWNER-BUILUER DECLARATIONS: I hereby aHirm ihat under penalty of perjury �ha� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (SecJ031.5, Business and Professions Code: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any strucWre, prior to its issuance, also requires Ihe applicant for such parmit to tile a signetl statement that he or she is licensetl pursuant to Ihe pmvisions of the Coniractors Licanse Lew (Chap�er 9(commencing with Section 7000) of Divlslon 3 of tha Business antl Professions Code) or ihat he or she is exemp� Iherefrom end the basis tor the allaged exemption. Any violation oi Section 7031.5 by any applicant tor a permit sub�ects the applicant to e civil penalty ot not more than five huntlretl dollars ($500).): ❑ I, as owner of lhe property, or my employees with wages as iheir sole compensation, WILL DO TME WORK, and ihe structure is not intentletl or ottered for sele (Sec. 7044, Business and Professions Cotle: Tha Contractors License Law does not epply to an owner of property who builtls or improves ihereon, and who does such work himself or herself or ihrough his or her own employees, providetl that such improvements are not intended or oHered for sala. Ii, however, ihe building or improvament is soltl within one year of completioq Ihe owner-builder will have ihe burden ot proving Ihat he or she did not huild or improve for purpose of sale.). ❑ I, as ownar of tha proparty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Profassions Code: The conirectors License Law does nat apply to an owner of property who builds or improves thereon, and wha contrects for such project with e contrector(s) license pursuant to Ihe Contractors License Lews.). ❑ I am exempi untler sec. Business end Professions Cotle tor ihis reason: Signature: Date: Owner ID veritietl by tlriver's license. ❑ Yes ❑ No Drivefs License No. Verification of Ownership by (type of tlocument, i.e. - pmperty tu biil or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify that no excavation tive (5) or more teat in depih into whlch a person is requiretl to tlescend, will be matle in connectlon with work authorized by this permit, and that no builtling stmcNre, scattolding, falsework, or demolition or dismantling Ihereof, will be more than thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from ihe Division oi lndustrial Satery, as notetl above, unless such person has a permit ta do such work from the division. SignaWre: Date: Division of Industrial Satery Pertnit Numbar. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EN7RV: I certify under penalry of perjury Ihet I have read ihis application and state ihat the intormetion given is correct. I agree to comply wlih all state laws and city ordinances relating to builtling consWction, antl authorize representatives of the City of Costa Masa to emer upon ihe above-descnbetl propeny for inspection purywes. I agree not to occupy or allow occupancy oi any building euthorized by this permit until finel inspection. i n � re Of Le Ow ) nNOr Authorized App icant • � CO�EM, INSPECTIONTYPE 1616 Fixed System Finel Fira Preventian 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIxWRetaining Well 202 Final Fadory Fire Plece 203 Final Sign 204 Final Demolition QAjf, INTITIRLS -3� � COUEY INSVECTIONTYPE � 206 Final MeChanical 208 Final Plumbing 210 Final ElecMcal 272 Final Fira Prevention 220 Final Plenning Approval 222 Finel Site 250 FinalBuilding/Occupancy P9IE � INTITIPLS OWENS-CORNING Filaerglas �lanket 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: � �/y1� �/: �7h16,/�� /.'� �-�`..d �r�� s � . Street ' Lot Number hact Number . ' �rior Walls /�� _.ns-Corning Fiberglas Blanket Insulation J� � � Thickness R-Value Ceilings /„ �. Owens-Corning Fiberglas Blanket Insulation (� �� Thickness R-Value Floors Owens-Corning Fiberglas Blanket Insulation Foundation Walls Manufacturer Type Thickness R-Value Thickness R-Value General Contractor License No. By Title Date (Slgnawre)�^ /t� � ��/,,�^- p�/ �� Insulati ntra tor_��✓��t��n�✓��'�'yLicense No..�� 7,/�1 � / / By-- —��52�Title V � Date r/'G/,�/ �siinewre) Homeowner Copy (White) State Copy (Yellow) Builder Copy (Pink) PuO. No. I6-BL699SN LitM10 in U.S F.. July 19]] OWENS-CORNING FIBERGLAS CORP. Insulation Opereting Division Fiberglas Tower, 7oletlo, Ohio 43659 F � � a a y y S F � W F .J Q > � � � a � a z � 2 3 COSTA MBSA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant [o Fill in Completely - Use Ink Only AD1DRES5 3490 Wimbledon Way ° NAN °R Wimbledon Assoc. ADDRE 5 �.470 Jamboree RC� c�rv Newport Beach No`640-680 corasraucrioNim erial Savin s& Loan LENDER P 9 BRANCH Pasadena ADDRESS 61 S. Lake Ave. ARCHITECT rE�549-712 ORENGINEEFiCOYrJ117�YdII1dfU�j1 NO. ADDRESS 17992 Mitchell So.,Irvine con,rAacror�MCLain Dev. Co. ADDRE55 1470 Jamboree Rd cirv Newport Beach No�40-6800 uc No. 273875 �ic�No. 18873 SIZE NO.OF BLDGS. O OF LOT NOW ON LOT VSE OF 6064 I/21/81 306�51 TU APPLICATION FOR STRUCTURAL PERMIT REC `/� BY PERMIT N� - 4 7 7 � � A.P. NO. � �/ �-= BUI LDI NG ADDRE55 3490 �ATlI UNIT OR SPAGE N0.6O TR.NO. LOT ADD IALTER IREPAIR �MOVINGIDEMOLI OWNER Wimbledon 7iS$�C. PRD VALUE USE APPROVED SETBACKS Sepa�ate permits are required for L SIDE Fr. electric, plumbing and heating work. �/�y� REAf�^ [/�JQ FT. BUILOING AND WORK TO BE PERFORMED P�qryry�NG ACTION PRD - new construction Sinqle-family dwelling 1 hereby acknoW�edga that I have reatl this apPlitation and steta that the ebove I�formation is correct and ap�ee to comply with ell laws reguletln0 builtling construcNon, antl � shall not employ eny person in v�oletlon of ihe workman's compensation laws of the State of Calitornie. I hereby certify that I am properly licensetl es a eontractor untlar the State ot Californie Businass antl Protesslons Cotle, Division 3, Chapter 9, and �hat such licenses are in full force and effect, or I am exampt trom che provisions o the Sroie of Calitornia Business andProfessionsCotle Division hapte s�eoei��e or , Permittee or � A�thorized ABert Date _'7Li_ �// I DATE HOLD FOR ., l � > (/� m J' � Q.FT. • V' N 'V 5 7 THE AMOUNTSHO N UNDER VALUATION IS FOfl m� THE PURP06E OF ESTABLISHING A PERMIT FEE ONLV: �� VALUATION ERMIT FEE $ y n � � PLAN CHEGK E o S/ o��aa TAx s .s � c� TOTALPAID S tl .S Cl \