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HomeMy WebLinkAbout3493 WIMBLEDON WAY - Building Permits��ia� �sa-sz�s - F� (»a»sa-aess CITY OF COSTA MESA BI/ILpING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT .lobAddress: 3493 WIMBLEDON WY Suite: Vicinity: RESIDENCE & ATTACHED GARAGE. Parcel Nunmber: 41204278 App�icant: PITMAN, J VERNON Address: 7522 SLATER AV 108 , HUNTINGTON BEACH,CA Owner: DREHER, JAMES H TR Address 3493 WIMBLEDON WAY � . , � �� � , i , COSTA MESA, CA � Cont�actoi: SOUTHLAND.ROOFING INC. � Address: 7522 3CATER�AV � � . 108 - �:i . � HUNTINGTON BEACH,CA Zip: 92647 Arch : Address: Zonin9: Rl R1 Phone: 714-375-9500 . Zip: 92647 - , Phone: ' Zip: 92626 � , Phone: 714-375-9500 License: 750442 Eng: Address: � PERMIT NUMBER T7 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: O6/03/1999 Issued: O6/03/1999 ISSUED BY: __y�_ � � • Phone: Phone: Zip , � . License: Zip: . License: ' SCOPE OF PERMIT REROOF: T/0 WOOD SHAKE, 2 LAYER OF 3Q# FELT; REROOF WITH "NATURE GUARD" SHAKES (ICBO #5121). 29 SQUARES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $162.25 $0.99 $0.00 $0.00 $0.00 $163.24 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Propased: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0- 0 $9,860.00 ss,eso.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (ord. No. sz-ze, § 1, 12-z1-s2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for the work euthorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all required Inepeetlone and flnal approvel must be oblained. Failure to obtein inspections and final epproval will result in tha ezpiration of this permit. FOH INSPECTIONS CALL: (714) 7545626 WORKERS'COMVENSAnON DECLARAnON: � I hereby eltirm untler penalry of perjury ona ot t�e following tleclarations:� �, � , ... ❑ I heve and will maintein a certificete oi consent [o self-Insure tor workers' compensetlon, es provided tor by section 3700 of the Lebor Code, for the pertormance ol the work for whiCh thi5 permit i5 issued. ' � ' . �I have antl wlil maintain workers' compensatlon insurence, as requlretl by sectlon 3700 ot Ihe Labor Cotle, br t�e peAortnence ot Iha work br which this permlt Is iuued. My workers' compensation Insurance cerrler end policy number are: Cerrier. Policy NumCer: (Th/s sectton need nof be comp/efed 1/ fhe pertnif Is velued ef one huntlred dollars ($ f00) oi /ess.J � - ❑ I certity thet in the pedormance ot the woM tor whlch this permit is luued, I ahell not employ any person In any menner so as lo become subject to the workers' compensatlon laws oi Celifomia and egree if I should become sub�ect to �he workers' compensation provlsions ol Sactian 3700 of the Labor Code, I shall lonhwith comply with these Dmvisi p AppliceN SigneWre: � Deta: � — � �� / WARNING: FAILURE TO SECURE W EFS' COIAPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUN�RED THWSAND DOLLARE (5100,000), IN AODRION TO THE COST OF COMPENSATION, DAMhGES AS PPOVIDED FOR IN SECTION 31W OF THE LABOR CODE.IPIrEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm Ihat I am licensetl untler provislons of Chepter 9(commencing with Section 7000) ot Division 3 ot ihe Buslness end Protessions Code, and my license is In full force end eHect. Lic. q Gless p ConlreCiof'S SigneWre: ��q � Dete: �� � — �9 CONSTRUCTION LENDWG /CGENCY: ❑ I hereby attirm that lhere is a constructlon lenaing egency tor ihe DeAormence of the work tor which this permit I5 issued. (Sec. 3097, Civil Code). Lenders Name: .. _ .. _ .. _ ___. Lendefs Addreu: Siqnature: OWNER-BUILDER DECLAFiA710NS: Dete: I hereby eifirm ihat under penalry of per�ury �hat I em EXEMPT FROM THE CONTRACTORS IICENSE LAW tor the tollowing reason (Sac. 7031.5, Business entl Protessions Code: Any city or county which requires e parmit to consimct, alter, improve, tlemolish, or repair eny stmcWre, prior to Ils Issuance, elso requires ihe applicant for such parmit to lila e signed statement that he or she Is Ilcer.setl pursuent to ihe provisions of the Contrec�ors License Lew (Chapter 9(commencing with Section 7000) of Divislon 3 of the Business end Professions Code) or thet �e or sha is exempl theretrom end Ihe besis lor the alleged exemption. Any violation of Section 7037.5 by eny appllcenl for e permit subJects the applicant to e civil penalry of not more ihan five hundretl dollers (5500).J: ❑ I, es owner of the D�aPerry. or my employees with wages es their sole compensetion, WILL DO T1E WORK, end the structure is not intentled or oXered for sale (Sec. 7044, eusiness antl Professions Code: The Conirectors License Lew tloes not apply to en owner of property who builds or improves thereon, and who tloes such work himself or herselt or Ihrough his or her own employees, provided thei such improvements are not intended or oftered for sale. N, however, the building or improvement is sold within one year of completion, ihe owneo-builder will have Ihe burden oi proving that he or she aid not builtl or Improve tor purpwe of sale.). ❑ I, as owner oi the properry. am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to consiruct Ihe prol�i (Sec. 7044, Business end Pmfessions Code: The contrectors License Law does not epply to an owner of proDerty who builAs or improves thereon, entl who contrects for such project with a contractor(s) license pursuent to the Gonirecbrs License LawsJ. ❑ 1 em exempt undar sec. Signature: Owner ID venfied by dnvers license. ❑ Yes ❑ No Business and Profeuions Code for this reason: VeriFlcetion of Ownerehip by Qype of document, I.e. - property ta�c bill or tlead): DIVISION OF INDUSTRIAL SAFETY PEHMIT CERTIFICA710N: Orlvels License No. Date: Expires: ❑ I hereby cenity Ihet no exwvation five (5) or more leet in depth into whlch a person is require0 to tlescenq will be mada in connection with work authorized by Ihis pertnl6 end that no building structure, sceffolCing, telsework, or demolition or dlsmantling �hereof, will 6e more then thirty-six (36) feet high. (Chap. 32. Grp 2, An 2, Sec. 3d1, Tltle B, Califomia Administretive Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a pertnii irom tha Division of Industriel Safery, es noted ebove, unless such person has e pertnit ta do such work from the Civision. SlgnaWre: Date: Divislon of Indusiriel Sefery Permit Number: CERTFICA7E OF COMPLIANCE AND AUiHORVATON OF EMRV: I certity under penatty of perjury thet I have reatl ihis epplication and stata that the informetion given is correcL I egree to comply with all stete laws flnd city ordinances relatlng to 6uiltling wnstruction, and euthodze represematives of ihe Ciry oi Costa Mese lo enter upon the ebove-descnbad properry for inspection puryoses. I agree not to occupy or ellow occupancy of any building aut�onzetl by this permit until final inspection. COOE1. INSPEGTIONTYPE ' 7616 Fl:etl System Flnel Flre Prevention 1266 Pool Spe Final 200 Flnal Re-Rool 201 Flnal Block/Retaining Wall 202 Finel Fectary Fire Place 203 204 26C&48 Final Sign Finel Demolition %�-�Zb�Z7 � COUE�" INSPECTIONTYPE ' 206 ' Finel Mechanicel 208 Final Plumbing 270 Final Electncal 212 Final Fire Preven�lon 220 Final Plenning Approvel 222 Finel Site 250 Final Builtling/Occupancy P�g Applicant ta till in all spaces except tnase within heavY ooraer lines ana sign all apvropriate aeclarations. CITY OF COSTA MESA CONSTRUCTION PERfdIT Project Address 3493 Wimbledon Circl.e ApplicAnt's Mailing Address 5413 E. La Pal.ma—Anaheim92807 owoer's rvame� •& Mrs. J. DrPhPY pho�e 850-9160 , Address 3493 Wimbl.edor. Circle�osta Mesa � nrch/Eng. � � �icense No. � 92626 Address Contractor's Name PRO HEATING & AIR' Phone ��9-6868 Addresslmailingl �5413 E. Txl Pdlrtld-Ai13he1Ii1 92807 City License No. 35351 � LICENSED CONTRACTOR DECLHRATION ' � I hereby atfi�m that I am'licensetl untle� provi5ion5 of Charter 9(tommencing with iection 7000) ot Division 3 ot the Business antl Protessions Cotle, antl my license i5 in full t �c�y tl effect. ' ' ' License Class •�-G� �icens o. 4E9637 Oate ��"���� Si9nature WORKEfiS' GOMPENSATION DECLARATION � I M1ereby affirm tbat I have a certificate ot consent to selT-insure or a certificate �f Workers' ComOensation Insurance, or a certifieC copY thereof (Section 3800, Lab. C.) Polity No. • 54-06392 Company � Homeland � Certifietl copy is hereby furnisnetl. ' , oateer�i�ip�a���y is tilea with the citv�d�{�i���t & AIR ' Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � (Thiz section neetl not be completetl if the permit is tor one huntlretl ($1�00) ot iess) ' ' . � ' 1 certify.tnat in the pertormance ot the work Por,which this perm�t is issueG, I shall-not employ any person in any mann¢r So as ta berome subject to the � Workers' Compenzation Laws ot Calitornia. . Date � Si9nature � ' ` - 'NOTICE: If, atter making this tleclaration, you slioultl become subject to tne Workers' Compensation provisions ot tne Labor Cotle, y0u must forthwith wmpty with'such p�ovisions or' this permit shall'� be tleemetl �revoketl.-� CONSTRVCTION LENDING AGENCV ' '� ' I hereCy atfirm that there is a conztruction Ientlin9 a9ency for tne pertormance . of tne �work for which this permit is'issuetl (Section 309] Civ. CJ Lentler's Name - . LentleYs Htltlress OWNER BUIIDEN �ECLARATION � " I h¢reby aHi�mlha[ 1 am exemPt from [M1e Contractor'S License l_aw tor the following�reason (Section ]031.5 Business antl Professional Cotle: Any city or county whicn requires a permit to wnstruct, alteq improve, tlemolish or repair any structu�e, prlo� to it5 issuance, alw �equires the applicant fo� such permit to file a signetl statement�that he/she is licensetl pursuant to tne provisions ot tne Con[ractor's License Caw (Chapter 9(commencin9 with Section 7000) ot � Divlsion• 3 of the Business antl Professions Cotl¢) o� that he/she is exempt the�efrom.antl the basis tor the allegetl exemptlon. Any violation ot Section 703L5 by any aOP�iCaof for a Oermit subjects the applicant to a civil �enalty of not more than five nuntlretl tlollars (g500). I, ai owner ot the prope�ty or my employees witM1 wages as thei� sole .compensation, will do ihe work, antl the structure'is not intentletl or otferetl for Sale (Section 7044, BuSiness antl Professional Cotle: The Contracto�'s License'Law tloes not appty to an owner of a property who builtls or improves � I thereon, antl who tloes such work himself/herself or through his or her own employees, providea that sucn imvrovements are not intentletl or otferetl for sale. If, howeveq the builtling or improvement is soltl wiNin one year of com- O�etion, [he owner will have the burtlen of pwving he/she tlitl not builtl or im- �rovefor the purpose of sale). ' I, as owne� of the proDerty, am exclusively cont�acting with licensetl Con- tractors to construct the project (Section 7044, Business antl Protessions Cotle: I The Contractor's License Law tloes not apply to an owner of property.who builtls or impwves thereon, antl _who�conVacts for-such project5 with a con-�', trac[or�51 litense pursuant to the Contractor'S Llcense Law). I am aware thaf , proot of thei� Worker'S Compensa[ion insu�ance shoultl be provltletl to me.� ❑.I am exempt untler Section B. & P. C. (or this reason ' TVPE OFCONSTRUCTION LJ NEW IJ ADD IJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH .❑ OTHER , DESCRIPTION OF WORK/USE OF BLDG. I7lGt"cZll, A��' SrStC'(il TVPE OF PEflMIT' . U GRADING L..� FOUNDATION LJ STRUCTURAL ❑ TENANT � ELECTRIGAL ❑ PLUMBING � MECHANICAL ❑ OTHER � PROJECT DESCRIPTION Sq.FT. - 7%nR oCCVaarvCV— CONSTRUCTIONTVPE VAWATION$ � � 20NE GRADINGCU.VDS. ;ACRES_ Remarks: Bar Sink � Backflow Preventer Backflow Irriqation Drinking Fountains .� Floor Drains � Floor Sinks ' Gas Service i .Outlets Interceptors " ' Kitchen Sink ' Lavatories - ' P-Trap Roof Orains � Reinspection Fee FEES Showers Service Sink Sewer Cap $ewer Connection $O�df COIIBCtOlS � Solar Piping • Solar Tank Swimming Pool w/Spa _ Urinal Water Closet Water Heater Water Service Auto-Wash $15 � Issue Fee $ 3 MECHANICAL � FEE Duct-UnderGround ' Duct-Structurel . � Duct-Ventilating ' Exhaust System ❑ Multiple ❑ Firepl/Pact.elt.IC80# ' Date owner Heating System & Ducting ! . 1 hereby certiry mat. I have reatl this application antl stare thaLthe above_ .❑0.100,OOOBTU �100,OOOBTI information is wrrect. I agree to compty wi[h all city antl county orHinances antl state laws relating lo builtling mnstruction, and hereby authoriie re0�e- sentatives oY this cit to enter upon the above-rtientione0 property tor • insoection au�ooses. ��� �/.... . _ � 3�3�86 Signature .6 GG�L=� Date Drivers' License or 55 � � Reinspeetion Fee CMF 0865�46,.rev. 30/B4 White - Builtling; Canary - APplicant: Pink - Accoun[Ing; Goltlenrotl - Assessor l Hoodor Typel' ❑ Canopy Type I I ❑ Refngeretion'SYstem � ' �o-ioo,000eru ❑ioo,000e System Repair/Alterotion - Fire Dampers Registers , $75 � Inue Fea $ 3 A.P. # S Main Building: E T Front A Rear C Ri9ht K Left S Ping. Ref. # Planning Notes: Auromatic Washer Construction Pole Sub. Cooking Unit ' Dishwasher Oryers ❑Gas ❑Electric Fan � F.A.U. Fixtures Device Boxes Outlets SWILCI125 Ga�bage Disposal - Generator 065 KW �5-151< 1 Reinspection fee I DEVELOPMENT SERVICES R Zoning Approved By Building App�oved By — 1152 3lf8/66 Zone ELECTHICAL ' Transformer,�.15-50KW . ❑ 50+KW •Meter ❑up to 100 amps Meter ❑over 100 amps � � Sub Panel � 1 nnoro�s�61 HPX]7'f.-8 , IncSolar.�9-15 HP �76-15i Pole Light � Range Sign � ; Standing �Sections Trash Compactor I �eCi� TL ;FEES ' Z $15 I I Issue Fee, � I $ 3 EQUIREMENTS: . � � - , . SUMMARV OF FEES � . BUILDING PEPMI7 $ ' SMIP � $ PLAN CHECK $ PERMIT � PLUMBING $ �SSUANCE ' $ � ,�� PLAN CHECK 2596 $ —T�T ENERGV P.C. $ ELECTRICAL § -�.ElH'a��/✓ GRADING � $ � PLAN CHECK 50% $ —c�� MICflOFILM $ MECHANICAI . $ -�H �. C�U TOTAL FEE . $ 1Z.00 . PLAN CHECK 25% $ . ' Z O N 1 N G R E Q M T S CON$TRUCTION ANDPLANNING POO�-�SPA APPROVALS Permit# Date Inspector � qppROVALS Permit# � Date Inspector 7. •Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reiriforcement � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. �Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE 7. Footings , . � 58. Electrical Conduit-Undrgrnd. 8. Foundation . � 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 U�drgrnd. 10. Structurel Floor System . � 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap . 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final . 14. Rough Plumbing 65. Electrical-Final � 15. Rough Electrical-Conduit " 66. Solar System-Final 16. Rough Electric Wiring - - 67. Fencing & Access Approval �17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrira_I-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro � 22. Ducts, Ventilating . � � 71. Product Piping O Gas ❑ Oil ` 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27.�Frameand Flashing � � 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29.� Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � ' 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric �'%']�Klo L�9 Notes: 34. Final Heating & Air Conditioning y_y_y6 L� 35. Final Gas Pipe-Test � � � , . � 36. Hood or Canopy z� 37. Final Factory Fireplace � . 38. Final Plumbing � . 39. Water Service-Final ' - 40. Gas Service-Final :;,r. , 41. Solar pomestic-Final t^� . � (i 42. Backflow Preventer ;=- 43. Backflow Irrigation - `' - . � � � �r _r 44. �Landscape Irrigation System :N,': � � 45. Sound Attenuation �`• ' 46. Handicap Regulations . 47. FINALSTRUCTURE&BUILDI�NG ' :�. 48. Special Requirements Completed^� � 49. Electrie Release to Edison � � 50. Gas Release to Southern California Gas Co • � - 51. CERTIFICATE OF OCCUPANCY � ' No Date F � Lad a Q y h '� F G � F a < > r � a v� a O � a Z W �.' 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely - Use Ink Only BUIIDING 3493 Wimbledon Way ADDRESS OWNER OR W1RIb�.2CIOR P+SSOC TENANT MAILING 1G]'�0 Jamboree RCl ADDRE55 CITV Newport Beach N�40-6800 CONSTRUCYION Imperial Savings & Loan BRANCH ARCHITECT COrbin/YamafujiNo�549-712 Ofi ENGINEER ADDRESS 17992 Mitchell So.,Irvine CONTRACYOR McLain DeV. Co. ADDRESS 1470 Jamboree Rd C17V Newport Beach T�,oK40-6800 LIC.NO. z73875 LICVNO. 18H7'3 SI2E NO.OF BLDCS. Q OF LOT NOW ON LOT USE OF Separate permits are required for electric, plumbing and heating work: V�LDING AND WORK TO BE PERFORMED !']:i�= e-Family Dwelling I hereby acKnowledga that I have read this application and state that the abOve information is correcx end ae*� <o comply with all laws regU�atin8 builtling constr�ction, antl I shall not employ any person in violation af the workman's compensation laws of the State ot Californla. I hereby certify that I am properly licensed as a contractor untler the Stata of California Businass antl Professions Cotle, Division 3, Chapter 9, antl that such licanses are in full forca and affect, or I am exempt fram the provisions of the Stete of California Businass entl ProfessiP�s Cotla, Divisian 3, Chapte� 9. Signanre of Pe�miKee or �, � Auffiorizetl A9ent Da[e — APPLICAT[ON FOR STRUCTURAL PERMIT R A.P.NO. �FI�'- DY�—,S.i ADIDRE55 3493 Wimbledon UNIT OR SPACE NO. 4 TR.l�Z75 LOT 4 NEW ADD LTER IREPAIR IMO\ OWNER USE APPROVED APPROVEDSETBACKS (FROM::_=--__.—) i PLANNIIVG ACTION zE-�R- dOLD FOR 7/ � DEMOLI 45SOC. VALU� $ 97, 3a� � NGROUP �—� DATE I/2C%/SI THE AMOUNT SHAWN UNDER VALUATION IS FOR THE PURPOSE OF E5TABLISHING A PERMIT FEE ON�V: VALUATION PERMIT FEE $ ���'. r D � PLAN CHECK E $ 9? .3a TAX E TOTALPAID 5 iyy �� OWENS•CORNING • Fiberglas �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 ahd that the Blanket Insulation is in- stalled in conformance with current energy conservation regulations, California Administrative Code, TitIe25, State of California, in the building located at: ?�� �R � l.� )� rrnJ.�rigm l�h�,,. � l D�t'7'� Street L�ot Number Tract Number Exterior Walls Owens-Corning Fiberglas Blanket Insulation Ceilings Owens-Corning Fiberglas Blanket Insulation � Floors Owens-Corning Fiberglas Blanket Insulation -�undation Walis Manufacturer Type �� ,, � Thickness R-Value /„ %� %� Thickness R-Value Thickness � R-Value Thickness R-Value General Contractor License No. By Title Date �SlgnaNre)� /J / r Insula � —ontr ctor �����'f D'%d��A/L�/��License No.331lJ�7.7 r p By— _ _ _ _ ._ Title ��� Date �'l� o� ( gnemre) HomeownerCopy (White) State Copy (Yellow) Builder Copy (Pink) PUD. No. 16�BL-699SA L���o In U.S A.. Juy 19�) OWENS-CORNING FIBERGLAS CORP. Insulalion Operating Division Piberglas Tower. Toletlo, Ohio 43659