HomeMy WebLinkAbout3158 KILLYBROOKE LN - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.Ci.COsta-mOSe.Ca.Us 77 FAIF DflIVE, GOSTA MESA, c:A 92626
BUILDING PERMIT
SQ ST
,lob nddress: 3158 KILLYBROOKE LN
Suite:
Vicinity: RESIDENCE & ATTACHED GARAGE
ParcelNumber: 14102217
Applicant: ATKINS, BRIAN
Address: 23511 WHITE DOVE DR
LAKE FOREST, CA
Owner: WANBAUGH, JON L
Address 3158 KILLYBROOKE LN �
COSTA MESA,CA
Contracror. SOUTH COUNTY ROOFING
Address: 23511 WHITE�DOVE DR
LAKE FOREST, CA
Zip: 92630
Arch :
Address:
Status: ISSUED
Applied: 07I20I2007
Issued: 07/20/2001
Zoning: R1 R1
ISSUED BY: �
Phone: (949)597-0192
Zip: 92630
Phone:
Zip: 92626
Phone: (949) 597-0192
License: 737515
Eng:
Address:
Phone:
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF: T/O WOOD SHAKE, 7/76" OSB, 1 LAYER 30q ASTM FELT, APPLY 30-YEAR "ELK" COMP SHINGLES. 1600
Plan Check: $0.00
Permit: $11125
SMIP Res: $0.50
°t SMIP Com: $0.00
Other: $0.00
,. Inspection: $0.00
Total: $111.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existi"a: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Lek 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
sa,soo.00
54,900.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and relatad
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 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
required inspectlona and finel approval must be obtained. Failure to obtain inspections and final approval will resul� in the expiration of lhis permit.
FOR INSPECTIONS CALL: (714) 7545626
�a+a+a �aw�
WORKERS'COMPENSAnON DECLARAnON:
I hereby affirtn under penalry of perjury one of the lollowing daclaralions:
❑ I have antl will maintain e cenificata of consent ta selt-Insure for workers' compensation, es pmvidetl for by section 3700 0l the Lebor Code, for t�e peAortnance of the
�/� ork for which this permil is issuetl.
il'J i heve end will maintain workers' compensetlon Insurence, as requiretl �y sectlon 3700 of ihe Lebor Cotle, for ihe pedortnance of ihe work for which this permlt Is Issued.
My workers' compensation Insurence carder end policy num�er are:
Certier: 1 Policy Number.
(Tiiis sectiar neetl nof be comp/eted i! the permif 75 velued et one huntlred dollers ($700) or less.)
❑ I certity Ihat In ihe pertortnance of ihe work for which this permit is issued, I shall not employ any person in eny manner so as to become subject to the workers'
campensetlon laws of lifomi�end egre et if houlA become sublect to Ihe workere' wmpensation provisions ot Sectlon 3700 ot the Lebor Coae, I shell forthwith
complywithth a isions. %/J/� /�j
Applicam Signeture: /LC�� Dete: / of( / v�
WARNINO: FFILURE TO SECURE WORKERS' COMPEN�IT�ON COVERAGE IS UNLAWFUL M1D SHALL SUBIECT Ml EMPLOVER TO CRIMIWLL PENALTIES AND qVIL FlNES UP TOIXJE HUNDRED
THOUSANO Dd1ARE (5100,000), IN ADDRION TO THE COST OF COMPENSATION, DAM4GE5 PS PROVIDED WP IN SECiION 31080F TME LABOfl CODE, INTEREST, ANO ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm thet I em licensed under provislon5 of Chapter 9(commencing wlth Sectlon 7000) of Division 3 oi Ihe 8usiness and Professions Code, entl my Iicensa I5 in full
foftB 9ntl BftBCL LIt. k CI855 M
Contractofs Slgne�ure: t� /%f.rn..� / Da�e: %� - �_
CONSTRUCTION LENDING AGENCY:
❑ I hereby atlirtn that there is e construction I@�tlinq egency for Ihe peAortnance of I�e work for which Ihis permlt Is issuetl. (Sec. 3097, Civil Code).
LenAefs Neme: �entlers Address:
Signature: Oale:
OWNER-BUILDER DECLARATIONS:
I hereby attlrtn that under penalry ol per�ury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Buslness end Profess�ons
Code: Any city or counry which requires e pertnit �o conswct, alter, improve, demolis�, or repair any sWcture, prior to its issuance, also requires Ihe applicant for such pe��t
to flle e signed statement Ihet he or she Is Ilcensetl pursuam to tha pmvisions ol the Comrecrors License Lew (Chepter 9(commencing wlth Section 7000) oi Divislon 3 of the
Business end Protessions Code) or ihet he or she is exempt therefrom antl t�e besls for the alleged exemption. Any violetlon of Section 7031.5 by eny eppllcent tor e pem+'
subjecis ihe epplicant to a civil penelty ol not more then tive hundred dollars ($500).):
❑ I, es ownar ol ihe properry, or my employees with weqes es �helr sole compensatlon, WILL DO THE WORK, antl ihe siructure Is not Intended or ottered far sale (Sec.
7044, Business and Prolessions Coda: The Cantraciors License Law does not apply to an owner ot property who builds or improves thereon, antl w�o does such work
himself or herself or Ihrough his or �er own employees, provided ihat such imprwemenis are not intendetl or oflered for sale. If, however, the building or improvement is
sold within one year of completion, the owna�-bulltler will have Ihe burden of proving ihat he or she did not build or improve for purpose ot sale.).
❑ I, as owner of Iha property, em EXCLUSIVE�Y CONTRACTING WITH UCENSED CONTRACTORS to wnslruct ihe project (SecJ044, Business and Protessions
Code: The contractors License lew tloes no� eppN to an owner ol pmperty who bulltls or improvas thereon, entl who contrects for such pmject with a contrector(s)
license pureuant to ihe Contractors License �-ews.).
❑ I em exempt untler sec. Business and Professions Cotle for this reason:
Signature: Date:
Owner ID verified Dy dnvers license. ❑ Yes ❑ No Drivers License No.
Vedficetion oi Ownership by (type of documem, i.e. - property tax bill or tleetl):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CEATiFICATION:
❑ I hereby certify t�at no excavation ilve (5) of more teet in depth into which a pereon Is requirad to descend, will be metle in connection with work euthodzad by this
permi�, antl ihat no builtlin9 siructure, sceNolding, talsework, or demolition or dismantling Ihereof, will be more then ihirly�six (36) teet high. (Chep. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Celifomia Atlministrative Code)�
❑ As owner-Duiltler, I will not employ enyone to tlo work which would require e pertnit fram the Division of Industnel Sefery, as noted above, unless suc� person has a
pertnit Io do SUCh work from iha divi5lon.
Siqneture: Date:
Division of Intlus�rial Safery Permit Number:
CERTFlCATE OF COMPLIANCE AND AUTHOR17A710N OF ENTAY: I certify untler penalty of perjury that I heve read this epplication entl sta�e Ihat the intormetlon given is
correct. I egree to comply with ell stete lews end �Iry ortlinances relating to building consiruction, and authorize representetives of the City of Costa Mesa to enter upon the
above-described property for inspection puryases. I agree not to occupy or ellow occupancy of any building authorized by this permit until final inspection.
S' 9e cmHl�) D e
� ao-oi
Antl/Or Authorized pp���nt Date
GOOE 1, INSVECTIONTYPE Q9tE INTRIALS
1616 Fiaed System Final Fire Prevention
1266
200
201
202
203
204
Pool Spa Final
Final fie-Roof
Final8locWRetaining Well
Final Fectory Fire Place
Final Sign
Final Demolition
COOE I INSPECTION TYPE
206 Finel Mechanicel
208 Finel Plumbing
210 Final Elec�dcel
212 Finel Flre Prevention
220 Final Planning Approval
222 Final Site
250 FinelBuilding/Occupancy
PAIE It�IELi
�-_
Owner:
Resident:
Site Address:
City/Zip:
Parcel Id:
Location:
Neighborhood
Wealth Code:
Legal Desc.:
Zoning:
Subdivision:
Usage:
Style:
Construction:
Year Built:
Stories:
Bdrms:
Baths:
Heating:
Cooliny:
Irr. Lot:
Terrai�:
Water.
Sewer:
Sqfl tsl:
Sqft 2nd:
Sqft Bsmt:
Sqft Total:
CITY OF r1STA MESA PROPERTY DETAIL� SPORT
Wanbaugh Jon Landis Debra Ann
3156 Killybrooke Ln
Costa Mesa / 92626-2614
141-022-17
Costa Mesa City
Unknown
4.8
N Tr 4355 Lot 30
Unknown
Unknown
122: Single Family Residential
Unknown
Unknown
1963
2
4
2 Full
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
1643
Market Value: $209,419
Assessed Land: $134,466
Assessed Bldg: $74,953
Assessed Total: $209,419
Percentlmproved: 36%
Delinquent Taxes:
Sale Date:
Sale Amt.:
Deed Type:
Volume & Page:
Seller:
Title Company:
Multi-Parcel:
Sep-Ot-1992
Quit-Claim Deed
Unknown
No
3158 Killybrooke Ln
Costa Mesa, CA 92626-2614
Phone:
Phone:
Tax Address: 3158 Killybrooke Ln
City/Zip: Costa Mesa / 92626-2614
Own.Occ.: Yes
School District: Newport-Mesa Unified
Census Tract: 063902
Year Listed:
Ttl. Rooms: 7
Bsmt. Type: Unknown
Bsmt. Fin.: Unknown
Gar. Type: Attached Garage
Gar. - Cars:
Gac Sqk:
Roof Matec: Unknown
Roof Style: Unknown
Attic Type: Unknown
Condition: Unknown
Lot Dim:
Lot Size: .13 acres
Lot Sqft: 5662.8 sq.feet
Gross Tax Semi Ann.:
HB920 Credit Semi.:
RB Credit Semi Ann.:
RBA Credit Semi.:
Homestead Exemption:
Spec. Assmt. Semi.:
Tax Semi Ann.:
Mortgage Date:
Mortgage Amt.:
Mortgage Type:
Volume & Page:
Lender:
Mortgage Term:
Mortgage Rate:
Blktop Paving:
Concrt Paving:
Carport:
Deck:
Patio:
Pole Barn:
Pool:
Fireplace:
Gas:
Electric:
Units:
$1,180.34
$1.180.34
Unk.
Unk.
No
Unk.
Unk.
Unk.
No
1
Unk.
Unk.
The in(ormation is deemed reliable but is not guaranteed. 2001-2002 Tax Year Copyright 2003 Haines Printed Jun-O6-03
SOUTH ORANGE CA
CONTRACTOR
AP No.
]NSPECTIONS
TRACT
Signature
FI RE , ZONE
DATG GROUP
DATE DEC 1 1 i962
R
D�SCRIPTION OF WORK
J TY-� 7.ONE
SUBCONTRACTOR
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SSUFi,
UMBER
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' 18412
C.`OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA ME6A. CN-�FORNIA
For Applieant +o Fill In Complefely
TYPE OR PRINT
ADDRe�s"s �/Sg �// Jr�.ed'e �
COSTA MESA. CALIFORNIA
OWNER Harbor Hall oY Fame Homes, Inc.
ADDRESSp�O. �X 2066
cirr Saata Ana NoKZ 9-22�
ARCHITECT TEL i}�OO�#i
OR ENGINEER Jamison NO.
ADDRESS z2S'��D" St.� Tustiin
CONTRACTOR Lifeiime Residential Bldg G
ADDRESS Zljl `SO♦ Artesia
��TM Santa Ana,-Calif.
$;�TNo. _zo8676 TNO. KI 9—ZZO4
$IZE Cnnl�� I NO. OP BLD�B. o
OF LOT UVW NOW ON LOT
U6E OF Noae
EXISTING BLOG.
98TBACK LINE FROM �oi Z?�Q��
GeNTert ov srneei REAR YARD
C1
SIDE YARD I LEFT �24� I RIGHT v
DESCRIPTION OF WORK
NFW I X.II AI_TFRATION I II ADDITION I
ING 1��4 NO_OF ('� ^ �.. Z
Shake
I HEH6BY ACNNOWLEOGE AT 1 HAVE A�D THI6 MPLIWTION
AND BTAT¢ THAT TXB ¢ I6 COPRECT ANO A6RQe TO COM-
PLY WITH ALL CIT' N NCE9 AND T W9 pSG���111ULATINO
BUILDINO CONBTiN 1 /I
SIGNATURE OF O i_ � /.S Il
IAUTHORIZED AGENT
r�, K������
Lot 30� Tract �q�gN���)0-C
CITY" OF COSFA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
aeceirr no. e�
�
RHCfiIVEO BY DATB RHCBI 8D DATE
�-.,._,� ia /.. �. � � DEC
BUILDING
COSTA MESA. CALIFORNIA
ZONING
ZONE I NO. OP I UBE OF NBWfi' +Z.
�—� PUNB 2 BU�IDINO W� f�[
''""` L o t 3 0 7/f y3ss
DEeCRIPTION
A. P. NO.
YARDS EVES
APPROVED ALLOWED
(GENT6R LINe 8TJ _ _
6
3 i
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APPROVED
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— // o�` ._1 �f-�� �
,
THE AMOUNT 9NOWN 1�)I�DHR VALUATION IB FOP TNH
PUIiP09E OP 88TpBLI8NIN6 • P6RMIT p8E ONLY.
VALUATION I
$ �7 `�/✓` .
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