HomeMy WebLinkAbout3497 WIMBLEDON WAY - Building Permitsf�
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COSTA MESA BUILDINGSAFETY DEPARTMENT � APPLICATION Fl7K.�5�'RIIC�'FIy�LPERMI'f244'.30 jL�
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. .."_'"' "" _.....f...._..f..-f._......._.f._____ RECENE V VERMIT _ . .
For Applicant to Fill in Completely - Use Ink Only N� 4 7 7 7 6
AD1DRESS 3497 Wimbledon Wdy A'P'N�' ��'��4'a--SS
BUILDING
OWNEROR�WlIflJ712C1OI1 ASSOC. ADDRE55 .3/}97 Wimbledon Wd
TENANT
MAILING $PACE�NO.
aooaess 1470 Jamboree Rd 2
TR.NO. LOT BLK.
CITV Newport Beach �T,o`-640-680 10275 2
NEW ADD ALTER REPAIR MOVING DEMOLISH
con,srRi,crion,Imperial Savings' & Loan
LENDEIi X
BRANCN ' " 'W1Rl}J�.2C�{071 FiSSOC.
OWNER
ADDRESS pRD VAIUE
USE $
ORENGINEER Corbin/Yamafuji NEL�49-71z
ADDRESS �-7992 MitChell SO. � ITVine� zoNe t� -� TYP Lv GROUP - 3
APPROVED � Q
CONTRACTORMCLdlll DeV. CO. BV DATE � Zo �
ADDRESS 147� Jamboree FiOdCl � � -
cirv Newpor.t Beach . nTioi40-6800 - '
STATE 273875 pTV 188'73 APPROVEDSETBACKS '
LIC. NO.' LIC. NO. '
SIZE NO.OFBLDGS. (FFOM"'_"_�+..--�_'_�; j� �
OF LOT NOW ON LOT• �� FRONT FT.
USE OF. - ' , '
EXISTING BLDG. � ' S '
Separate permits are required for � �, sioe S FT.
electric, plumbing and heating work: REAR 13.SLkr.
USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION:
' PRD - New Construction � z�_ _ onre _
APPROVEDa=
Single=fam3ly dwelling ae� ov d��
'!4�4�FQR sPecu�. �u MENT°
"I heraby acknowlatlge that I have.reatl this epplication antl state '�
that the above information is correct antl e0ree�to comply with
all laws regulating builtling constt�ction, antl� I shali not employ . '
any person in vlolation of the workman's compensation laws of � �� � �
She State of Califomia. . ., , - " ' ��
I hereby certify that I am properly licensetl es a contractor untler - SQ. FT.
the State of Califarnia Business antl Protessions Cotla, Division 3, THE AMOUNT SH WN UNDER VALUATION IS FOR
Chapter 9, and that such licanses are In full force antl affact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from the provisions of the Stete of California Business VALUATION PERMIT FEE b �
and Profe55ionsCotla, Division 3, ha�ter . ' � / _
Sipnature of l,� �,/J ����j , . Y! PLAN CHECK E
Permlttee ✓✓ �""— � �� $ /� �� TAX E
or • 3 g '// I �
'Auihotized Agent' Date vJ J "/. TOTAL PAID § a
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OWENS•CORNING ;�, ��
F�berglas .s .
�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:
3%1 % t�/� �� l h�r�n GG!. � �2 j l'.Ji';-
Street � Lot Number �Tract Number
Exterior Walls �/� i� ��
Owens-Corning Fiberglas Blanket Insulation
Thickness R-Value
Ceilings � .r �
Owens-Corning Fiberglas Blanket Insulation
Thickness R-Value
� Floors
Owens-Corninq Fiberglas Blanket Insulation
Thickness R-Value
Foundation Walis
. Manufacturer Type Thickness R-Value
General Contractor
License No.
By Title Date
,5�9�a��� � �7�' 36�
Insulat' ontr cto _�A �J^J ��,/��--�—License No. /
By �����^����2d(�'"� Title V� Date ��i��1 �4 �
� ignamre�
Homeowner Copy.(White) � � _ i+u
State Copy (Yellow) . OWENS-CORNING FIBERGLAS CORP.
Builder Copy (Pink) __ '
Insulation Operating Division
Pub. No.16�BL6995-A ��mo �� usn..,��v +sn � �� Fiberglas Tower, Toledo, Ohio 43659