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Home My WebLink About3019 DONNYBROOK LN - Building Permits� 0 . � 0 r : V.� � . PERMIT TYPE t � � CITY OF COSTA MESA B!/ILD/NG DIVISION � - ! 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us . FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBE . E07-00839 ELEC STATUS: ISSUED DATE ISSUED: 10/04/2007 ISSUED BY: BJK JOB ADDRESS: 3019 DONNYBROOK LN GIVI Suite/Unit: viciniry: '" . � SCOPE OF WORK: CHANGE-OUT.OF AN ELECTRICAL SERVICE IN AN EXISTING SFD T0200A: - NOOTHER WORKAUTHORIZED WITH;THIS PERMIT.' - � � . � e;� , OWNER: GONZALEZ, WILLIAM -' _ . . Address: 3019 DONNYBROOK LN Unit: , PHONE: - - , . .. Ciry/State/Zip: COSTA MESA, CA � - . . � APPLICANT: GONZALEZ, WILLIAM '�, .' . -� � Address: 3019 DONNYBROOK LN Unit � PHONE: 714-004-5653 � , : � . - ^ , City/State/zZip: COSTA MESA, CA _ . CONTRACTOR: OWNER-BUILDER � Address: Unit: -'' - PHONE: - Ciry/State: ZipCode: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54.00 „ , License No. 000000 CELL: r+• �. ';�.. �t ; � i) :i�" � ,P9�• �4 .�� . [.' yt NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) . EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be wnsidered legal, such work must wmply with all applicable codes, and all required inspections and final approval must be obtained. FaiWre to obtain inspections and final approval will result in the expiration of this permit. 40oEt, INSPECTIOXTYPE DATE INiRUI COUEf INSPECTIONTYPE D�TE IN7IMLS 1618 Fixed System Final Fire Prevention 206 Final MeUanital 1266 Pool Spa Final ZOB Final Plumbing 200 Final Re-Roof 210 Final Electrical /Z� 3•�� 201 Final Block/Retaining Wall 212 Final Fire�Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Dertrolition - 250 Final Building�Occupancy , , WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one o( the (ollowing declaretions: ❑ I hava antl will maintain a certifirate of conseM ro self-Insure for workers' compensa[ion, as provided (or by section 3700 of the Labor Code, for Ihe performance of [he work for which this permi[ is issuetl. ❑ I have and will main[ain workers' compen5ation insuranGe, a5 required by section 3700 of the Labor Code, for the pertormance of lhe work for which t�is pertnit is issued. My workers' compensation Insurance wrrier and policy number are: Carzier. (T�a secfm neeE nW De cpnpe(ed d tne peim4 is value0 af one �unOmO tbBars (Ef 00) wlessJ Policy Number: I certify that in the performance of [he work (or which thi5 permit is issued, I shall not employ any person in any manner so as to bewme subject to the workers' compe ation laws of Califomia, and agree thal if I should become subject to Ih rkers' compensation provisions of Section 3700 of lhe Labor C�qe, I s�a rthvn[h comply vnth these provisions. �L-- �h �.� O � n a Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force antl eflect. Lic. # Class # Crnvacior's Signawre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby affvm that there is a constructbn lending agency fa Ihe pedormance of the v.ork for which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Da�e OWNER-BUILDER DECLARATIONS: I hereby aKrtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for 1he following reason (Sec. 7031.5, eusiness and Professions Code: Any city or county which requires a permil to construct, alter, improve, demolish, or repair any strucwre, prior to its issuance. also requires Ihe applicant for such Dertnit �o fle a signe0 statement that he or she is licensed pursuant to the provisions of �he Contractors License Law (Chapter 9(commencing vrim Section 7000) of Division 3 of the Business antl Pmfessions Code) or that he or she is exempt Iherefrom and the basis (or the alleged exemption. Any violation of Seclion 7031.5 by any applicant tor a permit subjects the applicaN to a civil penalty of not more than five hundred dollars ($500�.): ❑ I, as owner of the property, or my employees with vrages as t�eir sole compensation, WILL DO THE WORK, and ihe structure is not intended or oHered for sale (Sec. 7044, Business antl Professions Code: T�e Contractors License Law does not apply to an owner of pmperty who builds or improves thereon, and who does such vrork himself or herself or through his or her ovm � employees, provided Ihat such improvements are not intended or offeretl for sale. If, however, Ihe building or improvemenl is sold within one year of wmpletion, tha owner-builder will have the burden of proving thal he or she did not build or improve for purpose of sale.). �N i, as owner�oLthe property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to conswct the project (Sec. 7044, Business and Protessbns Code: The contractors License Law dces not apply lo an�ovmer of property who builds or improves thereon, and who cont2cts fw such project with a contractor(s) license pursuant tothe Contractors License Lavrs.�. ❑ I am exempt untler sec. Business and Professions de for this reason: �Ocf a� SiB�a Oale , 305]<6 (3rol) ' , � Owner ID venfied by driv,� � Verifcation of Ownership by (rype o( document, i.e. - propeAy tax bill or deetl): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ., ❑ I hereby certify Ihat no excavation frve (5) or more feet in depth into which a person is requiretl to tlescend, will be made in conneclbn with woM authorized by this pertnit, and that no building stiucWre, scaffoltling, falsework, a tlemolition or dismantling thereof, will be more than IhiAy-six (36) tee� high. (Chap. 32, Grp 2, M 2, Sec. 341, TiHe 8, Califomia Atlminist2tive Code). ❑ As owner-builtler, I will not employ anyone to do work which vrould require a permit from the Division of IndusMal Safety, as noted above, unless such person has a permit lo do such work (rom the division. Appliranl's SiBnawre Division ot Industrial Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future buiitling occupant nee0 to fla antl certify a Business Plan (or emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of Ihe California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Depanment by every business which has at any one time during a reportetl year a quantiry ot hazartlous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre antl pressure�. 2. Does or will the applicant or present m �uture building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Seclion 25533 of lhe Califomia Health and Safery Code, with some exceptions, requires regislretion with the Costa Mesa Fire Department by each business which at any one time has on hantl a quantiry of aculely hazarCous matenals equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet o( compressed gas at stantlard temperature and pressure). 3. Does or will the appliwnt or present or fWure building occupaN need to prepare an RMPP (Risk Management antl Prevention Program (oi acutely hazardous matenals)7 ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safely Code provides thal the Costa Mesa Fire Departmenl may require the preparetion, certification and (linq with the Fire Department of an RMPP by businesses which are required to register aCutely hazardoUs matenals wilh the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Cali(omia Health and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or tuture building occupant require for the work which is the subject of Ihis application a pertnil for such construclion or modificalion from Ihe South Coast Air Qualiry Management Distdct or Irom any other air polWtion control dislrict or agency? ❑ Ves ❑ No (Section 658502 of the Cali(omia Govemment Cotle requires Ihat Ihe requested infortnation be fumished on applitati0ns for rron-residential building pertnits). 6. Will any part of Ihe facility to be constructed under lhis permil be within 1000 feet (rom lhe outer boundaries of a school7 ❑ Ves ❑ No (If yes", lhe facility must meet the requirement of Sections 25534 and 42303 of the Cali(omia Heallh antl Safety Cotle). 7. I( a pertnit from the South Coast Air Ouality Management District or other air pollution control district or agency is required (or the vrork which is the subject of this application, have all of the disclosures prescribetl Dy Califomia Health and Safery Code Section 42303 been made7 ❑ Yes ❑ No 8. (If yes", attach certificate of compliance from the appropnate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I ceAify that untler penalrypf perjury the information qiven above is covect I agree ro comply with all state laws antl ciry ortlinances regarding Hazardous�Matenals and Emissions. SIB�aWre Wte CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state Ihat the informalion given is co ecl. I agree to comply with alPstate lavrs and city ordinances relating to buil i g construclion, antl authorize representatives of the City of Costa Mesa t enter upon the above-described property for inspection purpo s. I a not lo occupy or allow occupancy of any building authon d b per � ntil fnal inspeclion. ,! aG ( O� �.� �J r Sig Date AnOlar Aut�onieE ApOhqnt Dale (714) 754-5273 • Fax (71d) 754-4856 • www.ci.costa-mesa.e4kLDING PERMIT 77 FAlii DRIVE, COSTA MESA, CA 92626 �obnddress: 3019 DONNYBROOK LN Suite: Vicinity: ROOF Primary Occ: � R•3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 14116515 Zoning: R1 npp�icant: JUSTIN SUDDUTH Address: 1651 E 4TH ST SUITE 239 SANTA ANA, CA Owner: GONZALEZ, WILLIAM Address 3019 DONNYBROOK LN COSTA MESA, CA Contractor: GUARDIAN ROOFS Address: 1657 E 4TH ST - � � SUITE 239 ' " SqNTA ANA, CA Zip: 92701 Arth : Address: Zip: Phone: License: Phone: 714-770-7968 Zip: 92701 Phone: Zip: 92626 Phone: 714-770-7968 License: 847279 Eng: Address: Status: ISSUED Applied: OSI01I2006 Issued: OSI01I2006 Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30it FELT, 30 YEAR COMPOSITION SHINGLES, AND REPAIR/REPLACE SHEETING AS NEEDED. 2,800 S.F. INCLUDES ATTACHED GARAGE. " ' FEESUMMARY. Plan Check: $0.00 Permit: , $111.25 $MIP Res: $0.50 SMIP Com: , $0.00 ' ' Other: $0.00 Inspection: $0.00 Total: $111.75 PLANNING 8 ZONING SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY . Ront 0-0 PARKING xistin : 0 Calc Valuation: ss,000.00 Claim Valuation: gs,000.00 Rear 0. 0 Left 0- 0 Right 0- 0 ,Rear 0-0 , Left 0-0 Right 0-0 Reauired: 0 Pr000sed: 0 NOTICE: The work authorized by this parmit shall comply with all applicable handicap access fequirements under Califomia statutes and related regulations. (Ord. No. 9248, § 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 tor a period of 1 BO days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectione and }Inal approval mus� be obtained. Failure to obtain inspectio�s and final approval will result in the expiration ot this permit. FOR INSPECTIONS CAL�; (714) 754-5626 2a&48 (fl�00) WOHKERS'COMPENSATON DECLARAnON: � � I �erehy aflirm under penalry of peQury ane at the tollowing declaretlons: - + ' , ❑ I have en0 will maintein e cenificate ol consent to sell-Insure for workers' compenseilon, es provided for by section 3700 of ihe labor Code, tor the pertormance of the work far which this pertnit Is Issuod. _I�have entl wlll maintain workers' campensatlon insurence, es requiretl by sectlon 3700 0l cne Lebor Cotle, tor the peAormance ot Ihe work lor which this pertnit Is tswed. My vrorket\e.¢1olm1pe1,n,saC1voaI,ns`�a e carrier end poliry number ere: > � Cerriar:._')YN+c W' 1� ' POIicyNumber �Jd��^�tlb ,(This section need nof be romple(ed il the permit is velued ef one huntlretl tlollers ($100J or less.) �"----- � I cenify ihat in Ihe perfortnance ot t�e work for.••��nIs pertnit is issue0, I shall not �e ploy eny person in any menner so as to become subject to the workers' compensatlon laws oi Celifom' and a re el Iff f I sho�l become sub�ect t �rkers' compensation provisions of Section 370 ot the Labor Code, I ahall tonhwith comply with ihese provision � Pt /D �� Applicant SignaNre: ..,Date: - � f WAflWNCv'.FNLURE TO SECURE EFS COVEMGE IS UNIAWFUL AND SHALL SU&IECT PN EMPLOYER TO CRIMINAL PENALilES D GViI FlNES UP TOONE HUNDRED TNOUSANDDOLLARE(E100,000�,1 A OITIONTOTMECOSTOFCpAPENSAiION,DAMAGESASPROVIDEDFORINSECTI0N3lO80FTHELABORWDE,INiEPEST,ANDATTORNEI^SFEES. LICENSED CON7RACTORS DECLARATON: C,i�epter 9(commencing with Section 7000) of Division 3 ot the Busii �i� � - end my Ilcense Is in full CONSTRUCTION LENDING AGENCY: ❑ I �ereby etlirm ihet Ihere is e construclion lentling agoncy for �he performence of ihe work lor which this permit is issued. (Sec. 3097, Clvil Coda). Lentlers Name: Lender's Address: Signature: Date: OWNER•BUILDER DECLARATONS: I �ereby aMirtn thet untler penalry oi perJury ihat 1 em EXEMPT FROM TME CONTHACTORS LICENSE LAW tor the following reason (Sec. 7031.5, eusiness and Professions Code: Any ciry or county which requires e permit to consWct, elter, improva, demolish, or repeir eny strucwre, pnor to its issuance, also reQuires ihe epplicent tor such permil lo file e signed stetement that he or she Is Iicensetl pursuent to Ihe pravisions oi Ihe ContrectoB lJcense Law (Chepter 9(commencing with Sectbn 7000) ol Dlvlsion 3 oi Ihe Business and Proteuions Code) ar t�et he or she is exempt iherelrwn end the basis lor the ellegatl exemption. Any violatlon of Section 7031.5 by any epplicant tor e pertnit sub�ects the epplicent to e civil penalty ol not more than live huntlred dallars (5500).): ❑ 1, es owner of Ihe property, or my employees wlth wages es Iheir sole compensation, WILL DO THE WORK, and the slrucNre is not intended or ofleretl tor sale (Sec. � 7044, Business and Protessions Cotle: The Contractore License Law tloes not apply to an owner oi property who builtls or improves ihereon, end who does such work himsetl or hereelf or through �is or �er own employees, provitled ihat such Improvements ere not intentlea or oMeretl for sale. Ii, however, Ihe building or improvemenl is sold within one year ot completion, the owneo-builder will heve the burden of proving ihat ha or sha did not build or improve tor purpase ol sala.). � ❑ I, es owner ol lhe properry, em E%CWSIVELV CONTRACTNG WITM LICENSED CONTRACTORS to conswct the projec� (Sec. 70d6, Business entl Pmfession5 Cotla: The coNrectors License Lew tloes not epply to an owner ol property who builds or Improves Ihereon, antl who contracts tor such prolect with e contractor(s) license pursuent to Ihe Contrectors License Lews.). ❑ I am exempt untler sec. eusiness and Prolessions Cade lar this reason: Signature: Date: Ownar ID venlietl Dy tlnvefs licensa. ❑ Yes ❑ No Orivefs License No. Verification oi Ownership by (rype ot tlocumenL i.e. - D�operry tex bill or daed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: Expires: ❑ I hereby cenity thet no excevetion five (5) or more feet in depth into which e person is requiretl to descend, will be made In connection wlth work euihorized by Ihis pertnit, and ihat no building siructure, swttolding, lelsework, or demolition or dismantlinp Ihereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Tile 8, Cellfomia Adminisiretive Cotle). ❑ As ownar-�uiltler, I will nat employ enyone to tla wark w�ich wauld raquire e permit from the Division of Industriel Sefety, as noted ebove, unless such person hes e permil lo tlo such work trom ihe tlivision. SignaWre: Data: Division of Industrial Safey Pertnit Number: CERTIFlCATE OP COMPLIANCE AND AUTHORIZATON OF EMRY: I cenlly under penalry ot perjury that I have reatl this epplication antl stata that the informetlon given Is correct I agree to comply with all stete lews end city ordinences relating to bulltling conswciion, end authorize representatives ol the Ciry of Costa Mesa to enter upon the ebove-described property lor inspection purposes. I egree not to occupy or allow occupanty ot any building authorizetl by this permit until finel inspectlan. COOE �. �NsveenoNnve 1616 Fixetl System Final Fire Preventlon 1266 Pool Spa Finel 200 Final Re-Rool 207 Fina181ocWRetaining Well 202 Final Fectory Fire Place 203 FinalSign 204 Final Domolilion p� ItII�Li � �� CODEI �INSPECTIONTYVE 206 Final MeChanical 20B Final PlumDing 210 Final Eleclncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy ueg u�i (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�,��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 ,lob nddress: 3019 DONNYBROOK LN Suite: Vicinity: SFD Parcel Number: 14116515 Applicant: GONZALEZ, WILLIAM Address: 3019 DONNYBROOK LN COSTA MESA, CA Owner: GONZALEZ, WILLIAM Address 3019 DONNYBROOK LN COSTA MESA, CA Contractor: O W N ER-B U I LDE R Address: Zip: Arch : Address: Phone: Zaning: R1 R1 Phone: 714-444-1648 Zip: 92626 Phone: Zip: 92626 Phane: License: 000000 Eng: Address: ISSUED BY: Status: ISSUED Applied: 08I01/2003 Issued: 08I01/2003 Phone: Zip: License: License: SCOPE OF PERMIT REPLACEMENT OF 70 WINDOWS (LIKE-FOR-LIKE) AND CONVERSION OF A WINDOW TO A DOOR REPLACEMENT IN AN EXISTING SINGLE- STORY SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: �0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : o Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Riaht 0- 0 sa,000.00 $a,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia 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 if work is suspended or abantloned for a period of 780 days. INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all raqulred inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (y14) 7545626 tans-as �s�oo� WORKERS'COMPENSATION DECLARATON: � I hereby aHirm under penalry of perjury one ot the following declarations: • • � ❑ I have and will maimain a certifiwte of consgN Io sell-Insure tor workers' compensation, es providetl for by sectlon 3700 of the Labor Code, for the pertormence of the work for whiCh IhlS permi� is issuetl. ❑ I have an0 will maintain workers' compensation insurence, es requirea by sectlon 3700 of 1he Lebor Cotle, for the pertortnance of the work br which this pertnit is issued. My workers' tompensation Insurence cflrder end policy number are: Carrier: Polity Num68r: (This section need nof be completetl i! the permif I, velued e! one hundred dollars ($100) or less.) � I �hcertity ihat in the performenca ol Ihe work f which Ihis permit is iuued, I shell not employ any person in any manner so as to become subject to the workers' Compensation law5 of Calitomia, end egre � t II I should hecome sub�ecl to the workers' compensalion provisions ot Section 3700 ot the Labor Code, I she0 forthwith comply with Ihese pravisio . /� ApplicantSigneWre: Date:� � A-iJ� � � WARNING. FNLURE TO SECURE WORKERS' OOMPEN$qP E- AND SUBIECT AN EMPLOYER TO CFIMINAL PENALTIE AND CML FlNES UP TOONE MUNDRED TFKKISANDDOLURE(5100,0OO�,INADDITIIXJTO FCOAAPENSATION,DAAWGESASPROVIDEDWRINSECfIIXJ3'1O60FTHElABORCODE,INfEREST,ANOATTORNEV'SFEES. LICENSEO CONTRACTORS DECLARATON: I hereby aXirm ihat I am licensed under provisions of Chapter 9(commencing wi�h Section 7000) ot Division 3 of ihe Business and Protessions Code, antl my license is in full toroe antl eHect. Lic. p Cless» , ConlrectofsSiqneture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm ihat Ihere is a constmclion lending agency for ihe pedormance ol I�e work tor which t�is permit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATONS: 1 hereby attirtn Ihat under penalty of perjury that I gm EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor the lollowing reason (Sec. 7031.5, Business and Professions Coda: Any city or county w�ic� requires a permit to construcL alter, impmvo, demolish, or repair any simcture, pnor to its Issuance, also requires ihe aDPlicant for such pertnil to lile a siqnetl stetement t�at he or she is licensed pursuant to ihe provislons ol lhe Contrectors License Law (C�epter 9(commencing with Section 7000) of Division 3 ot the Business and Prolessions Code) or thet he or sh� is exempt I�eretrom and Ihe basis lor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit su ' s the applicent to a civil penalry of not mor4 then liva huntlred dollars ($500).): I, as owner ol the pwperty, or my employeeS wlth wages as iheir sole compensation, WILL DO TME WORK, and 1he structure is noi Iniended or oflered tor sale (Sec, 7044, Businass and Professions Code: The Contractors License Law does not apply to en owner of property who builds or improves thereon, and who does such work himseN or hersetf or through �is or her own employees, provitletl thet such improvements ere not intended or affered tor sale. If, however, ihe building or improvement is soltl within one year ot completion, the ownerbuiltler will have t�e burden of proving ihat he or sho did not build or improve for purpose of sele.). ' ❑ 1, as owner ot the praperty, am EXCLl1SIYE�Y CONTRACT7NG WIiH LICENSED CONiRACTORS ro cunstruct fhe project (Sec. 70d4, Business and Professions Code: T�e contrectors License L does not epply to en owner ol property who builds or Improves thereon, end who contraas br such pro)ect with a coniractor(s) license pursuam to the Comrecto�s license Laws.). ❑ I am exempt un sec. Business end Pwlessions Code for �his reason: SlgnaWre: � �tA � Owner ID verified by dnvers license. ❑ Driver's License No. Veritication of Ownership by (type ot documam, i.b. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT C�qTFICATION: ❑ I hereby cehify that no excavation Ilve (5) or more feei in dep�h into which e person is requlred to descend, will be matle in connection with work authorized by this permi�, and that no building simcture, scaHOlCing, falsework, or demolition or dismaNling �hereof, will be more than ihirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Title B, Celifornie Admini5iretive Cotle). ❑ As owner-huilder, I will not employ enyone to tlo work which would requlro a permit trom the Division ot Industnel Safety, es noted ebove, unless such person has e permit to do such work irom lhe division. Signature: Date: Division of Intlustriel Salety Pertnit Number: CERTIFlCATE OF COMPLI E AN� AUfHORIZA710N OF EMAY: I certity under penalty ot perjury that I have reatl this application and state Nat the infortnation given is cortect. I agree to wmply i ell state laws end ciry ordinences relating to building consWction, end euthonze representatives of the Ciry of Costa Mesa to enter upon Ihe aDove-de etl property f r spection purposes. I agree not to occupy or allow occupancy ot any building authonzed by this pe until linal inspection. x-e.f / ,� � � 0 3 ��I n I nwnerrel Date AnNOr Aulhonzed Applicent CODE �. INSPECTIONTYPE � -' QdjE lIiN1SL5 1676 Fized System Final Fire Prevemion 7266 Pool Spe Finel 200 Finel Re-Rooi � 201 Final BIocWReteining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition COOE� INSPECTIONTYFE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Finel Planning Approval 222 FinalSite 250 Final Building/Occupency o"rE � i I �0- OW NER College Mesa Co. DATE 9/21/55 JOBADDRESS 3019 D�Ybrook Lane BUILDING PERMIT NO. ZS4S ' GENERALCONTRACTOR H818 CO. VALUE $ 9��O�QQ � r.,. '1" G";;�:.' � B�OCK TRACT " 2�y1 GRO u INSPECTIONS I DATE I SUBCONTRACTOR I DATE PIRMITS�Nl1uMe Footing Trench Foundation Forms and Grade to Rough Framing -,ti _CCI / Heating, Final Sewe� House S� Se^cic Tank or Cesspool l n9, �� %O :i�` � Plastering Plumbing, Final, Fixtures Plumbing, Fin.al Gas Test Wiring. Final Occupancy Worm 210 G-H 15001-5 • �osta Mesa Building Department . . 1/1 EABT 20lh STREET ?�_ COSTA MESA, CALIFORNIA FOR APPLICANT TO FYI.L IN swmin9 3019 Donnybrook Lane Address Costa, Mesa, California Nearest Baket Cross St. ow�e� College Mesa Company, Mall 8002 Central Ave.� � Addreu Garden Grove Te�IR.9-2156 City No. E gineer �r llavis & Quig:ey No: C-1790 nddress 43 t4alaga Crn e Plazat Palos Verd The Hale Compai� city �i� 3422 Contractor No. Address $002 Central Ave,� Garden Grove Legal I Lot I Description No. 9� Bloek I Tract 234 No. of BIEgs. s�=e of �a 7807 Now on �ot None Useof I No.of I Ne_nf 50 � Kear raw —� � �:._..__. R� Alteration � � Additfon Bu1lEing No.of g�ie 1310 Rooms 6 Stories 1' Exterior Wall I Roof Covering $i11CC0 Covering $h3�te useofNew Si le fami dxellin mith Buildina � Z.i' g 1S6�PPLICATION FOR PERMI� BUILDi1dG ' FOR OFFICE USE ONLY I hereby acknowledge that I have read this Application and state that the above is correM and agree to comply with all Clty Ordinances and State Laws regulating building cronstruction. S�gnatureof THE HAI.0 CO Permittee i Authorized Agt. snvia �a�nrr�a Valuation O� Permit Fee $ ,j� �,.. c v //A � � Plan Check $ , D i7 $ V`Total � Fee S .� � G� 204 5-HP 2M 8-55 Received by Date Redd. �� SEP 19 �s5 Costa Mesa, California Plans CORREC'1`IONS APPROVALS Forms, Materials, Under-Pinnfng Frame: Fire Stops, Bracina. Bolts Lath. I nt Lath. Ext. Plaster, In I � � PLOT PI.AN Show location and distances from propeHy line and between buildinga n A� cosrn z SEP21-�,Pp�Esa 563z �=:=:t25.(1