HomeMy WebLinkAbout3033 DONNYBROOK LN - Building PermitsAop�icant to tili in all spaces except those witnin heavY �orOer lines antl sign a1l appropriate tleclarations.
CITY OF COSTA MESA C,�NSTRIU.CTIOLN PERMIT PERMIT NO. _� TFACT NO. LOT NO. � UNIT NU.
� Project Address �d�� ��ry �'1''�4(J/t70�C. � Y� /
Applic i Mailing A�J ress eF✓� -�'a� ¢ QN'4-��/�
�_.�. ry/� ry�
Owner's Name �'��� S SO Phone-� ����� �
Address ��._ � �� r �- �
, Arch/Eng. License No.
Address
Contractor's Name �� �ry� V '�Phone �— 1'
Address�mailing) ��
City License No. _�iS C/.�J �
LICENSED CONTf3ACTOR DECLA TION
1 hereby aftiim that I am licensetl un � prov ons of Char 9(commencin9
wi[h zettion 7000) of Division 3 of e B n s an P� ssions Cotle, antl
my license is in full force a tl ffect. ,�r ��/
License CI s � ice v 7
Oate � Signature
WOFKERS' COMPENSATION DECLARATION
� hereby affirm that I nave a certificate of cansent to selt-insure or a certiflcate
�Narkers' Compensation Insurance, a certitietl Copy thereOf (Sec ion
0, Lab. C�.�)/y` 2
rolicy No. �y -�Z/ Go any
Certifietl capy is hereby fvmishetl.
\��cert ie�cppyjes N, �Ipd wl�tPPhC ^iLy tling Di isi�,
b S rl��'
EXEMPTION FROM WORKERS' CO ENSATION DECLHRATION
� (This section neetl not be completetl it the permi[ is for one huntlretl ($100) o�
less).
1 certify that in the perfo�mance of the work fOr which this permR is issuetl, I
shall not employ any pe�son in any manne� so as to become subject to the
Workers' Compensation Laws of California.
Da[e Si9nature
NOTICE: If, aiter makin9'this tleclaration, you shoultl become subject to the
Workers' Compensation provisions of the Labor Cotle, you must forthwitM1
comply witM1 such provision5 or tM1is pe�mit snall be tleemetl revoketl.
CONSTRUCTION LENOING AGENCV
I hereby a(firm that there is a construction lentling agency for the pertormance �
of the wark for which �this permit is issuetl (Section 3097 Civ. C.)
Lenaer's Name
Lenaer's Atltlress
OWNERBUILDER UECLARATION
I hereby aftirm that I am exempt trom fhe Contractor's license Law tor the
tollowinq reason (Secfion 7031.5 Business antl Protessional Cotle: Any city or
county wnich �equires a permit to const�uct, alteq improve, tlemolish o� �epair
any struGture, priov to if5 issuance, also reqWres the applicant for such permit
lo /ile a si9ned statement tha[ he/she I5 licensetl pur5uant to the provisions ot
the Contractor's License Law (CM1aOter 9(commencing with $ection 7000) of
Division 3 of the Business antl Protessions Cotle) or tM1at he/she is exempt
'erefrom antl the basi5 fOr the alle9etl exemption. Any viOlation of Section
31.5 by any applicant for a permlt subjects Ihe applicant to a civil
naliy ot not more than five huntlretl tlollars ($500).
L� I, as owner of tne property or my employees with wages as their sole
compensation, will tlo the work, antl the structure is not intenCetl or offerea
fo� sate (Seclion ]044, Business antl Professional Code: The Cont�aclor'S
l.icense �aw tloes not apply to an owner oi a property who builCs or Improves
thereon, antl wno does such work himself/herself or through his or her own
emDloyees, provitletl that such improvemen[s are no[ intentletl o� ofteretl for
sdle. If, however, [he builAing or improvement is soltl within one year of mm-
pletion, [he owner will have the burtlen of proving he/sM1e tlitl not builtl o� im-
p�ove fo� the purpose of sale).
❑ I, as owner of Ne property, am exclusively contractin9 with licensetl con-
tractoR lo mns[ruc[ the project (Section ]064, Business antl Prote55ions Cotle:
The ConVacto�'S License Law tloes not appty to an owner of property who
builds or improves tnereon, antl who contracts for such projects witn a con-
lraclot(s) hcense pursuant [o tM1e Cont�acto�'S License Law). I am aware tha[
proof of thei��X1J orker's Compensation insurance shoultl be providetl to me.
❑ I am exemo[ tlntler 5ectiop n B. & P. C. for this reason
I I //
�ate
N
ms0ec[lon p ses.
Signature _
Orivers' License or 55 �
�tl thi a lic on antl state that the above
� co it 11 city antl county ortlinances
ng c ucti n ntl hereby authorize repre-
r u th a -mentionetl rpro'pe7�t—y ¢for
Date' _��
. ,..
TVPE OF CONSTRUCTION LJ NEW LJ ADD LI ALTERATION
❑ CONVERSION ❑ DEMOLISH ❑ OTHE
DESCR TIp N OF��vORIy� USE OF �DG. �/
.(G • ch�Q}r�., �//'�' ucx�� ���D�r cOirsL2 r c
TYPE OF PERMIT GRADING LI FOUN ATION STRUCTU
❑ TENANT ❑ ELECTRICHL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SQ.FT, oCCUPa.NC�
CONSTRUCTIONTVPE_� A� VALUATION$�
ZONE GRADINGCU.VOS. ACRES_
Remarks: /��n � �_ A r"'� "" . �iiJ.'_"
Bar Sink
Backflow Preventer
Backflow Irrigation
7rinking Fountains
Floor Drains
Floor Sinks
GasService Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Orains
ReinspeMion Fee � $15
Boiler
Duct - Under Ground
Duct � Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑0.100,000 BTU 0100,000
peinspectian Fee � $15
CMF OB65-46, rev. 10/84 Whife - Builtling; Canary - Applicant; Pink - Attountlnq; GolOenrotl - Ass¢ssor
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecmrs
Solar Piping
Solar Tank
Swimming Pool w/Spa
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Trays
Issue Fee
Hood or Type I ❑
Canopy Type I I ❑
Refrigeration System
❑0-100,000 BTU ❑100,000 BT
System Repair/Alteration
Fire Dampers
luue Fee
IR
�
FEES
A.P. #
S Main Building:
E
T Front
A Rear
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Auromatic Washer �
Construction Pole Suh.
Cookin9 Unit '
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U. /
Fixtures
Device Boxes
OUtIeSS
Switches
Garbage Dispoul
Generator �0-5 KW �5-15 KW
0481 5/13/80
Zone
Accessory Building:
Parking Feq./Provided
Transformer ❑ 15�50 KW
❑ 50+KW
Meter LJup to 100 amp5
Meter ❑over 100 amps
�Motors � 0-1 H P � 1%- 8
Inc.Solar 09-15 HP �16�
Microwave
Pole Light
Sign
Standing Sections
Trash Compactor
$ 3 I
�--- Reinspection Fee $15 luue Fee
FEES
�DEVELOPMENTSEHVICESREQUIREMENTS:
Zoning Approved By
Building Approved By �J�' ��j�
APP��cation Issued By /3e�L�1./ !�/! �L
$ 3
63e5� TL
Z
O
N
I
N
G
R
E
Q
M
7
S
FEES
$ 3
SUM RV OF FEES (/
BUILDING PERMIT $ `�'� SMIP $ � S—�
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLANCHECK 25% $ ENERGVP.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $ / �T�
MECHANICAL $ TOTALFEE $ b�•-�`�
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS -Perrtiit�# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical'Service or Pole 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. �' '� 53. Steel Reinforcement
� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgmd. 55. Electrical Bonding
5. Steel Reinforcemen{k 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grntl�•�' 57. APPROVALTO COVER-GUNITE
7. Footings . 58. Electrical Conduit-Undrgrnd.
8. Foundation nt ��i 59r' Gas Pipe, O Undrgmd., Test
i
9. Water Pipe-Und[grnd.� �.60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line�� ouse Connection - 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
75. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
1
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 4 +'
..�r ' �
20. Rough Factory Fireplace APPROVALS Permit # ' -
i
21. Ducts, in Structure 70. Underground Hydro � '
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil�
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro �L �
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame'and Flashing ' 76. Dry Standpipe 's � �
., �".
28. Lathing & Siding i 77. FIXED SYSTEM FINAL� �
29. Insulation 78. FIRE PREV. FINAL �' �� '
.v
30. DrYWall Nailing . HEALTH DEPT. REQUIREMENT ' �'_
37. Plaster Brown Coat 79.� FIIVAL INSPECTION ' ' �
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED �� •
33. Final Electric Notes: � � '
34. Final Heating & Air Conditioning ., � :�t
35. Final Gas Pipe-Test • -
36. Hood or Canopy .
37. Final Factory Fireplace , . � • �
38. Final Plumbing � � i.
39. Water Service-Final . �� � , ,
40. Gas Service-Final � - ' -
� 41. Solar pomestic-Final . � ". . �
� 42. Backflow Preventer ^ � " - -
' - ,
� 43. Backflow Irrigation � , • : � � •
; 44. ,L'andscape Irrigation System � % ` . " �' � � � �
, .
' 45. Sound Attenuation � � t - �
_ - ( � 4 i � .
46. Hagdic3p Regulations . � � ' � i
- • L I .
47.FINALSTRUCTURE&BUILDING s/� K l�_ � . �,1. �. I
i i _%!i .
48. Special Requirements Completed �' ` � . � ' �
� �
49: Electric�fielease to Edison . � 1•
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date �'�
,\ -
.��. , .
:
This Permit coven Meating, Ventilaling, Refrigerati. JJ� 3O'08�SpVQ7 �QS 0��� ).�V
and Air�Condltioning and does not indude Bvilding.
Pioipbing or Ele�triml Constroction.
CITY OF COSTA MESA
B�il�ing Safety Deparfinent
v. o. aaX tzoo HEATING, VENTILATIlVG, REfRtGERATION
834-5273 AND AIR-CONDITIONING.�i�T>��
Costa Mesa, Calif., _, 191�(L /_.� 0��� q� ��'��
����� �� r�_ ,'
Permission is hereby granted to �J� ����,��� W�
Mr. ) Q' � r. i
.� - � 8��- �t�
Mr. � Q t or,
to install Gas Piping Heating, wall furnoce� floor furnace forced air ❑
other ❑ Ventilafing ❑ Refrigeratio�A Air-Conditionin� ❑ 4uds ❑
Vpnfs�
� LOT No. `"—'
A)1 work done by �drtue of tltis permit must be in amortlance wiN Ne p1enS and specifications antl aDP�icn-
tipn [iletl with thc Buiiding OEficial and must conlorm lo lhC reqWrements of the Building Cotic, a�d the
CnyTu Mesa Uai[orm Heating, Ventilating. RehigeraHon nnd AirvConditloNr�g Code ond emendatory o�tlin-
�nccs therclo, ot ihe Cily of Costa Mesn and lhe la�vs of [he State of California, app cable Ncreto.
(/I �f/ A /i
F� $ a..3 D7� l'C ��Qiii,i«iiy = _
Form HU30.-1M--u-6'!�-B P Building Of 'oal
nn.` `L¢.� � Ui49 *. ttl
iIV t ia C i�{' �Qp�7j$G 0� i..
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� RE�� �0 � . .
n �AN 31 1968
PACIFIC INSi, �p
EDIT. CLERK
> _
PACIFIC IH'STALLERS, II�C.
7541 Anthony Avenue
Garden Grove, CaliYornia 92641
Director
Dept, of /Bsuilding and Safety
C1ty oY Lc2�_ Yh-�--
Dear Sir:
0
Date �- �-<o�'
Permit No. SSS�
Type oY Permit /-l.��y A �C . '
natea �- a 9-C��'
e
Please be edvised that as of .3= S-� P our work on above-
named permit has been cenceled, and as oP that date we srould like the per.mit
canceled; so that our responsibility Por eny work accompliehed at: 3 0 3 3
/� � for cuatomer: �/�-�� , Q• will be ended.
�� ,3 / � /� �.
P.I. 264
Very truly yours,
� ��
,.
For: Pacific Ioatallere, Inc.
7541 Anthony Avenue
Garden Grove, California
State Lic. # �/�� ��
City Lic, # /,30-0
OWNER College Mesa Co. DATE 9/21/55
JOBADDRESS 3033 Donnybrook Iane BUILDINGPERMITNO. ].BL�3
GENERALCONTRACTOR Hale Cn, VALUE$ $ipp0.00
.L 88 BLOCK TRACT Zy.y�.
GROUP 1 TYPE
INSPECTIONS
FootingTrench ��„��
Foundation Forms and Grade to Garage!�t > �
Rough Framing %
Plumbing, Rough to Slab "'
Plumbing, Rough Complete 1✓ —
Temporary Pole
, Wiring, Rough / 1 — �% �
Heating, Final
� Sewer, House Sewer, St.
Se�"^ Tank or Cesspool
Lc 9, In �—�% � Out x
t�—
Plastering c
Plum6ing, Fin�al, Fixtures Comple�
Plumhina. Fin,al GasTest /i
Wiring, Fii
Occupancy
a h'm•m `L1
V ZONE R�J
DATE I SUBCONTRACTOR
. �_�
.' i-
RICT 18b/
PERMITS ISSUED
I NUMBER
uogia iraesa nuuaing Lepar�menz a8��
111 EAST 20th STREET
�r� ~ COSTA MESA, CALIFORNIA
�
�OR APPLICANT TO FII.L IN
\Address 3033 Doru�ybrook Lane�
Costa Mesa, California Rec
crossst. i�Tatson e,,;i i,
owne� College Mesa Compar�y Addre.
Mail g002 Central Avenue
Address r Neare�,
Garden Grove Te1i,e,9-2158 cross
City No. Zone
arcnitectobavis & Qui le • ��`' C 1"90
t'Y1.iut�'rlvtr r vic r�nnui
BUILDiNG �
E+'OR Ok`FICE USE ONLY
Engineer g y No. �� Approved
.tractorThe Hale Compaity No' ""' 3422
aaaress b�02 Central Ave.�Garden Grove
Legal Lot I
Descriptian No. �g Block I Tract 23�
(Attach Metesand Bounds)
I No. of Bldgs
Size of Lot 7�07 Now on Lot None
Useof No.of No.M
Existing Bldg. I Families I Rooma
Setback Line from Rear Vard �
Center of Strcet SS � Sida vard
New
iiso
i° Stucco
Demolish
Rock
.�se of New
Building Single family dwelling xith
attached garage,
I hereby aclmowledge that I have read this Application
and state thak the above is correct and agree to comply
with all City Ordinances and State Iaws regulating
building construction.
S�gnatureof THE HALE CO W NY
Permittee
1
Authorized Agt � � p OQd� >ti�.
ValustionLAl{DNI;R permitFee$ i
$ � �� �'� Plan Check $
Toial '
Fee $ 023 '
RbI 204 5-BP 'dM 6-55
I by Date Rec'd. Date Issued
y�' SEP 1 9 1955 �-z1- �i
Costa Mesa, California
CORRECTIONS
r
�rn n 1 �o��i
��i N
n�
.' .. ..-'�." .
APPROVALS
ion � Inspector � DaRa
Plaster, Ext
Masonry Reinforoetl
Bond 6eam
PLOT PLAN
6how location and dishances from
property lina and between buildinga
c
� '
t_P21 �SPDa�s,',`�s61� t:':� :.
23.r
0
V Wf
JOB
GENERnL
P`Vo.14
I. ECTI(
� Soil
Gas
ADDRESS
H1 onso
CPTION OF WOAK ,
SUBCONT1iACTOR
11
, - �332
� COSTA MESA BUILDING-SAFE7Y DEPARTMENT
P.O. BOX 7200 COSTA MESA� CALIFORNIA 92828
For Applimnt ro FJiI In Compfotaly
TYPE OR PRINT
NlLDINO // �
�DOREDS � N �YWB ✓`
COSTA ME3A, CALIFORNIA
�....... ��. �Ahi �72� (i4JSL'S
SIZE 1 ^7 �
OFLOT 1(i
USE OF
EXI6TINp BLDO.
BETBACK UN6 FROM
BUILDINO
SIZE
EXTERIOR
N.
DESCRIPTION OP WORK
G
l/
��n�i,�E'c �d �� :�
1 M[PClY ACKI! WL[DO[ TXAT.I NAV6�1 F�D ill/ AP�LIGTON
♦ND BTAT[ TXAT TXi ABOV .,IB CORR[Cr ANO AOXC6 YO COtl.
PLY WITX ALL CITY ORO W CYI A(�D �TAT lA1W 11[YYMTINO
eu�to�No coNernu m
HIQNATURCOr
PBRMITTE /
AUTXORIZ[DAO6N1' �
NOV-2-66 00 069# ***�36.00
ArPLICATION FOR PERMR
BUILDIN6
For Offlc� Urs Only
n[cnrt no. a
hi .
ZONING
�
ZOr�_/ NO.O�� UY[O�NI
(� �LANO GUILDINO
�. rvo. /�7`�/ -- /(O ✓ '- / �
'E: NO PJ1VE OVERHAN6 BHALL B6 Ll88 THAN
TO e1DH 8 REAR P. L.
E9
.OWBD (U.B.C.NHOOIRBMHNT]
YARDSMPROVED YARDBAPPROVHD
MAINBUILDIN6 ACCE850RYBUILDINO
r.
VAR. A� I DAT6
/V�lROV[D � / G
7 OAT[ � (�
a
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�%n�'/��.�. �
TI[ AMOYNT 6HOWN UND6P V�LUATION IB FOR TX[ �
►YqPo9[ O! �diAOLI8HIN0 A PHRMIT P6Q ONLY. �
VALUATION �
N���GG�..�//��//// PENMIT FE6 �
� /, �-'L' �-' 0/ ' F � �"
TOTAl PEfi 36 • t�