HomeMy WebLinkAbout3420 WIMBLEDON WAY - Building Permits, �1.9.'� :-i !1 (�
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COS7A MESA, CALIFORNIA 92626
For Applican[ [o Fill in Comple[ely — Use lnk Only
ADOFESS IAt E>L
OWNER MCI31T1 DEVelO P11t W.
MAIL 1470 Jattil�oree R3.
ADDFESS
ciTv Neo.�port Beach nT,o`'640-68i
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CANSTRUGTION
LENDER HQRe S3V7.I1CJS St LOdIl ASSIX..
BflANCH 3731 Wilshire BZVU.
ADDRESS �%$ ""'y�eSi �1•
AFCHITECT ..___�___ n.____�____ TEL...�.� ��
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ADDFESS 3661 Spruce .St.� Neaport n^-
CONTRACTOR ��� �e10�IRPIlt CO.
ADDfiESS 1470 Jamboree Rd.
CITY Newport Beach No.`640-6800
uc No. 273875 LICVNO. .
OF LOT 169x157x55x126x119 I NOW ON LO (�
USE OF
��, R�ol equi.pnent and restrocmLs
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILOING AND WOIiK TO BE PERFORMED
Pool ecruiunent and restroans
I heroby acknowlatlpe that I have read thls appllcation antl state
that the abova intormation is corract and agree io comply with
all lews rogulating builtling consttuction, entl I shell not ¢mploy
any porson In violetion of the workman'a compensation lews ot
the Stnta ot Cnli7ornie.
I �ereby certlty that I am properly Iicansetl as a eontraeto� untlar
the Steta of Celifornie Business antl Professions Coda, Division 7,
Chapter 9, and that such licenses ara In f�ll force anA effect, or 1
am exempt from the provlsions of ihe Ste2e ot California Business
antl Profossions Code, Division 3, Chnpte� 9.
Slgnaturo of �p �
PefmlttBe L�
Authorizad A t
,3 ¢s o w� w. b leo�o,J uJa�y'
yF•3933 2/22779� IB6.48 7L
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APPLICATION FOR STRUCTURAL PERMIT �
RECEIVEDBV DATERECEIVE�� nerciccimn
A.P. NO�/ � ��! / V �
BUILDING 3¢ao cJ
AODRE55 1 YN
TRACT � Oii% LOT
FIR
N= NO.OF
p P�� ,
YARDSAPPROVED
PERMIT NO.
VALUE
USE OF NEW �
BUILDING
-i
YARDS API
AGCESSORv
BLOCK
OISTqfK:E BET. V' � BET. M IN &
MAINELDGS. ACC BLOGS.
VAR. # DATE
C:U.P.# APPROVED
APPROV � '"__.�C `�Z�
FOR SPECIAL
S�. FT. 1 / ��8
THEAMOUNTSHOWNUN
THE PUFP�E OF ESTABLI54
ft.
VALUATION PERMIT FEE S
p0
� ��� AN CHECK S
$ TAX S
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COSTA MESA BUILDING-SAFETV DEP RTMENT
P.Q. BOX 1200 C�TA MESA, CALIPORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING aLl%S.. 1.1�?_,.,. �� nr: n�..l� �i��
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OWNER McLain Development
MAIL _ _' _ _ ' _
c�Tv Newport Heach N�`56-8
CONSTiiUCI'ION
BRANCH
ADDHESS
ARCHITECT TEL. .��� �
CONTRACTOR �a11=ornia Y001 S� 1
nooREss 15731 xexaco Ave
TE .
cirv paramounC N�31
LIC. NO. ZHrJ' �.OZ LICVNO U
51 Z E NO.OF BLC
OF LOT NOW ON LC
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plurhbing and heating work.
USE OF eUILDING AND WORK TO BE PERFORMED
swim pool, spa, wader
I horeEy o<knowlotlpe tMat I hava raeE Mft applicatfon antl nota
choc Na a6ova inlormatlon is correct entl npreo ro eomply with
all Iaw� ropulatlnp builtll�C conarueNon, and I chall not omploy
eny parwn in violatlon of Me workmon'� eompenwtion law� of
tho State of ColHomle.
1 hareby cartify thet I am VroParly Ilcentetl as a eontrocto� untler
ths Smto of Callfornia B�sinau antl Profaulons Coda, Dlvleion 3,
Cheptar 9, ontl thet aue� Ilcenws are in full forca ontl affxt, or I
em axompt from Mo pro��siona o1 tha 5[o[a of Colifarnln Businoes
end Profasalons Cotlo, Div�sion 3, Chnpter 9.
Sipnature of ` � l
Permittaa � ,/a� _ ��L�1�t.J
Authorixed Apont
R
A.P. NO. (
BUILDING �
ADDFESS
a
FIRE
ZONE
APPHOVED
8733 5/IB/79 96.89 TL��
8733 5/'I'8%79 96.69CKTD
9733 OOtlQ4GB061 --I,If-��
�'CION FOR STRUCfURAL PERMIT
BV DAT RECEJVED neTowciion
OF
YAqDS APPROVED
MAIN BVILDING
ROM C/L STREET
OM �FT.
�,..� / � ` .�S�a
DLSTANCE BET.
MAIN BLDGS.
VAR. #�
PERMIT
VALUE
BLOCK
�V
USE Of NEW v00( �
BUIL�ING �A� �
VAfiDS AGPROV EO
ACCESSORV BUILDING
� - Cl�/ /JT,��eCfOl7
. /i. I\ ,n
DATE
THE AMOUNTSHOWN UNDER VALU
THE PUFPpSE OF ESTABLISHING A VEM
VALUATION PERMIT FEE 3
5 !Z / ��� TAX CHECK S
TOTALPAID E
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• COSTA MESA BUILDING-SAFETY DEPARTMENT
l� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
APPLICAT[ON FOR STRUCTURAL PERMIT
BUILDING A.P. NO.
ADDRE55 _
BUILDING
OWNER OR ADDRE55
TENANT .._T n �
CITV
�" VNIT OR
SPACE NO.
TR.NO. LOT
t Beach No`.640-680
NEW ADD ALTI
BRANCH 373
ADDRESS LOS
APCMITECT
OR ENGINEEF COY
ADDRESS 1]9
CONTRACTORITV
OWNER ��GG
90010
TEL. _ . _ �. USE �
CITV NO.
F STATE CITV %�PPROVED SETBACKS
i LIC. NO. LIC. NO.
WS¢E NO.OF BLDGS. (FROM GL ET)
LL OF LOT NOW ON LOT M /
a USE OF --
'� EXISTING BLDG. '
�
FSeparate permits are required for L. SID
0 electric, plumbing and heating work: REAR Fr.
F USE OF BUIIDING AND WORK TO BE PERFORMED PL.qNNING ACTION
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+�a. �
1 VALUE
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DATE
APPROVED�-
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� I hereby acknowletlpe thet 1 have reatl this application and stata °�'
y� thet t�e above tntormetion is correct entl apree to comply with
� all laws repulatinB builtllnB conttruction, antl I shall not employ �
,'� any person in violatlon ot the workmen's compensation lews ot m
sthe Stata ot Califomla. ��^O �. � �
3 I hereby ce�tlfy that I am properly licensetl es e contracior under L Sd!Tr �
the State of Calitornie Business antl Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl that cueh Iieenses ere in full force and effact, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt trom iha provlaions ot the Stete of Calitornia Businecs
�VALUATION PERMIT FEE § O ��
entl Professionz Cotle, Oiviaion 3, Chapter 9. m
PLAN CHEGK E 7 �O a
Signature of �f/J �7 y� LL
Permittee ' $ (� [�� / �V TAX S
or � O � �
Authorized A ant Date U
� 8 TOTALPAID E � r
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