HomeMy WebLinkAbout3002 DONNYBROOK LN - Building Permits(714) 754-5273 • Fax (714) �54-4856 • www.ci.costa-mesa.ca.us 77 FAIF DRIVE, COSTA MESA, GA 92626
BUILDING PERMIT
JobAddress: 3002 DONNYBROOKLN
Suite:
Viciniry:
Parcel Number: 14116609
Applicant: JOSE DE JESUS PENA
Address: 914 S MAIN ST
SUITE 105
SANTA ANA, CA
Owner: MARTINEZ, SAUI
Address 3002 DONNYBROOK LN
COSTA MESA, CA
Contractor.
Address:
Zip:
Arch :
Address:
Phone:
Zoning:
Phone: 714-835-9114
Zip: 92701
Phone: 714-549-7752
Zip: 926262722
Phone:
License:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 11/12/2003
Issued: 04/08/2004
Phone:
Zip: License: License:
SCOPE OF PERMIT
ADD 520 S.F. TO EXISTING S.F.D. WORK TO INCLUDE: NEW MASTER BEDROOM AND BATH, RELOCATE LAUNDRY ROOM AND EXTEND
KITCHEN. REMOVE EXISTING WINDOWS AND INSTALL LARGER WINDOWS IN EXISTING 3 BEDROOMS. ALSO INSTALL NEW SKYLIGHT IN
EXISTING DINING ROOM.
CONVERT EXISTING 3 BEDROOM, 2 BATH S.F.D. TO A 4 BEDROOM, 3 BATH S.F.D.
Plan Check: $418.76
Permit: $644.25
SMIP Res: $4.91
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $1,067.92
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Fron[ 0- 0
Rear 20- 3
Rear 0- 0
FEE SUMMARY
Calc Valuation: Sas,oas.00
Claim Valuation: go.00
PLANNING & ZONING
Left 5-0 Right
Left 0- 0 Right
34- 0
0- 0
'I NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremems under California statutes and related
� regulations. (Ord. No. 92-28, § t, 1241-92)
�� El(PIRATION: 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 Inspections 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
2446d6 (6/00)
WORKERS'COMPENSAnON DECLARAnON: � , �
I hereby eRirtn under penalty of perjury one of ihe totlowing declarations:
❑ I heve and will maintain a certificate of consent to 5eN-Insure tor workers' compensation, as provided for by section 3700 of the Labor Code, for the Dertormance of the
work tor which this permi� is issuad.
❑ I have and will maintain workers' compensation ipsu[aqce, es repuired by section 3700 0l ihe Labor Cotle, tor the perfortnance of the work for w�ic� this pertnil is issued.
My workers' compensatiqp Inspr�ce carner ���jf pyNEy num6er ere:
Carner:
ane
Polity Number:
or less.)
� I cenity Ihat in Ihe pedortnence of iha work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensetion laws of Califomia, nd egree Ihat il I should become sublect to the workere' compensation provislons oi Sectlon 3700 of lhe Labor Code, I shall (otlhwith
comply with these provisions. - ��-y I x/y Jn
ApplicantSignature: '07 �Q'}��� Date: 1 �[) LJ�
WARNING FAILURE TO SECURE WORKEFS' CWdPENSATIIXJ COj! PAGE IS UE NLAWFUI PND SHALL SUBJEGT PN EMPLOYER TO CRIMINAL PENALTIES ANO CIVI� PMES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN NDDITION TO THE COST OF(%JMPENSAiION, DAhUIGE$ AS PROVIDED FOR IN $ECTIIXJ 3]O60F THE LABOR CO�E, INTEREST, AND ATiORNEY'S FEES.
LICENSEDCONTRACTORS DECLARATION:
I hereby aHirm that I am licansed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license Is in tull
torce and effec�. Lic. a Class A
Contraaofs Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm ihat there is a constmc�ion lentling agency for ihe performance of the work for whic� this permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lenders Address:
SiqnaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby alfirtn that under penalry of perjury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business entl Professions
Code: Any city or county which requires a permit to construct, alter, improve, tlemolish, or repair any structure, pnor to its Issuance, also requires the applicant for such permit
to fite a signed statement thet he or she is licensetl pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the
eusiness end Professions Code) or that he or she is e:empt therefrom and the basis for ihe aliegetl exemption. Any violation of Section 7031.5 by any applicant for a pertnit
,s.u.�bjects- the applicanl lo a civil penalry oi not more than fiva huntlred dollars ($S00).):
� i, as owner of ihe property, or my employees with weges as iheir sole compensation, WILL DO 7HE WORK, and the stmcwre Is not intendetl or oHered tor sale (Sec.
\1 7044, Business and Professions Code: The Coniraaors Licensa Law does not apply to an owner of properry who builds or improves ihereon, antl w�o does such work
himselt or herseN or through his or her own employees, provided that such impmvements are not intended or oflered for sale. It, however, the builtling or improvement is
soid within one year oi completion, the owner-builder will heve ihe burden of proving t6at he or she did not build or improve for purpose of sale.).
❑ I, as owner oi tha pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to con5tmct ihe project (Sec. 7044, Business antl Profe55ions
Code: The comraaors License Law does not apply m an owner of pmperty who bullds or improves thereon, and who contracis tor such projeci with a contractoqs)
license pursuant to ihe Contractors License Laws.).
❑ I am ezempt under s.
Signa�ure:
Ownar ID verified by driver's license.
❑ No
Business and Professions Code tor this reason:
Date: "'
Driver's License No. E:pires:
Verification of Ownership by (type of tlocument, i.e. - propeny tex bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cetlity ihat no excavation five (5) o� more feet in depih inb which a person is required to descend, will ba matle in connection with work authonzetl by this
permit, and ihat no building siructure, scalloltling, falsework, or demolition or dismantling �hereof, will be more then ihirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title B, Califomia Adminisirative Cotle).
❑ As owner-builder, I will not employ anyone to do work which would raquire a permit from the Division of Intlustrial Safery, as noted above, unless such person has e
permit to do such work from ihe division.
Signature: Date:
Division of Intlustrial Safery Permi� Number:
CERTIFICATE OF COMPLIANCE AND AU7HORIZA710N OF ENTHV: I certi(y under penalty of perjury ihat I have read ihis applica�ion antl sta�e ihat the informalion given is
correct. I agree to comply with ell state laws and city ortlinances releting to building consiruction, and authotlze represeniatives of the City of Costa Mesa to enter upon the
above-described property for � spection pu s. I agree not to occupy or allow occupancy of any building authorized by this permit until final in pection.
�� /�li1�r�- �-L - !/�,/l�
Si�a Of Legal Owner(s) -�� � Ua
Antl/Or Authonzed Applicant Date
CODE I, INSPECTIONTYGE PLE urtrtia�s
7616 Fixad System Final Pire Prevention
1266 Pool Spa Final
200 Final Re-Roof ,
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
CODE 1 INSPECTION iYPE
206 Final Mechanical
208
210
2tt
220
222
Final Plumbing
Final Elecirical
Final Fire Prevention
Final Planning Approval
Final Site
250 Final Building/Occupency
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(714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA, GA 92626
Jab Address: 3002 DONNYBROOK LN
Suite No
Vicinity:
Parcel Nunmber: 1411fi609
Applicant: MARTINEZ, SAUL
Address: 3002 DONNYBROOK LN
COSTA MESA, CA
Owner: MARTINEZ, SAUL
Address 3002 DONNYBROOK lN
COSTA MESA, CA
Contractor: OWNER BUILDER
Address:
Arch / Eng :
Address:
PLUMBING PERMIT
ISSUED B
Phone: 714-549-7752
Zip: 926262722
Phone:
Zip: 92626-2722
Phone:
Zip:
License: 000000
Phone:
Zip:
License:
Status: ISSUED
Applied: 04/08I2004
Issued: 04/08/2004
SCOPE OF PERMIT
ADD 520 S.F. TO EXISTING S.F.D. WORK TO INCLUDE: NEW MASTER BEDROOM AND BATH,
RELOCATE LAUNDRY ROOM AND EXTEND KITCHEN. REMOVE EXISTING WINDOWS AND INSTALL LARGER
WINDOWS IN EXISTING 3 BEDROOMS. ALSO INSTALL NEW SKYLIGHT IN EXISTING DINING
ROOM.REF: B03-01953. - � '
PLUMBING TO INCLUDE: 1 BATHTUB, 1 GAS (t-0 OUTLETS), 1 LAUNDRY TUB, 1 KITCHEN SINK,
1 SEWER CONNECT - PRIVATE LINE, t WASH BASIN, 1 TOILET.
NO SHOWER IN NEW BATHROOM PER APPLICANT.
AMT
ISSUE FEE $23.50
Backflow irtigaGon $0.00
BackFlow Preventer $0.00
Bathlub $9.80
Clarifier System $0.00
Connect (Ice,Soda,etc) $0.00
FEE SUMMARY
QTY AMT QTY
Laundry Tub / Washer $9.80 1
0 Landsrape Irrigalion $0.00 0
0 P-Trap $0.00 0
1 Pressure Regulator $0.00 0
0 Process Piping (per 10 ft) $0.00 0
0 Receptors - $0.00 0
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr BkFlow(5+)
AMT QTY
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0 �
$0.00 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
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 ii 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 cotles, and all
required inspections 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
244646 (fi/00)
WORKERS' COMPENSATION DECLARATION:
I here6y afFirtn untler penalry of perjury one of the tollowing declarations:
❑ I have end will maintain a certi�icata ot consent ro self-Insure for workers' compensation, es provitletl for by section 3700 of ihe Labor Code, for the pertormance of the
work for which ihis permit is issued.
❑ I have and will maintain workers' compenution insurance, as require0 hy section 3700 of �he Labor Code, for the pedortnenca oi the work tor which this pertnit is issuetl.
My workers' co pens lon s�j rance wrtier nd policy number are:
Cerrier: � Y Policy Number:
�(T,hi/s secfion need not be complete il! e per it i aluetl al one hundred dollars ($100) or /essJ
�y I cetlify that in the pedormence of Ihe work for which ihis pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers'
4 compansation lews of Califomia, a egree that if I s ould become subject to the workers' compensation provisions oi Section 3700 of the Labor Co a, I shall forthwith
comply with ihese pmvisi� ns. /X�
Applicant Signature: '�� Dete: � !J /�
i
WARNING FNILURE TO SECURE WORKERS' COMPENSATION CAVE94G IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FMES UP TO ONE HUNDRED
TYIOUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOFi IN SECTION 3106 OF?HE LABOR CADE, INrEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I am licensad under provisions ot Chapter 9(commencing with Section 7000) of Division 3 oi ihe Businass and Pwiessions Code, and my license is in full
force and ettect Lic. N Cless q
Contrector's SignaNre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm that there is a constmction lending agency for the peAormance of Ihe work for which �his Oermit is issued. (Sec. 3097, Civil Code).
Lentlers Name: Lender's Atldress:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business antl Professions
Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, elso requires the applicant for such permit
to file a signetl statement that he or she is licansetl pursuant to tha provisions oi the Contractors License law (Chapter 9(commencing with Section 7000) of Division 3 oi the
eusiness and Protessions Code) or that he or she is exempt therefrom antl the basis for the alleged exemption. Any violation of Section 7037.5 6y any epplicant for a pertnit
subje he epplicant to e civil penalty of not more Ihen five hundrad dollers ($500).):
I, as owner of Ihe property, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, and the strucWre is not intendetl or ottered for sale (Sec.
7044, Business and Professions Code: The Contractors Licensa Law does not apply �o an owner of propetly who builtls or improves thereon, and who does such work
himself or herseli or ihrough his or her own employees, pmvided that such improvements ara no� Intended or otteretl for sale. If, however, the building or improvement Is
sold within one year of completion, the owner-builder will have ihe burden of proving ihat he or she did not build or improve tor purpose ot sale.).
❑ I, as owner of ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 704d, Business and Prolessions
Code: The contractors License Law tloes not apply to an owner of property who builds or Improves ihereon, antl who contracts for such pmjact with a contractor(s)
license purs ant to ih ontrectors License Laws.).
❑ I am ez tler s.� eusiness end Professions Cotle for this reasore _
SignaWre: /� ,Z� Dare: �
Owner ID ver ied by dnvar's license. ❑ Yes ❑ No Driver's Licensa No. Ezpires: _
Verifiwtion ol Ownership by pype of tlocument, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hareby certify thai no excavation five (5) or more feet in depth imo which a person is required to descend, wiil be made in connection with work authorized by this
permit, end Ihat no builtling structura, scaHolding, talsework, or demolition or dismantling thereot, will be more ihan ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ti�le e, Califomia Adminisirative Code).
❑ As owner-Duiltler, I will not employ anyone to do work which would require a permit from the Division of Intlustrial Safery, as noted above, unless such person has e
pertnit to do such work fmm ihe division.
Signature: Date:
Division of Industrial Selery Permit Num6er:
CERTFICATE OF COMPLIANCE ANO AUTTIORIZA710N OF ENTFiY: I certify under penalry oi perjury that I have read this application and state that ihe intormation given is
correct. I agree to comply with all state laws and ciry ordinances relating to building construction, and euthorize representatives of Ihe City of Costa Mesa to enter upon Ihe
above-described property�nspecti pur o s. I�o occupy or allow occupency of eny building authorize b=this p it until f� in 'edion.
c—sJ _/
Signature Oi gal Owner(s) —� Date
AnNOr Authonzed Applicant
CQDE t INSVECTIONTYPE
76/6 Fized System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203
204
Final Sign
Final Demolition
PrIF Il1I¢LA1@
OE 11 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Finai Planning Approval
222 Final Si�e
250 Final Building/Occupency
PAiE 1ti��Lt
• r. �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFiIVE, COSTA MESA, GA 92626
Job Address:
Suite No
Viciniry:
Parcel Number:
Applicant
3002 DONNYBROOK LN
14116609
MARTINEZ, SAUL
Address: 3002 DONNYBROOK LN
COSTA MESA, CA
Owner: MARTINEZ, SAUL
Address: 3002 DONNYBROOK LN
COSTA MESA, CA
Contractor: OWNER BUILDER
Address:
MECHANICAL PERMIT
Phone: 714-54&7752
Zip:� 926264722
Phone:
Zip: 92626-2722
Phone:
Zip:
License: 000000
ISSUED BY:
Status: ISSUED
Applied: 04/OB/2004
Issued: 04/08/2004
SCOPE OF PERMIT
ADD 520 S.F. TO EXISTING S.F.D. WORK TO INCLUDE: NEW MASTER BEDROOM AND BATH,
RELOCATE LAUNDRY ROOM AND EXTEND KITCHEN. REMOVE EXISTING WINDOWS AND INSTALL
LARGER WINDOWS IN EXISTING 3 BEDROOMS. ALSO INSTALL NEW SKYLIGHT IN EXISTING
DINING ROOM.REF: 803-01953:
MECHANICAL TO INCLUDE: ALTERATION OF EXISTING SYSTEM (DUCT WORK ONLY). NO NEW
EQUIPMENT BEING ADDED.
ISSUE FEE
Inst FAU <100 k BTU
Insl FAU >100 k BTU
Repair / Alt Cooling/Heal
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refrig Sys >100 k BTU
Gas Piping ,
Factory Fireplace
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
Air Handlers > 10000cfm
Floor Fumace
$23.50
$0.00
$0.00
$13.70
$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
Quantity
FEE SUMMARY
Repair / Alt Absorb6on Unit
Repair / Alt Refrigeration Unit
Ventillation System
Evaporative Cooler
Commercia l I nci nerator
Domestic Incinerator
Compressors / Absomtion Systems
Upto3hp/t00kBTU
3 To 15 hp / 500 k BTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Upto3hp
3To15hp
15to30hp
30 l0 50 hp
Over 50 hp
Olher Mechanical Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
NOTICE: The work authorized by this permit shall comply with all applica6le handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wilh all applicable codes, and all
required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will resutl in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
24a6-4fi(6/00)
WORKERS'COMPENSAnON DECLPAATON:
I hereby affirtn under penalry of perjury one of the tollowing declarations:
❑ I have and will maintain a cenificete of consent to selbinsure for workers' compensation, es provided for by section 3700 ot the Lebor Code, for Ihe pertortnance of ihe
work for which Ihis permit is issuad.
❑ I have end will maintain workers' cOmpensat' n insurance, as required 6y section 3700 of �he Lebor Cotle, for the peAortnance ot the work for which this permit is issued.
My workers' `comp� y/ I rance i e y num6er are:
Cerder: �-�`�' � Policy Number.
�h�s secfion neetl nof be completed il the p rmit is ve/uetl ef one hundretl tlollers ($f 00) or /ess.)
I certity ihat in the pertortnance of the work for which this permit is iuued, 1 shall not employ eny person in any manner so as �o becoma subject to the workers'
compensetion lews ot Califomia ntl egree thet II I shoultl become subject lo Ihe workers' compensation provisions oi Section 37 of Iha Lab Cotla, I shell forthwith
comply with Ihese proh5ions. ` ,
� �%yl �•f' - �
Applicant Signeture: �� ] 'F1%�(yl� � Date: f
WARNING: FAILURE TO SECURE WORKERS� ENSA� T�ON CWERAGE IS UNL4W FUL AND SHALL SUBIEC� AN EMPLOYER TO CR�MINAL PENALTIE$ pNp CM FINE$ UP TO ONE MUNpqEO
TFKKISAND DOl1AFE (S10U.000), IN ADDRIO�'1 TO THE CO6T OF COMPENS4ilON, DAMAGES AS PROVIDED FOR IN SECIIIXJ 31060F iHE LABOp CppE, IMEFEST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLABAnON:
I hereby aNlrm that I am licensed under Provisions ot Chapter 9(commencing wlth Section 7000) of Division 3 of ihe Business and Professions Code, and my license is in full .
force and ettecL Lic. a Class p
Comractor's Signeture: Date: I
CONSTRUCTION LENDING AGENCV:
❑ I hereby aNirm that ihere is a cons�Nction lending egency For Ihe pedormance of the work for which �his permit is issuetl. (Sec. 3097, Civil Code).
LBnCer'S Neme: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARA710N5:
I hereby eHirm Ihet under penalty ot perjury Ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions
Cotle: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair any simcture, prior to its issuance, also repuires tha applicanl br such pertnit
to file a signed statement that he or she Is Ilcensed pursuent ro t�e pmvisions of lhe Contrectors License Lew (Chepter 9(commencing wit� Section 7000) of DlNsion 3 of the
Business end Pmfessions Code) or the� he or she is e:empt iherefrom antl the basis for the alleged e:emption. Any violation of Section 7031.5 by any applicant for e pertnit
ublec e epPlicanl to a civil penelty o� not more than live hundred dollars ($500).):
I, as owner of the property, or my employees wlth wages as their sole compensetion, WILL DO THE WORK, and the swcture Is not intentled or oMeretl for sale (Sec.
7044, Business and Professions Code: The Contrectors License Law does not apply to en owner of propeny who builds or improves ihereon, and who does such work
himself or herself or Ihrough his o! her awn emplayeas, provided thet such improvements ere not Intendetl or oflered for sale. It, howevec the building or Improvement is
sold within one yeer of completion, the owner-builder wi�l �ave the burden ol proving that he or she did not build or improve for purpose ol sale.).
❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The cromreciors LJcense Lew does nm apply to en owner of pmperry who builds or Improves thereon, antl w�o contracts tor such project with e comractor(s)
license pursuem to the Contractors License Laws.).
❑ I am exempt untler sec Business antl Prolessions Code tor this reason:
Signa�ure: � Daie: � r
Owner ID verifietl �y�ns . � es � No Driver's License No. Expires:
Verification ol Ownership by (rype of doLument, I.e. - propeny tex bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certity that no excevetion ��ve (5) or more feet in tlepN into which e person is requiretl to tlescend, will be matle in connection with work auttrorizetl by ihis
permit, entl ihat no building simcNre, scaHolding, lelsework, or demolition or tlismantling ihereof, wiil De more then thihy-six (36) feel high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ti�le 8, Celifornia Administrati�e Code).
❑ As ownar�builder, I will not employ anyone to tlo wark which would require e permil irom the Divislon ot Industnel Sefety, es notetl abova, unless such person has e
permit to tlo such work irom the tli�ision.
Signatura: Date:
Division ot Industriel Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND A�ITMORIZATON OF ENfTiV: I cenity under penalty ol perjury that I have reaA this applica�ion entl state that Ihe information given is
correct. I agree to compty wiih ell state lews and ciy ordinances relating �o builtling consiructlon, entl authonze representa�ives ot the Ciry ot Costa Mesa to enter upon t�e
ebove-described property for in ciyio�n purpo3pS. I agree not to occupy or ellow occupancy of eny building authonzed y t is permjLyati'Iinql i�tion.
c`JB�////3'1i�^__r � tY Q
SignaW Of Legal Owner�s) Date
Antl/Or Au�horized Applicant
COOE �, MSPEC110NTYVE
76/6 Fixed System Final Fire Preven�ion
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIaWRataining Wall
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
OATE I�$ �f�,{i INSFECTONTYPE
208 Final Mechanical
208 Final Plumbinq
210 Final Electrical
212 Final Fire Prevention
220 Final Plannifg App�oval
222 FinalSita
250 Final Building/Occupency
rD�pTE
d� �-
(714) 754-5273 • Fau (714) 754-4656 • www.ci.costa-mese.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
Applicant:
3002 DONNYBROOK LN
14116609
MARTINEZ, SAUL
Address: 3002 DONNYBROOK LN
COSTA MESA, CA
Owner: MARTINEZ, SAUL
Address 3002 DONNYBROOK LN
COSTA MESA, CA
Contractor.
Address:
ISSUE FEE
Temp service tesl
Res. a/c package
New Res (1-2 uniLs)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to thp
Motors l0 10hp
OWNER BUILDER
ELECTRICAL PERMIT
Phone: 714-549-7752
Zip: 92626-2722
Phone:
Zip: 926262722
Phone:
Zip:
License: 000000
ISSUED BY:
Status: ISSUED
Applied: 04/08/2004
Issued: 04/OB/2004
SCOPE OP PERMIT
ADD 520 S.F. TO EXISTING S.F.D. WORK TO INCLUDE: NEW MASTER BEDROOM AND BATH,
RELOCATE LAUNDRY ROOM AND EXTEND KITCHEN. REMOVE EXISTING WINDOWS AND INSTALL LARGER
WINDOWS IN EXISTING 3 BEDROOMS. ALSO INSTALL NEW SKYLIGHT IN EXISTING DINING
ROOM.REF: B03-01953.
ELECTRICAL TO INCLUDE: 8 LIGHT FIXTURES, 16 OUTLETS, 7 SWITCHES AND 2 SMOKE
DETECTORS.
3$3.50
$0.00
$0.00
$0.00
$0.00
$0.00
$8.80
$17.60
57.70
ao.00
89.50
ao.00
30.00
50.00
50.00
50.00
�uantity
0
0
0
8
16
7
0
2
0
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway /t00 fl
Standing Section -
Misc Electrical Equipment
Transformers up l0 1 kvalkw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
low Voltage Equipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misc. Conductor
Circus ( gen or ride)
Circus (mech ride or IighLs)
Christmas Tree Stand
$0.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
50.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulalions. (Ord. No. 92-28, § 7, 72-21-92)
EXPIRA710N: This permit shall aUtomatically expire and become void if work is not commenced wiihin 180 days, or it work is suspended or abandoned
for a period ot 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 inspectlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALI: (774) 7545626
24dG481f✓�)
WORKERS'COMPENSAnON DECLARAnON:
I hereby affirtn under penalry of perjury one of the tollowing declara�ions:
❑ I heve entl wiil maintain e certifica�e oi consent to seH-Insure br workers' compensetion, as provitletl for by saction 3700 of the Labor Code, lor the pertortnence of Ihe
wofk for whith Ihis permi� is issued.
❑ I have end will malntain workers' cOmpensation insurance, as requiretl by section 3700 of Ihe Labor Code, for t�e pedortnance of ihe work for which Ihls pertnit Is issued.
My workers' comp9Osetl� Insy'ra`n_1ce carrier en policy number ere:
Carrier: � �,���y Policy Number:
(This secf/on need nat be compleled il t e permit va ed et one hundred dollers ($100) or less J
�certity that in the pedormence ot t�e work for which this permit Is issued, I shall not employ any person in eny manner so as to become sublect to the workers'
compensalion laws ol Califomia, nd egree ihat if I should become subject to the workers' compensation provislons qqf Sgggction 370pA f the Labpppr Catle, I shall torthwlth
comply with these pr`isiona / ^ � � !Y �(( /
�Y— `'
Appllcen�5igneWre: .T %�L'1i94 �a�e: 0 �.� �I
WARNINO: FAI�URE TO SECURE WORKERS' COM SATION COVEfUGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE NUN�RE�
TMOUSAND OOLURE (5100.000�. IN ADDIilOr1 TO iHE COST OF WAIPENSATION, DAMAGES AS PROVIDED fOR IN SECTION 3]O60F THE IABOR COOE, IMEPEST, AND AiiORNEI"5 FEES.
UCENSEDCONTRACTORS DECLARAnON:
I hareby aHirm ihat I am licensetl under Provisions ot Chapter 9(commencing with Seciion 7000) ot DiWsion 3 of the Business and Professions Code, enA my license is in tull
force and eflect. Llc. a Glass a
Camrector's Signeture: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm ihat ihere is e constmction lentling egency for Ihe pertormance of �he work tor which this permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lendar's Address:
SigneNre: Dete:
OWNER-BUILDER DECLARATIONS:
I hereby eNirm thet under penelry of perjury Ihat I am E%EMPT FROM TME CON7RACTORS LICENSE LAW tor t�e following reason (Sec. 7031.5, Business and Pmfessions
Gotle: Any city ar county which requires a permit ta construct, elter, improve, damofish, o� repair any suucture, priw to its issuance, also requi�es the applicant tor such permft
to tile e signetl statement Ihat he or she �s licensed pursuem ro t�e pmvisions ot 1he Contrectors License Lew (Chepter 9(commencing with Section 7000) ol DlNsion 3 of the
Busine end Protessions Cotle) or thal he or she is e:empt therefrom and the basis for t�e alleged e:emption. Any violation oi Section 7031.5 6y any epplicent for e permit
�6ubj s Ihe epplicant to a civil penalry oi not more than five hundred dollars ($500).):
I, es owner oi the property, or my amployees wlth weges es Iheir sUe compensation, WILL DO THE WORK, entl Ihe siruciure is not imentled or oMeretl lor sale (Sec.
7044, Businass antl Professions Code: The Coniracbrs License Law tloes not apply co an owner ot pmperry w�o builds or improves thereon, and who tloes such work
himselt or herself or through his or her own employees, providetl t�at such improvemems are not Intendetl or offered for sale. Ii, however, Na building or improvement is
sold within one year of completion, the owner-builder will heve ihe burtlen of proving that he or she did not builtl or imD�ove for purpose of sale.).
❑ I, es owner ot the property, am EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business and Protessions
Code: The coniractors Llcense Ww tloes not apply to en owner of property who builds or improves Ihereon, end who con(racts for such pmjecl with e conhactor(s)
license puisuent to ihe Coniradors License Lews.).
❑ I am exempt under s. Business end Professions Code for lhis reason:
Signature: � �/i Date: /
Owner ID ven}ied by dnvar5liCense. Yes ❑ No Dnvels License N0. Expires:
Verificetion af Ownerehip Dy (rype ot tlaGument, i.e. - pmperty tex blll or deatl):
OIVISION OF INDUSTRIAL SAFETV PERMI7 CER7IFILA710N:
❑ l hera6y certity that no ezcavation tive (5) or more leet in depth into which e person is �equireA to tlescand, will be matle io connection wilh work authorized by t�is
pertni�, entl that no huiltlinq 5trucW�e, scaHolding, lalsework, or tlemolition or dismantling ihereof, will be more Ihan thirry-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, 7tle 8, Celifomia Atlministrati�e Cotle).
❑ As owner-builder, I will not employ enyone to tlo work w�ich would require a pertnit Irom ihe Olvision of Indusinal Sefery, as notetl a6ove, unless such person has e
permit �o tlo such work irom the division.
Signature: Date:
Division ol Indusirial Salery Permit Number:
CERTIFlCATE OF COMPLIANCE AND A�1TMOiiIZA710N OF ENTRV: I cenity under penalty ol perjury Ihat I have read this aOPlication and state that lhe infortne�ion given is
corraCt. I egree to wmply with ell state lews antl ciry ordinances relating to building consiruction, and authorize representatives of ihe Clry of Coste Mesa to enter upon the
ebove-descnbed property r inspe tion pywoses. � egree not to occupy or ellow occupancy of eny building authorized by thigpermi until fi�e ins ection.
�� �i�� y'✓' � ;_� , -
ignature 01 Legal Owner(s) Date
And/Or Aulhonzed Applicant Date
COOE 1, INSPECTIONTYVE PAIF ��TIRLS
1616 Fixed System Final Fire Preven�ion
1266
200
201
202
203
Pool Spa Final
Final Re-Roof
Final BIocWRetaining Wall
Finai Factory Fire Place
Final Sign
204 Final Damolition
COOE 1 INSPECl10N TYVE
206 Final Mec�anical
208 Finel Plumbing
210 Finel Elecirical
212 Finel Fire Prevention
22� Final Planning Approval
222 Final Site
250 Final Building/Occupancy
PAIE II�IEL$
7 Z6-� Y1LG
(714) 754-5273 • Fex (714) 754d856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 3002 D4NNYBROOK LN
Suite:
Vicinity: ROOF
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 14116609 Zoning:
Applicant: MARTINEZ, ROSA
Address: 3002 DONNYBROOK LN
COSTA MESA, CA
Owner: MARTINEZ, SAUL AND ROSA
Address 3002 DONNYBROOK LN
COSTA MESA, CA
Contractor: OW N E R-BU ILD ER
Address:
Zip:
Arch :
Address:
Phone:
Phane: 714-5431975
Zip: 92626-2722
Phone: 714-549-1975
Zip: 92626-2722
Phone:
License: 000000
Eng:
Addre55:
Status: ISSUED
Applied: O6/02/2005
Issued: 06/02/2005
ISSUED BY: �A�_
Phone:
Zip: �icense: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30# FELT, REPAIRE/REPLACE SHEATHING AS NEEDED, EAGLELITE, CAPISTRANO TILE,
5.5 LBS PER S.F. (15 S.F.)
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$97.25
$0.50
$0.00
$0.00
$0.00
597.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Ezistinq: o
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0. 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
sa,000.00
sa,000.00
NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Calitomia statules and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRA710N: This pertnit 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 tor the Work authorized under this permit to be considered legal, such work must comply with all applicable codes, end all
required Inspectlona and final approvel must be obtained. Failure to obtain inspections and final epproval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
tasea �eroo)
WORKERS'COMPENSArON DECLN7ATON:
1 hereby eHirm under penelry oi perjury one oi �he following tleclaratlons:
❑ I have end will malntein e certUlcate ot consent to setl-Insure lor workers' crompensation, es proNtletl tor by sectlon 3700 of Ihe Lebor Code, lor Ihe pertormence of the
work tOr whiCh this pertnit is Issued.
❑ I heve end will malntain workers' oompen,sa6on insurence, as required by secUon 3700 oi Ne Lebor Cotle, fw the peAarmance ol Ne work tor which Uis pertni� is iswed.
My workers' compensetlon Insurence caMer and policy number ere:
Carrier: Policy Number:
(Thls sectlon need not be cnmplefed �� fhe permit is valuetl ef one hundred dollars ($100) or Iess.J
❑�I ceNiy that in the pedortnence a� the work for which Ihis pertnil is Issuetl, I shell not employ eny person in any manner so as to became subject to Ne workers'
��compensetion laws of Callfomla, end egree �het II I should 6ecome subject to �he workers' compensation provislons of SecUon 3700 ot the Lebor Cotle, 1 shell forthwith
comptywiththese slons. �"A /
�PlicantSlgn�: ��Sfd—�vlGi-Y IIiLC—1 Date:, CO vZ G"
WARNING' FNWRE TO SEWRE WORIf£AS' COIAPENSATION CUVERAOE IS UNLAWFUL M!D SHALL SUBJECf M! EMPLOVERlOCN1.�N ENALTI NO CM� FlNES UP TO ONE HUNDRED
T/qUSPIJDDOLIARE(5100,000),INADdTIONTOTHECO$TOFCpAPENSATIpJ,DAA44GE5ASPHOVIDEDFOfi1NSECTION3)OBOFiH BORCODE,INTEREST,ANDATTORNEI^SFEES.
LICENSED CONTRACTOPS DECLAAAnON:
I hereby aHlrtn that I am Ilcensetl under provisions ot Chapter 9(commencing with Sectlon 7000) 01 Divislon 3 of Ihe Business end Professions Code, entl my Ilcense is in full
brce entl ettect Lic. B Class a
Contrectofs Signature: Date:
CONSTRUCTON LENDINC AGENCY:
❑ I hereby eKrtn that there is a c�struMion lending egency for Ihe peAortnance ot ihe wark for which this pertnit Lq issued. (Sec. 3097, Civil Cade).
Lentlefs Name: Lende/s Atltlress:
Signeture: Dete:
OWNER•BUILDER DECUIRATIONS:
I hereby eHirtn t�at under penelry at perjury t�at I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Buslness and Professions
Cade: Any dty or counry which requires e permit to conslruM, elter, improve, demolish, ar repair any structure, prior to Its Issuance, also requires the apD���ent tor such pertnit
to file e slgneA stfltement Ihet he or she Is Iicensed pursuent lo the provisions of the Cantrectors Ucense Lew (Chapter 9(commendng with Sectlon 7000) of Dlvlsion 3 of Ihe
Business entl Professions Code) or �he1 he or she is exemp� therelrom end the besis tor the ellegetl e:emption. Any vlolation o1 Section 7031.5 by any epplicant }or a permlt
su6jects the epplicant to e cidl penalry oi nat more than five hundred dallars ($500).):
.��"� 1. ea owner of the D�Werry, or my employees wit� wages as Iheir sole wmpensatlon, WILL DO THE WORK, end the swqure �s not imentletl or offerad tor sale (Sec.
_ Y704d, Business antl Professions CoAe: The Conirectors License Lew dces nat apply to en owner of property who builds or improves Ihereon, end who does such work
himself or hereelf or t�rough hl9 or her own employees, proNOed thet such improvements ere not Intended or oNered tor sale. If, however, the builtling or Improvement is
sold within ona yeer o� completion, ihe owner-builder will heve the burden of proving ihat he or sha did not build oi improve for purpose of sele.). •
❑ I, as awner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe pro�ect (Sec. 7044, Business end Protessions
Code: The conlractore Llcense �-ew does not apply lo en owner ol property who bulltls or Improves ihareon, antl who contrects lar suc� prqect wlth e contractor(s)
license pursuant to the ContraG�oro License Laws.�.
❑ 1 em.exempt u r� �� Business antl Professions Coda tor tNs reason:
ignature:l [Y CaN P �
Owner ID verifletl by drivefs Iicense. dYes ❑ No Drivers'LManse.NS. ��
�-_,
VeAfication ot Ownerehip by (type ot Oocument, i.e. - praperty tac hlll or tleetl):
DIVISION OF INDUSTRIAL SAFEN PERMIT CER7IFICA710N:
❑ I hereby cartiy ihet no excavetlon fiva (5) or more feet In depth Into which e person Is requlretl to tlescend, wlll be mede In connectlon wilh work eut�odzed by this
permi�, end ihat no building stNcture, scaHoltling, falsework, or demolition or dismantling thereof, will be more Ihen thirry�six (3fi) feet �igh. (C�ep. 32, Grp 2, Art 2, Sec.
341, 77t1e B, Califomle AtlminiS/rellve Code).
❑ As owner-builder, I will not emp�oy enyone to tlo work which would require e permit irom �he Division of Indusirial Sefery, es noted above, unless such person has e
permit to do such work irom the division.
Signature: Date:
Division ot Intlustrial Safery Pertnit Number:
CERTIFlCATE OF CAMPLIANCE AND AUTNORVATION OF ENTRV: I ceNly under penalry oi perjury �hat I have read Uis application and state that �he infortnalion given is
cortect. 1 egree to comply wlth ell stdte lawryryrys end dry ordinances releting to building constructlon, end euthorize represenlatives of Ne Ciry of Cosla Mese to enter upon the
eDove-descnbed rry tor Inspection pu osfe�s. I eglee not to occupy or allow occupancy of eny builtling authonzed by this pertnit yWil finel� ction.
N /1 r I
("�Y!1 /� � 1 TL1�12'1 �
SlgnaLue.Ot.LegalOwner(s)1 Date �
AnNOr Authorizetl Appllcenl Date
i �QQ�j, INSPECTWNME
1616 Fixed System Flnal Fire Pre�ention
1266 Pool Spe Final
200 Finel Re-Roof
201 Finel BIocWReteining Well
202 Flnel Fflctory Flre Place
203 Flnel Slpn
204 Flnel Demolition
� Itl�
[ %�/�v) �"
�QQf,j INSPECTONTYPE
206 Final Mechanicel
208 Finel Plumbing
210 Final Electdcel
212 Finel Fire Prevention
220 Final Planning Approvel
222
250
Final Site
Final BuiltlinglOccupency
PAg U�LY
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Jobnddress: 3002 DONNYBROOK LN
Suite:
Vicinily: PROPERTY LINE
Parcel Number: 14116609
Applicant: MARTINEZ, SAUL
Address: 3002 DONNYBROOK LN
COSTA MESA, CA
Owner: MARTINEZ, SAUL
Address 3002 DONNYBROOK LN
COSTA MESA, CA
Con tra ctor: O W N E R-B U I LD E R
Address:
Zip:
Arch : ,
Address:
Phone:
Zoning:
Phone: 714-549-7752
Zip: 92626
Phone:
Zip: 92626-2722 �
Phone:
License: 0
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: O6/17/2002
Issued: O6/17/2002
Phone:
Zip: License: License:
SCOPE OF PERMIT -
REVISED 7/7/02.: CONSTRUCT 90 LF. OF 8' HIGH BLOCK WALL ON THE RIGHT SIDE PROPERTY LINE. (20 FT
FRONT SET BACK APPROVED BY KB ON 7/1/02 ALSO) SEE STAMPED PLAN.
41 LF OF 3' HIGH BLOCK WALL AROUND THE CORNER AND ALONG THE FRONT OF THE PROPERTY.
REVISED 7/1/02. SEE ABOVE
CONSTRUCT 70 LF OF 8' HIGH BLOCK WALI ON THE RIGHT SIDE PROPERTY LINE (REQUIRES A 40' FRONT
SETBACK), CONTINUING TO A 61 LF, 3' HIGH BLOCK WALL AROUND THE CORNER AND ALONG THE FRONT OF THE
PROPERTY PER CITY STANDARDS.
Plan Check: $54.11
Permit: $83.25
SMIP Res: $0.00
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $137.36
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existin : o
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0-0
$3,000.00
$3,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related
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 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
required Inapections 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
•.ano-au ItuW)
WORKERS' COMPENSATION DECLARATION:
I hereby aRirm under penelry oF perjury ona oF the following declarations: � `
❑ I have antl wlll melntein a ceniticate of consent to self-Insure br workers' compensation, as provided tor by section 3700 of the Lebor Code, for ihe peAormance of tha
work for which ihis permit is issued.
❑ 1 have antl wlll meintpin workers' compensatlon insurance, as required by sectlon 3700 of the Labor Code, for Ihe peAortnance of ihe work for which this pertnit is issued.
My workers' compefisation Insurance wrrier and policy numDer are:
Cartier: policy Number:
(This secfion need nat be crompleled i! the pertnif is va/ued et one hundred dollers ($100) or Iess.J
❑ I canity Ihet in the pertormanca of the work for which this permit is issuetl, I shall not employ eny person in any manner so as lo become subject to tha workers'
compensetlon lews of Celifomia, end agrea that ii I should become subJect to the workere' compensation proNsions of Section 3700 of the Lebor Code, I shall fotlhwith
comply with these Orovisians.
Applicant SlgneWre: Date:
WAHNING: FAILURE TO SECURE WORKER$' COMPENSATION ODVEMGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALT7E5 PND CMl FlNES UP TO ONE HUNDRED
TFIIXISPND DOLLARE (5100,000�, IN ADDRION TO THE COST OF COIAPENSATION, DAAMGES AS PROVIOED FOR IN SECTION 31O60F THE LABOR CODE, IMEREST, PNO ATTORNE`fS FEES.
LICENSED CONTRACTORS DECLARATION: �
I hareby aHirm that I em Ilcensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of Ne Business antl Pmfessions Code, enA my license is in full
lorce and eflect. Lic. tl Class q
Coniraciofs Signeture: Date:
CONSTRUCTION LENOING AGENCV: �
❑ I hereby aMirm tha� �here is e conslmction lending agency for che pedormenca oi ihe work br which this permit is issuetl. (Sea 3097, Civil Code).
Lentler's Name: Lentler's Atltlress:
Signeture: Da�a:
OWNER•BUILDER DECLARATIONS:
I hereby eNirtn Ihet untler penelty ol perjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business end Professions
Cotle: Any ciry or counry which requires a pertnit to construc6 elter, improve, demolish, or repair eny sirucNre, pnor to its issuance, elso requires the epplicant for such partnit
to tile e signed slatement that he or she Is Iicensed pursuent to the provisions of the Conirectors License Law (Chapter 9(cammencing with Sectlon 7000) of Division 3 of the
Busineu end Professlons Code) ar thet he or she is exempt therelrom end the Desis for the elleged e:emption. Any violation of Section 7031.5 by any appllcant for e pertnit
suhJects t�e epplicent to e civil Denalry ol not more ihan five hundred tlollars (5500).):
❑ I, es owner of ihe property, or my employaes with wages as their sole compensatlon, WILL DO TME WORK, antl the siruc[ure Is nal intenEed or oHered for sale (Sec.
7044, Business and Professions Coae: The Contractors Ucense Law does not apply �o an owner of property who 6uilds or improves ihereon, end who tloes such work
himself or hersalf ar thraugh his or �er own employees, provided thel such improvements ere not intended ar oNered for sele. If, however, the building or improvement is
sold within one year of complation, ihe owner-builtler will have ihe burden of proving that he or she did not build or improve lor purpose of sale.).
❑ I, as owner of the properry, em EXCLUSNELV CON7RACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business and Pwfessions
Code: The conirectors License lew tloes no[ apply to en owner oi property who builds or Improves thereon, and who coniracis tor such project with a contrector(s)
license pursuent to the Contractors License Laws.).
❑ I em ezempt under sec. Business entl Protessions Code for ihis reason:
Signature: Dete:
Owner ID venfied by dnver's licensa. ❑ Ves ❑ No Driver's License No. Expires:
VeHfication of Ownership by (type of tlocument, i.e. - property ta: 6ill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certily thet no excavation five (5) or more feet in depth into which e person is requlred to descend, will be matle in connection with work euthorized by this
permit, end thet no building stmcWre, scattolding, falsework, or demolition or dismantling ihereot, will be more then thirry-six (36) feet high. (Chap. 3.2, Gry 2, Art 2. Sec.
341, Title 8, Celitomie Administrative Code).
❑ As awner�builder, I will not employ anyona to do work which wauld require a permit from Ihe Division of Industriel Sefety, as noted ebove, unless such person has e
permi� to tlo such work trom the division.
Signature: Date:
Division of Intlustrial Sefery Pertnit Number.
GERTIFlCA7E OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I certiy under penalry oi perlury that I have read this ap0lication and stete ihat the informetion given is
correct I agree to comply with ell stete laws and ciry ordinances relating to building construction, and authorize representatives of the Clty of Cos�a Mesa �o en�er upon ihe
ebove-descnbed pmperty for inspection puryoses. I agree not to occupy or allow wcupancy of any building authonzed by this pertnit until final inspection.
Signature Oi legal Owner(s) -
AnNOr Au�horized Applicant
COPE �. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spe Finel
200 Final Re-Rool
201 Finel BIaWRetaining wall
202 Final Fectory Fire Place
203 Finel Sign
204 Final Demolition
P!SIE It�A15
cooe� ixsvecnoxnae
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
P� Lrmn �5
�D
2
�
�
�
V
3
�
v
•'f}fl5 SKET�I IS FOR INFORMATIONAL PURP066
ONLY. APPI�CANT 6 RESYONSiBLE PROVIDQJG
AN ACCURATE RFPRESQ�IfA770N G. ,�Qt PROPEIt'IY
QJ fASE Tt� SHAPE AND SIZE DO NOT mRRF�j)ND
WffH 7HE INFORMAi70N PROVIDm ON it$ 9-1EEf. _�
• so�.ro w,+i.is/�cn ee�wma r�• t b• w r�cr�r s�L 1
BE SE15AIX AT IFJ1 ' FROM FROM' PROPEHIY llNE
• SOIID WAllS/FFNQ�S StiALL NOT H)C� 7 6' QJ }ff7Gt{T
Wfi}�! 10 OF Ttff F7tONT PItOPER7Y lIIJE �10T CURE [AlE�.
• VERffY DSI'AN� FROM CURB iD PFDPFXIY I�IE
AND 4{OW ON PUN. VEftIF7G110N FROM hff QIYS
IIJ(,'PIffitINC DfV6[ON 6 RP.QUQtED. CA11, (Tt�) 754Si13
POA INPORMAi70N. . .
�1DDITIONS, DELFT10fuS,00fi CO�RECTIOPlS SHALL
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WALL LAYOUT- FOR�-BUf�DIMG�;�'�f��l- � � —
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(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIFi DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,lob nddress: 3002 DONNYBROOK LN
Suite:
Vicinity: PROPERTY LINE
Parcel Number: 14116609
Applicant: MARTINEZ, SAUL
Address: 3002 DONNYBROOK LN
COSTA MESA, CA
owner: MARTINEZ, SAUL
Address 3002 DONNYBROOK LN
COSTA MESA, CA
Contracror: O W N E R-B U I L D E R
Address:
Zip:
Arch :
Address:
Phone:
Zoning:
Phone: 714-549-7752
Zip: 92626
Phone:
Zip: 92626-2722
Phone:
License:- 0
Eng:
Address:
Status: ISSUED
Applied: O6/17/2002
Issued: 06/17I2002
� ,
I
.: -...!
Phone:
Zip: License: License:
, SCOPE OF PERMIT
CONSTRUCT 70 LF OF 8' HIGH BLOCK WALL ON THE RIGHT SIDE PROPERTY LINE (REQUIRES A 40' FRONT
SETBACK), CONTINUING TO A 61 LF, 3' HIGH BLOCK WALL AROUND THE CORNER AND ALONG THE FRONT OF THE
PROPERTY PER CITY STANDARDS.
FEE SUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$54.11
$83.25
$0.00
$0.00
$0.00
$0.00
$137.36
SETBACKS
MAIN STRUCTURE Fronl 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
�
Rear 0- 0
Rear 0- 0
Required: 0
Calc Valuation: 53,000.00
Claim Valuation: $3,000.00
PLANNING & ZONING
Left 0- 0 Right
Left .0- 0 Right
Pro osed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 780 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, and all
requlred Inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permi�.
FOR INSPECTIONS CALL: (714) 7545626 .
2oes-as (�oo)
WORKERS'COMPENSATON DECLARATON: �
I here�y atlirtn untler penalry of perjury one oi ihe following declarations: � ' ��
❑ I have and will maintaln a certificate ot consent to sel4lnsure for workers' compensation, as provided for by saction 3700 of the Labor Code, for ihe pertormance of the
work tor which ihis permit is issued. .
❑ I �ave enG will meinlain workers' compense6on insurance, es required by sectlon 3700 ot Ihe Labor Code, tor the performance ol Ihe work for which this permit is Issued.
My workers' compensation Insurance cerner end policy number are:
Certier. policy Number:
�,(,TGhis section need nat be cromplefed i! fhe permit is veluetl at ane huntlreU dallers ($100) ar less.)
,p�— I'catlity t�at in the pedc nence o� the rk for which ihi ermit is issuetl, I shall not employ eny person in any manner so as to ecome su ject to the workers'
compensation laws of IHornia, antl rea hat I o become subject to ihe workere' compensalion provisions oi Sectlon 00 of the bor Code, I shall forthwith
comply with these provi ions. [ �7
AppllcenCSignature: Det-, �. f� � C/
WARNING: FAIWRE ECU E C�MPE TI �N CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINlLL PE ALTIES AN CIVIL FINES UP TOONE HUNDRED
T1qUSAND DOLLAF ), IN AODITION T THE COST OF COMPENSATION, DPhNGES AS PROVI�ED FOR IN SECTION 3]Ofi OF THE LABOR DE, Ih7EREST, AND ATTORNEY'S FEES.
� LICENSED CONTRACTOHS DECLARATION: �
. I herehy aHirtn that I am licensetl under provisions ot Chapter 9(commencing with Sedion 7000) of Division 3 0l ihe Business and Professions Code, end my license is in full
���, force end eflect. Lic. k Class 8
�; Contracror'sSignaWre: Dete:
CONSTRUCTION LENDING AGENCV: �
i❑ I hereby aftirm iha� �here is e consimc�ion lending agency for the peAormance of ihe work tor which Ihis permit is issued. (Sec. 3097, Civil Code).
! Lender's Name: Lenders Address:
� SigneWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aftirm ihat under penelty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, 8uslness and Professions
Code: Any ciry or counry which requires a parmit m construct, alter, improve, tlemolish, or repair any strucNre, prior to its issuance, elso requires the epplicant for such permit
to lile a signed statement that he or she Is Ilcensed pursuant to the pmvislons of the Contractors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 oi Ihe
Business end Professians Cade) or that he or she is exempt therefrom and the besis tor the alleged exemption. Any violetion of Sectlon �031.5 by any epplicant for a pertnit
subjects ihe epplicant to e civil penalry of not more ihen tive huntlred tlollers ($500).):
❑ 1, es owner oi iha properry, or my employees with wages as their sole compensation, WILL DO TME WORK, antl the structure is not intended or oiferetl tor sale (Sec.
7044, Business and Pmfessions Code: The Coniredors License Law does not apply Io an owner ot property who builds or improves ihereon, antl who tloes such work
himselt or herseN or through his or her own employees, provided ihet such improvements ere not Intentled or otteretl for sale. If, �owever, the builtling or improvement is
sold within one year of completion, the owner-buiider will heve ihe burden of proving ihat ha or she did not build or improve tor purpose oi sale.).
❑ I, as owner ot the properry, em E%CLUSIVELY CONTRACTINC WITH LICENSED CONTRACTORS to construct the project (SecJ044, Business and Professions
Coda: 7Te tractors License Law doe5 not epply to an owner of property who builds or improves thereon, and who contracis for such proiect with a contrector(s)
license purs nt to ihe Conlractors Licanse s.).
�_I'am'exempt ndecsec.- ' Business and Prolessions Code for this reason:
$ignaNre:r - �Date:� �
Owner ID �e/ by tlriver's license. Yes ❑ No r,Dnvers_License,No. � � ,E`x.p._ires:
Vetlfication at O�l�nership by (type of tlx nt, i.e. - property tex bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify ihet no excavation tive (5) or more feat in depth into which a person is required to descend, wlll be made in connection with work authonzed by this
pertni�, end ihat no building s�ructure, scattolding, falsework, or tlemolition or dismanNing thereof, will be more than ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from ihe Division of IndusMel Sefery, as notetl eDova, unless such pereon has e
pertnit to do such work from the division.
Signature: Date:
Division oi Intlusirial Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORI2ATiON OF ENTRV: I certify under penalry of perjury ihat I have read this application and stata ihat the infortnation given is
correct I agree to comply with all state laws and ciry ortlinances relating ro 6uilding construction, and euthonze representatives of the Ciry ot Costa Mesa to enter upon the
above-described property for ins ction purposes. I egree not to occupy or allow acupancy ot eny building authorized by this permit until inel ins Bction
G eNre:Ot: I�. r - - c=Date —.
�� n d ' rvud A n.a t � Date
COOE N. INSVECTIONTYPE OATE
1616 Fixed System Final Fire Prevention
1266
200
Pool Spa Finel
Final Re-Roof
207 Finel BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
CO�E� INSVE
206 Final
20B Finell`lumbi r , �
210 Final Elect , `
212 Final Fire Pre tion �i
220 Final PI inq Apprav� �
222 Fi Site
250 inal Building/Occupan
� IMR1�L3
�
• TtIlS SKEIQ-I IS FOR INFORMA710NAL PURP066
ONLY. APPLIUM IS R6PON5[BLE FOR PROVIDWG
AN ACNRATE REPRFSIIdfA770N OF hIEIIt PROPER'IY
IIJ CASE'II-IE SiUPE AND SITE DO NdC CORRESPOND
WCIH THE INPORMA770N PROVIDID ON lt� SF�1'.
• SpL1p WALIS/FIIJ�S BEIWEBJ 76' k 6' IN Fff7Ct[7' SHALL
HE SEf8A4C A7IFASC 10' FROM FROM PROPERT1f I1N&
• SO[.ID WAILS/FFNQ�S SFIAI.L NOT ID(� Y 6' IIJ FhICtCI
WfIf�! SQ OF iHE FROrR' PROPFR7Y IQIE (NOT CVRB IlNE).
• VFRII�Y D6GN� FROM CURB TO PROPERLY LINE
AND 9iOW ON PUN. VFRIF7G'fION FROM THE QTYS
IIJGQ�!ltY3tINC D1V6[ON S REQUIRPD. CAt1. (71�) 754+Si13
ADDITIONS, DELE71pNO R E RRECTIO� ry��
BE AppROVED BY 7HE pLqNiWf;G DIVtSIONAL�,
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CITY. OF C06TA MESA
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�CK WALL= LAYOUT--FOR;.,BUILDtNG �P � �— �-�
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PLANNING DIVISION. : .....;:., =_ _. :;:...:`:: :� �::':' �. _ ��
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e
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Cemenf Coping Op�lonol /
Channel block wllh one 5(8 TA
Halzontal iop ot all Fenc�
Fa Fences 8' hlgh �
Ved. Bars 5J8' 0 al l6' O.C.
All Celis Solid Graouted
Relnfwcing Steel Sholl
Contorm to Sec. A� 15-39 A.S.T.M.
All Steel lo be Lopped
24' or to Code
• NATURAL GRADE
�
Two 5/8" 0 Bars �� '
Continuous iop ---►I
and Botlom
Hodz. Sleel musf be fied In place
al tfine of hench tnspecffon
TYPICAL 8" CONCRETE BLOCK FENCE'
�'
m
0
lo
,'�"'_
Wldth
See Chort
Below
� i I
FOOTING RE9UIREMENTS CHART
� � Wall Helght . . . . . . . . . . . . . . . 6' TO 8'
Widih ......................16'
Thickness . . . .. ... . ..... . .. . . 12'
Depih ol Eadhtooth . . . . . . . . . . . 36'
Spocing of Earfhiooth. . . . . . . . . . . 8'
Dlomeler oi Eodhioolli. . . . . . . , . 12'
BUILDING. DIVISION
GENERAL - NOTES
Mortpr. One PoA Plastic Cemerd,
and firee Pnrls Sand
G�oul: One Pat Cement, Mee
and One Half R�As Sarxl
Coping: One Parf Cement, and
m�ee Rarts Sand
Conc�ete: We� Mixed 1:2 - 1/2:3-I/2
Max of 7-1/2 Galloru Of
Wpter Por Sack ol Cemeni
Giout moy be�pouied from the
fop of the fence.
Cells and oreos ot horizontal ,
ielnforcement sha� be clear.
clean and free ol all morfar
debds, etc.
NOTE
wall In ezcess of 6 feet in helght
�equlre dlscretlorwr/ �eNew and
approval process mraqh the
Plonning OMslon and ote riot
outomoBcaRy opproved. Please
consun wrm me Plarwng DlNsbn.
vosee
PATIO GOVER DETAIL 6/1/67
�STA7E—j--�y
SIZE SPACING SPQ�
pyERMANCa (�' � % Io1.�
„ RAFTERS: 'a � *
� « ��cur.rN .....�SLOPED FOR ORAIN
— - _ . �---nr
�BEAM
a.� �.
STATE SIZE
3/�g X 2��-T-STRAP
V
fw �
� d
s
_` POST-BEAM
� � CONNECTION
�^ �
3/g a S�lags 32% —�
P.edrill Ledqer �
Pred�ill Exi�tinq '/�-3 Deep
JOIST HANGER—
Or other upproved
of suDPurt � tie.
AL L L UMBER DOU6L AS F/R
CONSTRUCTlON� GqAO£
POST fi�i,��.ln
9`: ' ii' o"
SHOW SIZE SHOW SPACING
SHOW LOCATION ON REVERSE SIDE,
DROP PATIO
-+— SLOPE 70 DRAIN�
s' ' 4 ' `
_!.. � ',e PUDDLED SAND FILL ,
��.'
� e •:.
� Remore G.ass And Weedo Dorn To Ncfural G.ade
12� � '
' CONCRETE MIX 1:3�4 MAXIMUM WATER CONTENT
POST ANCHOR �I��.•��..�".� 7� GALLONS PER SACK CEMENT.
Far Pipe Posf. Embed r12� Provide 26 Ga G.I. Flas�ing At Wood Floor Const.
Pipe In Footinp. '
Provide Flanqe Or Weld Plate ScreweA Or Bolted To Frome.
CMF 000/2-a6 (BV 40)
;�
CONiINUOUS
LED�ER
TYPICAL JOIST ANCHOR
NOTE � USE REVERSE SIDE FOR PLOT PLAN.
No i Ar t— H r No 2
FOR OPEN EGG CRATE FOR SOLID SHEATHING.
ALUMINUM OR PLASTIC SHINGLES OR BUIIT UP
ROOF COVERING ROOFING.
MAXIMUM SPAN SiZE SPACING MAXIMUM SPAN
17� O�� 2a6' 12 "/� 15� I�
I 6� 0' 2'x 6' I fi'/o 13" 3"
I 5' 0" 2': 6' 24 % I 0' 11 �
i z' o� 2'x 4- i z'°�� 9• i r,
i i' o� rx a- i s�,� e' 8-
io' o' rx a• Za�i< �' i••
NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PAT10
WAL�S ARE TO BE BUILT. USE N0.2 CHART ONLY.
WIDER RAFTER SIZE MAY BE INTERPOLATED FOR
SPACING ONLY.
FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO
WALLS ARE TO BE BUILT SUBMIT COMPi FTF HOUSE
AND AODITION PLANS
�-y9 C�re�e DAo�v� .2XG�ua, �/�ConfrHS -Fi-�e. :,�te4
11/unuiu� C'o�sved G —9"Trritiq�la. '�o�ts ll�rpa��w4
STRUCTURAL APPROVA p ty
SEPqRA7E PERMITS ARE RE��11RC6
FOR ELECTRIGAi, p�i�•^�•;.��
HEATIPIG, VEhiTlLt!7'�+� ;,-i�
REfRiGERATION W0,415
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r THIS ;:u,'�" S� .�, .
ALL IfdSP�C,�,;,; �
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' IIE Ldii�LU��J� . •_ � ,'C �'",.' ,`�E TO � �
�. . ._„I 7.; .T iHE ' i
S'f; �E 0,' ��= ,;.n U; l,S�ON OF
'..l' si' L S FET',' b� CONS�ILiED FOR ��
._ � ; �Jf: .� .'EQUl.;B;�ENiS.
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�ify of Costa P�1esa Buildin9 Qept.
7►iFSE PLANS %�UST BE ON JOB AT ALl TIMES
MAKE NO CHANGES WITHOUT P&10& AF4ROVAL
OF DEPf.
THE ISSUANCE OR GRFATING OF A PERMIT OR APPROVAL
OF PLAdS ANU SNBCIfICATIONS SH"LL ND7 BE CONSTRUED�
TO BE P PERMIT fOR, OR tl. APP:O`...t OE ..NY VIDIATION
OF ANY OF THE PftOVISI�YS JF TH4S OODE. NO PERMIT PRE
SUMING TO GIVE AUTHURITY TO VIOLATE OR CANCEL THE
PROVISIONS OF THIS COUE SHALL BE VALID. FXCEPT IN SO
FM AS THE WORK OR USE WHICN IT AUTNORIZES IS IAWFUI.
THE ISSURqCE OF p PERMIT BASED UPON PLANS AND
SPECJFICATIONS SNALL n0T PREVEHT TI1E BUI �
FliOM THEREAFfER RE(UIRIN6 THE CORRECiION OF ERRORS
IN SAID PIANS AND S4ECIFICATIONS OR FROM PREVENTINC,
BUILpING OPERATIOttS 6At1G CARRIED ON THEREUN�ER WHEN
IN VIOVi71UN OF THI$ ,�£ OR OF ANY OTHER ORDINANf,F.
OF THE q1Y. �
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OWNER pF,TERSON. C. L. DATE 2-25-66
JOB ADDRESS 3002 Donnvbrook Lane BUILDING PERMIT NO. 25336
�GF.NERAL CONTRACTOR ROri Donatelly DESCItIPTiON OF WORK $lOCk W811
Final
or
Date
SUBCONTRACTOR
�OWNER
c�JOB ADDRE55
\�7� `*"rtERALCONTRA
\v a'~"fJo.
� 141-166-
f'1J INSPECTIONS
n
ING
INE
vAT
NOVAK, Tim K.
HEnTING ANO a1R CONDITIONING
RARY SERVICE OF POLE
iR0UN0 � POWER �
WIFING
BONO 9EAM [� STEEL REI
SNE<YHING
FR4ME ONO FLPSPING
V" 'MG — IN I—I OUT [—
P £R. BROWN COnT
ELECTRiC, FIH♦
DATE 2-28-79
BUILDING PERMIT N0.
RiPT10N ol WORK i.Pgal���a�
ZONE ' VnLUEE 1.144.
PE GROUP ZC
SUBCONTRACTOR ERM
l,' � •
.��� 25336
�COSTA MESA BUILDING-SAFE(Y DEPARTMENT
P.O. 90X 1?M � GOSTA MEBI.. CAIIFORNIA YT02!
! CITY
I
DF Ct3STA MESA
FEB 25 1966
OW NER College Mesa Co. DATE 9/21/55 �
JOBADDRESS 3�2 Donnybrook Iane BUILDINGPERMITNO. 18�1I
IERALCONTRACTOR Nale Co_ VALUE $ S_000.00
GROUP I
INSPECTIONS
Footing Trench
Foundation Forms and Grade to G
Rough Framing �
Plumbing, Rough to Slab �
Plumbing, Rough Complete t
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
S^^•er. House � Sewer, St.
.c Tank or (:esspool
Lathing, In "� —.J Out
Plastering
Plumbing, Final, Fixtures Coi
Plumbing, Final Gas Test � S�
Wirinu, Final
TRACT �'��
V 20NE �=
DATE I SUBCONTRACTOR
IRE DISTRICT 1873
PERMITS ISSUED
DATE I NUMBER
os a esa g epartment 1y P APPLICA'i'lUN l+'un r�� .� .�
711 EAST 20th STREET ��' r� B U� I L D l N G '
' �OSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY � _
�OR APPLICANT TO FII.L IN � t, Receipt No. Permit 9�
nddre� 3002 ➢onnybrook Lane I,+� ��%
Costa Mesa, Ca�OTllla. Rec ived by !� Date Rec'd. Date Issued
Nearest B�eT ��P 1 9 �1� J/
CrossSt. Building ,;�
Owner College Mesa Compa�y, Address „
Mall CostallVYesa, California
ndaress 8002 Central Ave. � Nearest i:' �
Garden Grove T8�'[,g,Q—Z1SB crosssc. 1'�
City No. Zone No. of '•, Type Group-y--
Arohitector D8V19 � Qui ].e No: C-1790 p roved I P�ans�� .L
Engineer g y pp
I�v \ \ Il'J�P
co�c�actor The Hzle Gowpaqy NOY LQ9422
Address 8002 Central Ave.�Garden Grove
^_Lega: __ I Lot 94 � s,--'- ��---' 2341
ach Metes and
of LM �],$s
of
from
pt 55�
a
E I Alteration
No. of Bldgs None -�T
Nowon Lot
No.of No.oT ----J�io
Familles Rooma �
Rear Yard
Side Vard $ �
�F woRg
II Addition I ��
� � _ ... � •. . .
Rooms 5 Stories 1
IRoof
Covering RoCk
family dvelling rrith
garage.
I hereby acknowledge that I have read this ApplicaUon
and state that the above is mrrect and agree to comply
with all Clty Ordinances and State Iaws regulating
building construction.
signatureot .��E HAI,E COMP
Permittee
Authorized Agt. `
�afluation ���R PermitFea$ ��-
0 � Plan Check $ i
� �,00 To�� 3 �
Fee
� FORM 204 S-BP 2M 8-55
APPROVALS
Frame: Fire Stops,
Bracing, Bolts
Lath.lnt.
Lath. Ext.
Plaster, Int
Plaster. Ext
fa7�
PLOT Pi.AN
Show location and disYances Trom
property line and between buildings
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�EP 21 �SP�n sar`v7i �^i: =23.�•
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� ,ICOSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ to Fill in Completely — Use Ink Only
eui�oiNc �� y i�oN�1k4�,Paa�� Lh
ADORESS
OWNER 7//� �. IVO ✓
MAIL /2315 L'� Y� N
��T� C'cRvi7as c
CANSTRUCTION _ _ _ ,. , —
BRANCH
TEL.�/�y-
NO.QG7 �
ADDRESS
CONTRACTOR ��DN�
ADDRESS
TEL.
CITY NO.
STATE CITV
LIC. NO. LIC.�NO.
OFlOT �'S' �� X ��� INOWONLO
USE OF
Separate permits are required for
electric, plumbing and heating work.
UILOING AND WORK TO BE PERFOR�
L
I hereby acknowledpa thet I have reatl Shis eppllcatlon antl state
thet the ebova iniormation is corract antl agrea to comply with
all lews regulaSlnB building conrtrucNon, and I shell noi employ
any parwn In vlolation of Ne workman's compensatlon laws of
tha Stata ot Celifornia.
I hareby certify that I am properly Iicensetl as a contractor untler
Ne Siete of Celifornia Business and P�otessions Cotle, Dlvision 3,
Chapter 9, and that such licenses ara In full torca antl affect, or I
am axampt from tho provis(ons ot the State ot Cal(fornle Business
end Professlons Cotle, Divizion 3, Chaptar 9. �
SIB�ature of ` {� 1 � [I�
Permlttea -�-�C�Yc YIJ�'C'�J�
Aut�orized Agent
4222 2/28/79 28.00 TL
APPLICAT[ON FOR STRUCTURAL PERMIT
FECEIVED BV DATE RECEIVED OATE ISSU�ED
/ PERMIT NO.
A.P. NO. � / � � O
BUILDING J�� �/
ADDFESS � D(Jz C_,[7iLYjfE �d.C--
TRACT L. �Y� LOT7� BLOCK
VALUE
FIRE
NE /NO.OF . USE OF NEW"-
PLAN$ � BUILDING �� (
VAfl�SAPPROVED VARDSAPPROVED
MAIN BUILOING ACCESSORY BUILDING
;°T °%}%�4��'<d � �_
VAR..ie
3 % �
FT. FT
�- �
FT. FT
9�
ZG FT. � — FT
:E BET. BET. MAIN &
DATE
APPROVED
n
w
�
:
i4 1� SQ. FT. N
THE AMOUNTSHOWN UNDER VALVATION IS FOLi m
THE PURPOSE OF ESTABLISHING A PERMR FEE ONLY: -
b
VALUATION PERMIT FEE S a
0• �
m
PIAN CHECK E �^
/ / 0
$ /' / � � TAX S LL
[ 1 .