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Home My WebLink About3441 KINGS CT - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa•mesa.c��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: $441 KINGS CT Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construdion: V-N Parcel Number: 41207406 Zoning: R1 Status: ISSUED Applied: 07/31/2006 Issued: 07/31/2006 Applicant: SELL, RON Address: 18032 LEMON Phone: 714-528-1758 ISSUED BY: YORBA LINDA , CA , - � - -Zip: . 92686 -� � -.i:'�' .- --- .. - _ -, i, _ _ Owner. EICHENMULLER„JOWN G_: - -,; , ; . -- - __ Address 3441KINGSCT/", � , � , . , � /�� C__� , ' . ' / r' -...� ��\ .' -'r��'� . Phone:� . �j. f' ��"��.��_�".-, COSTA MESA, CA ' � � _ � - � Zip:; ; 926267657�� ! �� `� �'- `� . . � � > '_ _ _ . - . �` � �\- � _�\ Contractor: �SELLROOFINGCOMPANY".��` _ ' ' � �� '��.� ,�.�� Address: 18032LEMON . � � .-' �� \,:?�`� � �, � �V` �� . .- . "- Phone: 714-5281758��: =��,,A �� '_��;�A � � � YORBALINDA';.CA�.� � �V��% � �V\� " Zip: 92686 "' License: 323842 ` �\VA�,, / � �� A `� A`�'e A�% � � Arch : ' . ��. Eng. �:�,� - � ,� Address: - � " Address: �•�� ' ", �,`� . _ , ��'-, �� , � Phone: � � � ',Phone� ' , A,� _ , , . , � , . , � ',. �.-� .Zip: . Lieense:� ` � � i;". � � A License:-!`' `� � - - . .i,� ,� � i � �,: i ��• . � , �� .. � . - � SCOPE OF'PERMIT =. :� ; `' � /,••. ° �, ' ` - '. �. �- REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING WOOD SHAKE ROOF, 7/16" OSB�SHTG; 2 LAYERS�301i FELT,.APPLY �'� �+ - "EAGLELITE MALIBU TILES." ICBO #ER-4660 5.5 PSF 29 SQUARES . �� `� ' , i � ', � � . . , �. �, � � .. � Plan Check: Permit: SMIP Res: SMIP Com: , Other: Inspection: Total: $0.00' $181.25 $0.99. $0.00' $0.00 $0.00 $182.24 FEE SUMMARY � � � -- �"''� - �" -,- ' � _ �' 1 %�� `-��` ;�Calc Valuation: � $s,soo.00 ' "- � � - `'-' ''-�� --- �`-�Claim Valuation: �� ss,soo.00 r-; , %, � . , ,.;� � ;' i ` r" �., i � , . . _ "�. ��-c�� „_� rf/�r'1�_ � �� " ��__ , ` - -- -- -.__ - -� . _ -., -,' %j1', � � 11 , ,,`�� , , _ ,;,� �'�, �,� , • - .. _ i';,� � . , . FLANNING & ZONING ; %�,' � ' �,, ; SETBACKS � � � �' � � � ' .� r � � /�i ' ij �' MAW STRUCTURE Front � y0-0 Rear 0 0.. Left 0 0? a,. Righ� � 0-�j� � � . � • t.0 4 -'_ .. , _ ''� � ,. i�`L Y'� '�'�'^-"�y." 1�� ' /.� % ACCESSORY " �Front �0-0.� '-��'Rear � 0-0�' � �'�Lefl , �0-0 � - 'Righf, <�0�0 � - % � PARKING Existina: �,� 0 ' ��, Reauired: 0 - � " Pr000sed: �� 0 -- -�� , � . � , - . � - . ; �' � ; �.. c . , , . . . . A�//; /. j . � - �'V� �`i i/ � ',� ,�',/ � �J _ -� / _ _. " . �� ; , � � , ' : �'% - : . - .,. �, . - . -- -- . ".i,, . NOTtCE: The work authorized by this pertnit shall 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 expira and become void it 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 permit to be considered legal, such work must comply with all applicaDie codes, ana an requlred Inapectiona and finel approval must be oblained. Failure to obtain inspections and final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaoe-es (eroo) WORKERS'COMPENSAnON DECLARAnON: � - � � I hereby atlirtn under penalry oi perjury one of ihe followinq declarations: � . ❑ I have antl will maintain a certificate of consent to self-Insure lor workers' compensation, es provided tor by section 3700 of ihe Labor Code, for Ihe perfortnence oi ihe work for which this Oermit Is issued. �� have and will maintain workers' compen tion insurance, as requiretl by sectlon 3700 of the Labor Cotle, tor the pedortnance ol the work tor which this pertnit is issuetl. ��v M wo ers',Q� p�° -salion I/n� rance er end policy num6er are: / �b�� . �` �� Poli Num er /� `� � 'S � � � be ar les5.) `�'� ❑ I certily Ihat in the pertortnance oi the work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws ot Califomi�a�d egree t II I should become subject to ihe workers' compensa�ion provisions of Section 3700 0� �he Labor Cotle, I shell forihwiih comply with Ihese provisions/. / .na, v i �-�Tce i s��a u : ��r� �-. /G - 3 / -d � �JARNING: FAILURE TO SEWRE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDFED T/IOUSAND OOILARE (5100,000),IN ADDITION TO iHE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 3/O60F THE LABOR CODE, INTEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby affirtn Ihat I am license ndaJr ;rovisions ha0�er 9(commencing with Section 7000) ot Division 3 ot the Business antl Professions Cotla, and my license is in full torce antl eHect. Lic� �%- �J ��i � Class a � Cpnkecror55—�I 12[tR6:�+�- O� ^ .� fDa18:.� / Q—� �'—'� n \e1+��.� s e CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm that there is a constmction IenCing agency tor the pedortnance oi the work for w�ich this permit is issued. (Sec. 3097, Civil Cotle). Lenders Neme: Lendefs Aedress: SignaNre: Date: OWNER-BUILDER OECLARATIONS: I hereby aRlrm that under penalry of perjury Ihat I em El(EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Pmfessions Cotle: Any ciry or counry which requires a pertnit to construc6 alter, improve, demolish, or repair eny structure, prior to its issuance, elso requires the applicant br suc� permit to Hle e signed stetement thet he or she is licensed pursuant to the provisions ot the Conirectors License Lew (Chapter 9(commencing wlth SecOon 7000) ot Dlvlsion 3 of the Business flntl Protessions Code) or Ihat he or she is ezempt thereirom and the basis far the allegetl exemption. Any violation of Section 7031.5 by eny applicant for a permit subjects the ap0�icant to a civil penalry oi not more then tive hundred dollars ($500).): � ❑ I, as owner of the properry, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and Ihe stmcture is not intended or ottered tor sale (Sec. 7044, Business and Professlons CoCe: The Coniractors License Law does not apply to an ownei oi propeny who 6uilds or improves Ihereon, antl who does such work himself or herselt or through his or her own employees, providetl ihat such improvemenis are not intentled or offered lor sale. If, however, the building or improvement is sold wit�in ona year of completioq the owneo-builder will hava the burden of proving that he or s�e ditl not GuiIC or improve lor purpose of sale.). ❑ I, as ownar of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTHACTORS to construct the project (Sec. 7046, Business antl Professions Cotle: The contrectors License Lew does not apply to an owner ot property who builtls or improves thareon, antl who contracis for such project with a comractoqs) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business and Professions Code for this reason: SignaWre: Date: Owner ID verified by drivefs license. ❑ Yes ❑ No Driver5 LiCen58 No. Veniication ot Ownership by (rypa oi tlwumant, i.e. - pmperty tax blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATON: Expires: ❑ I hereby certity iha� no excavation five (5) or more feet in depth into which a person Is required to descend, will be matle in connection with work euthorized by this pertnit, anC ihat no building structure, scattolding, talsework, or tlemolition or tlismantling thereof, will be more than thirty-six (36) feet �igh. (Ghap. 32, Grp 2, Art 2, Sec. 3a1, ll0e 8, Califomie Adminisirative Cotle). ❑ As owner-bulltler, I will not employ anyone to tlo work which would require a pertnit from the Division ot Intlustrial Sefety, es noted above, unless such person has a permit ta do such work trom Ihe division. Signature: Date: Division oi Industrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AIIT}IORVAi10N OF ENTAY: I cenity under penalry of perjury that I have read this epplicetion antl state that the intortnation given is correct I agree to comply with ell state laws and city ordinances relating to builtling construction, and authonze representatives of ihe Ciry of Costa Mesa to enter upon the above-descnbed propeqydqr insDec�ionywqoses.J §gree not to occupy or ellow occupancy of eny building authorized 6y Ihis permit until final inspection. COOE �. �NsvecnoNrrve � ' 1616 Fiaetl System Final Fira Prevention 1266 Pool Spe Final 200 Final Re-Root 201 Final BIocWRelaining Wall 202 203 204 Final Fedory Fire Place Final Sign Final Demolition o�re um ... �'� (��'�!/ CppE� INSPECl10NTYVE 206 Final Mechanical 208 Final Plumbing 210 Final EletiriWl � 212 Final Fire Preventlon � 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy Address Owner: , .,._ ,, ,Owner�s.Address (if different from S. B�ING AND SAFETY DIVIS� �E DAMAGE INSPECTION REPORT (Required Prior To Permit Issuance) Street � Structural permit required. '� Repair or replace as necessary. City State � Electrical permit required. '�' Repair or replace as necessary. / Comments: /' � �- � `�� / 1r'► �• v�-I f �p /J�P l `/ L�u....�- -1- M �. O'� G� viu ��L /�o �- r�v I o s� -� 5��- %� Plumbing permit required. � Repair or replace as necessary. Comments: l"'� G i � � _ ,� i K ❑ Mechanical permit required. ❑ Repair or replace as necessary. Comments: G��.7 w� f-�� - 9- �/ Inspector Date 1HM-4fi hipliw�e: Originel-Ownar, Vellow-Con(rator, p��k,BuilEing Division �� iy- �sy_ � 6i Phone � (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3441 KINGS CT Suite No Viclnity: GARAGE Parcel Nunmber: 41207406 PLUMBING PERMIT ISSUED BY: Status: ISSUED Applied: 07/20/2001 Issued: 07/20/2001 Applicant: SIRIGNANQ,ED��'!` � � � �.., . ' ,_� Address: 24682 VIA TEQUILA - � . ' . � ', � ! " - � , - • � Phone: (949) 470-0072. � ` �' �. `A � � "�. �`` `�� LAKE'FOREST, CA ' - Zip: .92630 - � , �; � � �: ��_ � •` � �' - ..� _. - Owner: EICHENMULLER, JOHN G TR Address �1731 HASSAM�RD � /.; Phone: � MOON TWP, PA Zip:� 15108 � �i Contractoc : ALL STAR PLUMBWG & FIRE SPRINKLER CO Address: 24682 VIA TEQUICA � , - ' - - , , � " . , . � �. " . � Phone: (949) 470-0072 LAKE FOREST, CA ti Zip: 92630 � � �. �- License: 715588 �Aich / Eng : - � Address: � V ��: �`\ � � �'�- �� ,.�:. , `�, . /� . , � . � i\ �. . .. , . ��..�-, �' _ _• ` ,,, �,.- . , _ � �- . . � � . , - -. - �� '- s- ti- � Phone: Z�P` , ,-. - License: . , %�/ SCOPE OF PERMIT ' REPLACE SECTION OF GAS PIPING IN GARAGE. -- -� ��; . �y, . _ �� - r , � . •FEE UMMARY •, AMT QTY " � AMT -� QTY � ��i ` ISSUEFEE�-� �=$23.50,-. , , _,,.�'LaundryTub/Washer ' $0.00;',0;-:`,��-�SumpPump - � . Backflow irrigation 50.00 , 0 Landscape Irrigation $0.00 0� Swimming.P,00l BackFlow Preventer �50.00 0�� P-Trap � � $0.00 0 Trap Primer � Bathtub - , - $0.00 � 0 �-�, � PresSureRegulator � $0.00 0 � �Urinali <, i- , �� Clarifier System .$0.00 " 0 � Process Piping (per10 ft) $0.00 0 . Vacuum Brkr Bkflow(1-4) Connect (Ice,Soda,etc) �$0.00 0, � Receptors .. $0.00 0 ' Vacuum Brkr Bkflow(5+) Dental Units . � $0.00 -� -' 0 �� Seplic Tank $0.00 0 - '�. � Wash Basin - , Dishwasher � $0.00 . 0. � , . Sewer Cap tor Demo $0.00 � �0 � '� Wash Basin'Set Drain, Floor $0.00 � �0 � Sewer Connect � � $0.00 .0 Waste and Vent System Drain, Rainwater $0.00'� 0 Sewer�Private Line- $0.00 - 0 � , Nlater Closet (ToileQ Drain, Roof 50.00 � 0 - � Shower , $0.00- 0 . � Water Heater / vent Drinking Fountain 50.00 0� � Sink, bar $0.00 0-� - Water Piping Qnst or Rep.) Ezpansion Tank 50.00 0 �Sink, commercial � , $0.00' ' 0�- ' Water Re-pipe Gas Earthquake Valve 50.00 0 Sink, Floor $0.00 0 WaterService Gas (1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener Gas (Over 4 outlets) 50.00 0 Sink, service/mop $0.00 0 OTHER Gas Repipe $9.80 1 Spa (private) $0.00 0 VIOLATION Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK Interceptors (Grease, Oiq $0.00 0 REINSPECTION Interceptors (Sand Auto ) $0.00 0 COMMENTS / SPECIAL CONDITIONS AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $o.00 TOTAL CALCULATED FEES: E33.30 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Orcl. 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 it work is suspended or abandoned for 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 requlred Inapectione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaa�as (s�oo) WORKERS'COMPENSAnON DEGLARAnON: � . I hereby eHirtn untler penalTy o1 per�ury one ol the followinq decleratlons: ❑ I heve end will m0lnWin e certiticete ot consent to self-Insure tor workers' compensation, es provitled for by section 3700 of lhe Lebor Cotle, for Ihe peAormence oi Ihe wOrk for which this permll is Issuea. � I heve enG wlll mainWin woAcers' compensation insurance, as requiretl by sectlon 3700 ot tha Labor Code, for Ihe peRortnance oi the work for which this pertnit Is issuetl. My workers' wmpensatlon Insur-eryce cerder and Dollcy number ere: 1,I ' Carrier. �'� `�1.� N� Policy Number. �CIo %� ��n ' 6 I (Thls sectlon neeC n�r e�efed il the permlt is velued et one hundred dW/ars ($100) or /ess.) � I cenify t�et In the peAormance of the work for which t�is pertnit is issued, I shall not employ eny person in eny manner so as to become subjed to the workers' compensetion lews ot Califomia, antl egree thet if I should become sub�ect to Ihe workers' compensatlon provisions of Sectlon 3700 oi the Lebor Code, I shell forthwlih comD�Y with �hese Of 51 �n5. . , ArpplicanDSignaNre:� o LDate:_ � � � Z� �d � WARNINO: FNLURE TO SECUFE WORKERS' COMPENS ON COVERAGE IS UNUWFUL PND SHAl1 SUBIECT AN EMPLOYER TO CfiIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED TMOUSFND DOIUFE (5/00.OW),IN ADDITION TO TI�A ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3/O60F hfE LABOR COOE, INTEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATON: I hereby aHlrm ihat I am force entl eHect. Lic. A_ contreaors sianewra:� of Chapter 9(commencing with Sealon 7000) ot Division 3 of the Busine�s�n� mf ions CCotl'e, end my Ilcense Is in tull Class M C_ Coate:—� 7 �il -D / CONSTRUCTION LENDING AGENCY: — ❑ I hereby alflrm �het there is a conslruclion lending agency for the pertormance oi Ihe work for which ihis pertnit is issued. (Sec. 3097, Civll Code). Lendafs Neme: Lendefs Address: Signature: OWNER-BUILDER DECLARATIONS: Dete: I hereby eNirm thet untler penelry ot per�ury ihet I em EXEMPT FROM THE CONTFiACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Buslneu end Professions Cotle: Any ciry or counry which requires e permit to construct, elter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the epplicant for such partnit to file e signed stetament ihat he or she is Iicensatl pursuant to Ihe pravisions at ihe Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) of DlWsion 3 of the Business and Professions Code) or that ha ar she is exempt therefrom flnd the basis for the allegetl exemption. Any violation oi Section 7031.5 by eny applicent for a pertni: subjects the epplicant to a civil penelty of not more then five hundretl Aollars ($500).): ❑ I, as owner of Ihe properry, or my amployees with wages es their sole compensatlon, WILL DO THE WORK, and Ihe siructure is not intended or oHeretl for sale (Sec. 7044, Business end Professions COCe: The Contrectors License Law does not apply to an owner ot properry who builds or improves thereon, antl who does such work himself or herself or through his or her own employees, pmvitleC ihat such improvements are not intended or ottered for sale. If, however, ihe building or imprwement Is soltl within one yeer o1 completioq the owneo-builder will have ihe burden ot proving that he or she did not builtl or impmve for purpose ot sale.). ❑ I, es owner ot the properry. em EXCLUSIVELY CONTRACTING WITH LICENSED CONiRACTORS to canstruct the project (Sec. 7044, Business ana Pmfessions Cotla: The wntrectors IJcense Lew does not apply lo an owner oi propeny who builds or Improves thereon, end who coNrects tor such project with a contrecmr(s) license pursuant to the Conirectors License Wws.). ❑ I em exempt under sec. Business and Professions Code for this reason: SlgneNre: Date: _ Owner ID venfied by drivefs license. ❑ Ves ❑ No Dnver's License No. Eapires: Vedfication oi Ownarship by (type of document, i.e. - properry tau blll or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify Ihat no axcavetion fNa (5) or more feet in tlepth Into which a person is required to tlescend, will be mede in connection with work euthodzetl by this permit, and ihat no 6uilding siructure, scattolding, falsework, or tlemolitlon or tlismantling Ihereot, will be more then ihirry-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Tltle 8, Calitomia AOmlNslrativa Code). ❑ As owner-builder, I wlll not employ anyone lo tlo work which would require a permit irom ihe Division ol Industnal Sefery, es noted ebove, unless such person has e permit to tlo such work tram Ihe divisian. Signature: Date: Division of Intlustdal Sefery Permit Number: CERTIFlCA7E OF COMPLJANCE AND Al7TTfORRATON OF EMRY: I certity under penelty of perjury ihat 1 heve read this application and state that the infortnation given is correcL I agree to wmply with ell state laws antl ciry ordinances relating to building construction, end authorize representatives of the Ciry of Costa Mesa lo enter upon the above-described pmparry tor inspection Durposes. I egree not lo occupy or ellow occupancy oi eny building authorized by ihis pertnit un�il final inspection. �� ,Signature Ot Legal Owner(s) �--.�a,"..'mti�a?��..-- -- CQOE �. INSVECfIONTYPE QeIE U1�IEL5 1816 Fixed System Final Fire Prevention 1288 200 201 202 203 Pool Spa Finel Finel Re-Root Final BIocWRetaining Well Flnel Factory Fire Place Final Sign I 204 Final Demolition �/ 7^ 2r.� -Q � �—Date�_ _ COOEt INSPEC710NTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electricel 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy BDIF It�45 i- ��r -OI � Appl -CITV OF COSTA MESA � aea ,CONSTRUCTION PERMIT � in all soaces within �eavy borEer lines antl sign all aoP/opriate Geclaratior T NO. � T'RACT'NO. LOT NO. ;-�BL�G. NO. u rro�ect Naaress ^5�,¢ � •' TVPE OF CONSTRUCTION � Owner — Phone' �' EW ❑ADD ❑ALTERATION � - � Addless ' 7� ' ❑ REPAIR ❑ CONVERSION ❑DEMOLISH � Arch/Eng. �- ' ' - ' LiCenSe NO. ' ❑ OTHER AddfC55 � � ' � . DESCRIPTION OF WORK Conbacto � — Phon � D TVPE OF PERMIT^ . � Addre55 �OI ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL LICENSE� CONTRACTOR DECLARATION � � ❑ TENANT ❑ ELECTRICAL IaPI_UMBING ❑MECHANIC I hereby afflrm Nat 1 am licensetl untler provisions of Charter 9'(com- i mencing with section ]000) ot Division 3 of tne Business -antl ❑ OTHER Professions Cotle, na my Iicense is in full torce ana effect. PROJECT DESCRIPTION ucense ci � 0�'1 �i�c N��lri9�6�b . ' ' Date �— � 99nature SQ. FT: ' . . _ ,. . WORKERS'COMPENSATIONDE RATION - OGCUPANCV_CONSTRUCTIONTVPE I hereby affirm that I nave a cer t ate ot consent to self-insure or a VALUATION ZONE �^•Htlt'zte of Workers' Compens on Insurance, oJ, a certlfietl copy �� - 'of (Se 7 n 38�3�0 Lab. C,). , C {/�� GRADING CU. YDS. ACRES / No. ] Compdn��,�C� � � ' L Certifietl-copy is hGr¢by turnishetl. - � �• � REMARKS: � �Certifletl copY �s filetl with tha city Builtling Division. EMPTION FROM W00.KER5' COMPENSATION DECLFRATION '.I � � (This section neetl not be completetl if the permit is for. one.huntlretl _ _ . _ __ (E300) or less). ; '� 1 certify that in the pertormance.of.the-work for which this permit is _ ISSuetl, I shall not employ any pe�son in any manner so as [a b¢COmE PLUMBIN(�i ' PLAN CHECK subiect [o ihe�Workers' Comoenzation Laws ot Calitornia. _ . Date - Signature NOTICE: If a(ter making this tleclaration, you shoultl become subject TOII.ET$ to the Workers' Compensation provisions ot the labor Cotle, you must forthwith coTply wltM1 sucM1 provi5lons or this permit Shall be tleemetl LAVATORIES revoketl. - - � _ . . , _ _ CONSTRUGTION LENDING AGENCV KIT. SINKS I hereby affi�m [nat there is a const�uction lentling agency fo� the per- SERVICE SINK$ formance of the work for which this permit i5 issuetl (Section 3097 Civ. C.). � FLOOR SINK$ LenGer's Name Lentl¢r's Atltl�ess � DRINKING FOUI OWNER BUILDER DECLARATION INTERCEPTORS I her¢by afti�m that I am exempt tromine Contracto�'s License Law for Any Uty or wunty whicM1 reqw�es a pe�mit to constvuct, alter, improve, tlemolish or repair aoy structure, prior to its'issuance; also're- qW�es the applitant for such permit to file a signetl sta[ement tnal he is licensetl pursuant to the provisions of the' Contractor's License Law �"' �pter 9(commencing with Section �000) of Olvisian 3 of the ess antl PrWessions Cotle) Or'thaYhe is exempt there(rOm antl the Por [he allegetl ezemption. Any violation of Section 7031.5 by applican£ for-a permit subjects the applicant to a civil penalty or not more than five huntlretl tlollars ($500). ❑ I, ds owner ot th¢ property, or my e�nployees with wages as tneir SoIE mmpensation, will tlo the �work, antl the structure is not in[entlEtl or of(eretl for sale. (Section 7044, Business and Profe55ions Cotle: The Cont�actor's License Law tloes.not apply to an owner Of.a prope�ty who buiitl5 or improves thereon, antl who tloes such work M1imself or through his own employees, provitletl tbat such improvement5 are not. in[entletl or offeretl for sale. If, howeveq tne builtling or improvement is soltl within one.year Of completion, the owne� will have the burtlen o( proving M1e tlitl mt bulltl or improve for the purpose of sale). ❑ I, 'as' owner of tM1e propertY, am exclusively conVacting with licensetl conVactors to mnstruct the project (5ection �044. eusinesz antl Professions Cotle: The Contractor's License Law tloes not apply to an owner oi property wM10 builtls or improves thereon, antl who con- Iracts trom suCh'projects with 'a cont�actor(s) Iicesned pursuant to the Contractor`s License Law). ❑ 1 am ezempt untler Section B. & P. C. for this reason � - Oate - - Owner • I hereby certify thdt I have reatl thi5 application antl State that tne dbove informa[ion i5 co�recL I agree to wmply with all city antl munty ortlinances antl.state laws rela[ing to mnstruction, antl hereby authorize representatives of [hi5 city to enler upon the above mentionetl propert r inspec�tlon �pJ�'�oses. Signatu. ��`-'� /-(A----- Date� DriverY Lic� 55 � ' -�SSUE FEE- CMF 0865- White-Builtlin Canary-Applicant; Pink-Accouniinq; Goltlenrotl-Assessor Lou/S VRINALS DOUBLE LAVS DISHWASHERS SUMPS FLOOR DRAINS CLARIFIERS WATER SERVICE ALTERATION GASSERVICE OUTLETS' WATER HEATERS�"- BTU OUTPUT � ��tl0�� _S.n'r i NC L! SOI.ARTANK � OLLECTORS SOLAP PIPING SVS. ISSUE FEE MECHANICAL PLAN CHECK HEATING SVSTEM 0-300,000 BTU_ AN� DUCTING 300,000 + BTU _ REFRIGERATION 0-100,000 BTU_ SVSTEM ' ' 100,000+gTU_ BOILERS BTU SVSTEM REPAIR,ALTERATION E%HAUSTSVSTEM MULTIPLE 'i ❑Lf_�. -ri ZONING REGUL ZONE D SETBACK L ST. ' SIDE VARD LEF a gIDE VA RIGHT REAR YARO (TO I PKG. SPACE REQ. STREET WIOTH ZONING A7PROVE �SPECIAL CONDITI -ELECTRICAL � PLNTGp. RUEFL. � PROPE�RTVNLINE PROVIDED • PARK FEE $ DATE T�' PLAN CHECK . � GENERATOR 0-1 KW_ 1-30 KW _ TRANSFORMER � APPLIANCE 10-SO KW_50 t KW _ MOTORS 0-1 HP_1�10 HP _ �� (INC.SOI.AR) - 30-SOHP SO+HP _ FIXTURES OUTLETS 'SWITCHES ' GASTUBESIGNS' - ' ' ^ �POLE LIGHTS ' ' ' . ��PANELS " MAIN SUB' I ' SERVICE ' ' -' AMP - " '� � �zJ ISSUE FEE ' " ' ' ' 3 ,� APPLICATION APPROVED BY � J� DqTE SUMMARY OF FEES BUILDING � - PERMIT $ SMIP ,$ �PLAN CHECK $ PERMIT � / � ISSUANCE 5 PLUMBING $_-Q—.L(L � GRAOING $ PLAN CHECK S . � ��EIECTRICAL� $ - - $ MICROFILM $ - �PLANCHECK $ ' � TOTALFEE$ �MECNANICAL $ � ' " LE55 AD- . � PLANCHECK $' ' VANCEPC $_ O /O ` � ,-, ^INALFEE $ � TL� �O 1 \ I � POOL & SPA � CONSTRUCTION AND PLANNING � � � APPROVALS Permit# Date Inspecto� qppROVALS Permit# Date � Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment �ocation ' . Soil ipe-Undrgrn � 44. Steel Reinforcement - 3. Electrica� Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce - 47. Rou h Plumbin & Pressure Test - 6. Electrical UFER Grn 46. APPROVALTO COVER-GUNITE � � 7. Foo[ings � 49, Electrical Conduit-Undr rn � �� 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test - � 9. ' Water Pipe-Undrgrn 57. Backwash Lines P-Tre � ndr rn ' 10. Structural Floor System 52. APPROVALTO DECK 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final � 12. Street Sewer Connection -� 54. Heater & Vent-Final 13. Rough Plumliing-._� ; ++ � � � � 14. Rough ElectricConduit " "�d �56. � Electrical-Final - � 15. Rough Electric-Wiring -�"' :�;{; 57. Solar System-Final i 6. Rough Heating & Air Conditioning • encing & Access Approval . �17. Ducts, in Structure. � APPROVED FOR PLASTERING � � 16. Ducts, Ventilating 19. Gas Pipe-Rough &Test • 60. POOL/SPA SYSTEMS FINAL ' . ' 20. Roof Framing - 21. Roof Sheathin 22. Frame and Flashin NOTES: 23. Insulation � ' ' 24. Lathing & Siding ' 25. Drywall Nailing � � � 26. Plaster Brown Coat • � - 27. Electrical Power Meter-Final � � ' 28. Final Electric � - ' 29. Final Heating & Air Conditioning • - � 30.- Final Gas Rpe-Test � �_ �� 31. Final Plumbing � , 32. Water Service-Final - - � 33. Gas Service-Final - � 34. Solar pomestic-Final ' 35. Landsca e S rinklin S stem - � 36. Sound Attenuation � 37. Handicap Regulations � - 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed - 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. � � 42. CERTIFICATE OF OCCUPANCY � No Date OWENSCORNING - - 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 cohformance with current energy conservation regulations, California Administrative Code, Title 25, State of California, in the building located at: 3 y�// /s ,,, „� /�. � �/ /D:�? �--�s S[reet f � Lot Number � Tract Number Exterior Walls �� Owens-Corning Fiberglas Blanket insulation a / Thi�ckness R-Va,__ Ceilings / , ,� Owens-Coming Fiberglas Blanket Insulation _ /� � /� Thickness R-Value Floors Owens-Corning Fiberqlas Blanket Insulation Thickness R-Value Foundation Walls Manufacturer Type Thickness R-Value General Contractor _ License No. gy - / Title - —Date Is�e�aime) q_ � �� // p/ -- _ Insula � ontr ctor '��'�r��-�� "�'�LJ""'��"�License No. � -��"! %�- i Title �� — Date ��/' �'- BY — - -- � gnawrel '�- � Homeowner Copy (White) Slale Copy (Yellpw) OWENS-CORNING FIBERGLAS CORP. Builder Copy (Piftk) Insulation Operating Division c„o. No is-e��ssss�n �iino �� u.sn,. dwy isn Fiberglas Tower, Toledo, Ohio 43659 H � a a y h S F C� W F a ❑ �..7 6 > r a z � o. � � L z � 3 DEPARTMENT FORNIA 92626 For Applicant to Fill in Completely — Use Ink Only AD'DRESS 3441 Kings Court OWNERORW1Iil�i12C1011 �15SOC. TENANT MAILINC. 1470 Jamboree Rd ADDRE55 ciTv Newport Beach ,T�o`fi40-680 CONSfRUCfION Imperial Savings & Loan 1 G1Jl1LR BRANCH pasadena ADDRESS � G� T ake ]�Ve ARCHITECT Corbin/Yamafuji No 549-712 OR ENGINEER ADORESS 17992 Mitchell So.�Irvine CONTRACTOR McLain Dev. Co. ADORESS 147� Jamboree FiCl. ciTv Newport Beach No`'640-680 uc No. 273875 �ic�No. 18873 SIZE NO.OF BLDGS. Q OF LOT NOW ON LOT USE OF I EXI5iING BLDG. Separate permits are required for electric, plumbing and heating work: . PRD — New construction Single-family dwelling I hereby acknowladge that I have reatl this application end state thai the above intormation is co�rect and agree to comply with all laws regulaiing building construction, and I shall not employ any perwn in violation of the workman's compensation laws of the State�ot California. � I hereby cettify that I am properly licansed as a contrector untler the State of Californie Business and Professions Code, Division 3, Chapter 9, and thet such licenses are in full force and effect, or I am exempt from the provisions of t�a $tate of California Business antl Prof¢ssions Cotle ivi ion 3, Pta 9. Signatura of Permittee ' o� Authorizetl Agent Date ,��:... APPLICATIONF9RI�T'RUJQ�UIffi�ILPERMI'Q46.30 TL� RECEr/A�Y PERMIT ••L*j° . 4 7 7 4 1 . .. ,. A.P. NO. '` � � dC._ BUILDING ADDRE55 3441 VNITOR SPACE N0.31 TR.NO. LOT NEW ADD ALTER REPAIR MOVI X OWNER Wimbledon p.SSOC. , USE PRD VALUE -3 ROVED DATE APPROVEDSETBACKS (FROM G{tSTREEi) F.-, , REAR �� FT. PLANNING ACTION � / t'f �7 I � OVED NOLD FOR SPECIAL m � i u i�� ' s m t� SQ. FT. � THE AMOUNT SH N UNDER VALUATION IS FOR m � THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � � VALUATION PERMIT FEE $ �� d � N \ L'�j � PLAN CHECK $ o § n�� ir TAX $ �i•�(J � G �� TOTALPAID $ U' �