HomeMy WebLinkAbout3034 DONNYBROOK LN - Building Permits�
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YrSOJECTP00HE$S: �jO3Q DONNYHROOK LN
OWNEfl'SNAME: SNELL, RICAARD LEE
aooness: SNELL WENDY A
3034 �ONNYbROOK LN
� COSTA MESA,CA 92626
556-4062
' APCMIENGINEEF:
AO�NESS:
HEG.NO.:
uxiT:
I1NIT:
PEHMITTEE: PETERSON AOOFING (719)944-4944
nooxEss: 3006 ENTERPAISE
COSTA MESA CA 92628
LICENSEO CONTNACTOfl OECIABATION: I hereby aflirm ��al I am ficensed under pwvisions of Chap�er 9(commencing with Section
7000) ot Div�sion 3 of I�e Business antl Pmiessions Catle. antl my license is in f II larce antl e��ec�.
ciTvuc.: 04�5/945 STpTELIC.: GO%E%2 cus C-3�E' P: 07/95
Da�e:.��SR�� SignaNre: �
WOflKEflS CO ENSATION DECIAPATION: I hereby attirm ��a� I have a ce�ificale ol consenl �o selbinsure or a certifica�e of Workers'
Compensation IpSUJy�y.q�a,ce[ti�ierLcovY tnereoi �Section 30W. Lan. G1.3 / 2 0/ 9 5
POLICY NO.: 1V1. 7 V 1 7 6 7 E%P. OFTE: U
cameaxv: REPUHLIC
� Cer�ifietl copy is hereby fumished. � Cehifie0 copy is filed wilh ��e i1y Building Diu ion.
..ate: ApplicanC � �
E%EMPIION iflOM HREFS COMPENSFTION DECIAPATION: (This Settion neea no� Ge tOmple�etl d�he permii i51ar one huntlrtb �5100) or 1e55).
I tertity that in I�e DerlOrmante ot the work fOr which �his permi� is issued. I Shall not employ any persOn in any manner 5o as �o become
sublect lo Ihe Workers' ComDensalion Laws oi Calibmia.
Daie: Signa�ure:
NOTICE: II, a��er making this Declaration, you s�auld become sublect �o the Workers' Compensa�ion provisions ol the LaGor
Code. you must forthwilh comDly with such pmvisions or t�is permii shall be deemetl revoked.
CONSTXOCTION LENOING RGENCY: I herehy a�firm �Aa� there i5 a tonstmclion IenOing agenty �or the DerformanCe oi �he work �or
which ��is permii is issue0 �Section 3097. Civ. C�.
LENOEH:
aoosEss:
OWNEH BOIlOEfl DECLPHATION: I �erehy allirm Ihat I am exemD� ��om t�e Contraclor5' State License Law tor tAe lollowinp reason
(Sec�ion 7031.5 Business antl Pmfessional Cotle: Any ci�y ol counry which repuires a permit Io cons�mc�, alter, impmve, Aemolish, or
repair any stmcture. O�ior �o i6 issuance, alm requires ihe aDPlicant tor such permit Ia file a signetl statemen� �hal helshe is IicenSed
pursuaN m the pmvisions o� Ihe Contracmrs' S�ale License Law (Chapier 9(commencinp wiih Sec�ion 7000) at Division 3 0� �he Business
antl Pmlessions Cotle) or ihat he/she is eKemO< <herefmm antl �he basis tor the allegeU exemption. Any violation of Section 7031.5 �y
any applicaN br a permi� sublec�s the applicant Io a civil penalry o� not more lhan live �untlred Aollars (5500�.
I, as owner o� Ihe pmDe�Y or my emD�oyees wi�h wages as Iheir sol¢ camDensatian, will Co Ihe wo�k, antl the
❑ stmcture is not intentle0 or oitered tor sale (Seclion 7044, Business antl Pmfessional Co�e: T�e Contracrors' State License Law
Ooes nol apply lo an owner ot a Oropeny who �uilds or improves �hereon, and who does suc� work himself/�erself or �hmug�
his or �er own empioyees. D�ovitled Iha� such impmvements are no�intentle0 or oli¢retl tor sale.lf, howeverihe builUing ar
improvement is sald within one year of complelion. Ihe owner will have ��e burden o� pmving he/she tlitl no� builtl or impmve
for Ihe purpose of sale�.
I. as owner of ihe plopeny, am exclusively coniracting with licensed conVactars to constNct ihe proiect (Section 70d4. Business
❑ antl Pmfessions COAe: 7he Coniracmrs' State License Law tloes no� aDOty to an ovmer ol pmDe�Y who �wlds or impmves ihereon
and w�a conirac�s lar suc� pmle��s with a contmctor�s)license pursuan� �o I�e Comracmrs' S�aie License Law�.l am aware
Ihat O�oof ol iheir Worker'S Compensalion inwmnce shoula be pmvitled to me.
� I am e�empi untler Sec�ion: B. 8 P. C.
for this reasOn:
Dare: Ownec
I tlo hereby ceni�y Iha� I am aware of anA untlerstand Ihe reQuirements ol Cali�amia Heal�h antl Safe�y Cade Sec�ions 25505, 25533, and
25534 antl Ihai I or any fulu�e builtlmg occupant will/wil� nol (circle one) neea to comply with SaiG s�ate cotles antl ihe requiremen�s for a
permit lor conslmciion or motlificalion iwm I�e Air Oualiiy Managemeni Di5lricL ReSitlenliai cons�mc�ian applications are exempt imm
Ihese pfOVI5i0nS.
Oale. Npplicanf.
I hereby cetltly Ihai I have reatl ��is applicaiion antl stale �hai Ihe above inlormation is correcl. I agree b comply wi�h all ciiy and counry
ortlinance5andslalelaw5rela�inqrobuil0ingwnslmc�ionantlhere�yaNhonxere e5entativesolthiscirytoenierupontheabove�mentioned
pmperiy far inspectian urposes. �//
Oale: Signalure �
Driver's �icense or Socia� Secwiry a:
164L46 White—Bmlding; Green—Code EnlarcemenL Canary—ApP�icant: Pink—Revenue'. Goltlenrod—Assessar
CITY OF COSTA MESA - HUILDING PERMIT IPERM NO; B 069700
PERMIT NO; B 069700 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE; V-5 PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION ; T/OFF SHEATH & REROOF W/COMP SHZNGLES SQ FT: 5,900
CLAIM VALUE; 5,900.00 CALC-C�ALUE: 5,900,00 GROUP OCC; R-3 /M-1
COMMENTS: SMOKE DETECTORS REQUIRED AS PER 91UHC, REROOF 25005F RESIDENCE
x��r*�*�***���*�******��r***�**�***�**�*****�r*�a�***��r�******* *� ***�*����*****+r*
ZONING REQUZREMENT���KEDETECTOR
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUI�bH�F!-l�k�---
FRNT; FT ' IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT; FT : IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING REO• PROV: PARCEL; 14116603 ZNE; REF NO:
PLANNING N6TES> �
} `�
if if !f !k lfif !t ifif�lE iF#f if 7F#ififi! iF;k�1F 14 if�)f lfiF ik ifitif ifif�lFifif if if ff M if il�if ff�l! if if iE lfif iffflf ifif M if iEifiF if if 1E 1f iE #�f�)f iflf.lfit if iEik�F if if iEiF
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
1
20NING APPROVED HY DATE; %'.
HUILDING APPROVED HY : DATE: '+
APPLICATION ISSUED HY; '�C9T DATE: � 3�
iFiEiEifitifitiEifiEifM%iEififiEiFiEiEjEitiEifiEiFififiEifififiFifiEif�kif�EjflfitififiE "'i(-ifMififriEitjfiFiEiE+fMlfiflFifiEifilr9c 9FjEiFihif ififiE
iF iE iE iE iE if it jE 1E jE ik iF jF if iE it if ik it 1f 1E if M 1f if iF if iF if if jE k aE M if 1E if iF iM iE if i! iE fk if if 1f k 1E if it if �F iF if jf iE k iE M ii iE if if if if it at af iE ic iF iE �)f if i6 iF if if
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 81,00 ,; ,59
SMIP/NON-RES
PLAN '
ISSUE FEE -
BUZLDZNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 81.59 0,00 0.00 81.59 81,59 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 81,59 OVER/SAORT; ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
81,00 .59
if i! iE ik if i! it M 1f if M if iE if ik r it iF if if iE iE jf if iF jf if iF if if if if i4 if if if if iF if it at f! it ik �f if if 4 M iE iF �)k 1F if 3f if iE if iE ik iE 1f if iE iF %if iE iF iE iE if if iF iF 9E iE ik �lf
I N D Z V I D U A.I. F E E B R E A K D O W N
TYPE QTY D E S C R I P T I'O N UNIT COST TOTAL COST
SFR 59Q0 AEROOF BY VALIIE RESIDENTIAL NOZONE 1,00 5,900.00
END OF FEES
5
U( !
0± U�1%USJ�J�LOS7UJV� T C3T 8.t.`O
ORTEt 10/�1/9�4 TIiSF. 2jCQ4
� CON�TFiUCTtON AND PIANNING POOL 'A
;u
qPPROVALS Permit # Date inspector AppROVAIS Permit # Date Inspecmr
1. Temporary Electrical Service o`r Pole %� 52. Pool & Equipment Location
2. Soil Pipe-Undrgmd. .. /` 53. Steel Reinforcement i"
3. Electr{cal Condu(t Utility-Undrgrnd. ;�- 54. Forms '
4. Electricai Conduit-Undrgrnd. n 55. Electricai Bonding
5. Steei Reinforcemenc 56. Rough Piumbing & Pressure 7est
6. �Eiectncal UFER Grnd. - 57. APPROVAL TO COVER�GUNITE
7. FoOtings 58. Eleciricai Conduit�Undrymd.
8. Fou�dation - � 5H. Gas Pipe. !� Undrgmd., Test %
9. Water Pipe-Undrgrnd. � �•� 60. Backwash Lines, P�Trap, i�J Undryrnd. '%
10. Str�ctural Floor SYstem �;� ' �'i 67. APPROVAI. TO DECK r' �
7 t. ProPerty Sewer �irre & House Connectio� ' 62. Backwash & Recepter�Firai .
i
iZ.SewerCap � 63.Heater&Vent�Final �/-�
i
73. Root Drains ' ,• l� 64. Plumbing System � Finai � �
14. Rough Plumbin9 65. Electrical-Finai �
r I
15. Rouyh Elec!rica6Conduit i 66. Solar System�Final �
�
76. Rou9hElectricWiring ' �� ,
67. Fencin� & Access Approval
17. Rough Wiring Siyn , � 68. APPROVED FOR PLASTERING
18. Rough Electrica6T Bar Ceiling � 69. POOUSPA SYSTEPiiS FINAL
19. Rough Heating & Air Conditioning F1RE DEPT. REQllIREMENT
20.'Rough Factory Fireplace �.� � APPROVALS . Permit �
21. DuCis, in Structure .: - �0. Underground; Hyciro
22. fluGts, Ven:ilating . " 71. ProductPiping [�Gas �?Oit
( 23. Gzs P�Pe'•Rouyh & Tes. - . .' �2. Underground Flush - �
24.;Roof rraming �� � �� 73.� Underymd.Storage�Tank OGas ❑Oii
25. Roo� Sheathing � ��%� %���/f,� 74, Overhead F{ydco .
26. T-Sar Ce�iing (Struetural} & Monocoat ' ' 75. Dry Chemica!
27. F;ame and Fiashing '. , 76. Dry Standpipe
28. Lathing & Siding _ � •• 77. FIXED SVSTEM FINAL
29. Insui2tion '' ' `' . 78',�FIRE PREV. FINAL �
30. Drywail Nailmg ' ' HEALTH.DEPT. REQUtREMENT
37. Piaster Brown Coat ..79. FINAL INSPECTION
� 32 Elzctric2l power Meter_Final� �' • .80.�FOOD CERTIFICATc ISSUED
33. Pmal Elec:ric � - Nofes:�/ 2�94 gyiG �/Q� R�5/� �/�% ��
'34. Final Heating & Air Conditioning � ' ���/(� �� GI�G 1 �_ n �Q / vc� �
. � � hN.� _��
35. Final Gas Pipe-Test . ' _ ' ,
36. Hood or Canopy ' . � �
3Z Final Factory Fireplace ' . '
38. Findl Plumbing - , ' �
39. Water Service-Final � � .
40. Gas Szrvice-Finai . , � • �
47. Soidr pomestirFinal � -
42 Backflow Preventer ' . . . � �
43. Backflow irrigation �,5 i .� � � ' � .
44. �andscape frrigation-�,'�` stem �� � • �, - . � �
; _r
45. SounO Attenuation , -� ' •
� ,'
46. Handicap,Regulat�a�T;' " � � �� � ��
'^1
47. F4NAl STRUCTUflS,&�6�sii�OtNG . . 2(� �W� � �
' r � .
t
48. F{NAL PLANNING i. _ i`"� .
49. Eleetric Release to Edisdn •�� � �
ry ...J
50. Gas Retease to SouthesSi.Cali'fomia Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. �:Date
PflOJECTA00flE5S: 3034 DONNYBROOK LN
OWNEN'SNAME: SNELL, RICHARD LEE
AUDPESS: SNELL, WENDY A
3034 DONNYHROOK LN
COSTA MESA,CA
719) 556-4062
AHCHIENGINEEFl:
ADOflESS:
Z� .S �N�T:
92626
NEG.NO.:
UNIT:
PEflMITTEE: PACZFIC COAST APPLIANCE ( 31U ) 3'14-8976
aooaess: 139 W VICTORIA ST
GARDENA CA 40248
LIGENSEU CONTBACTOP DECLAPAtION: I hereby allirm that I am licensetl unEer O�ovisions of Chapter 9(commencing with Section
7000) ol �ivision 3 0� the Business and Pmlessions CoOe. and my license is in �ull lorce antl eifeci.
c �i . 060311 sTpTEuc.:362692 c ss: C10
ale � �' �� SignaWre: '
REflS' COMPENSpTION DECLAPATION: I hereby affirm thal I have a certifica�e o� consenU self-i su � or a cenilica�e ol Workers'
ompensalion ��a�tl, olr ��ed� copY �hereof �Seclion 3800, Lab. CI.� � O 1/ 9 4
roucvxo.: GOLDEN EAGLE EXP.OPTE: 1�
I COMPANY:
ilied copy is hereby IurnisheC. � Cenilietl copy is IileE wiih Ihe ci�y Builtlinp Division.
ate' �� ' — 7 Y Np0licanl:
MPTIUN FAOM WOBRENS' CUMPENSATION OECLABATION: Qhis 5ecimn neetl not �e mmDletetl i� the rmi�' fo one hunOretl (5100) or less).
I cenify Ihat in the perfarmance ot the wark lor whic� this permi� is issueq I shall no� employ any person ny manner so as l0 6ecome
su�le�� Io the Workers' Compen5aiion �aws of Calilomia.
Daie'. Signalure:
NOTICE: I�, a��er making Ihis declara�ion, you should become su6leci �o �Ae Worker5' ComDensa[ion pmvisions of �he labor
Cotle. you musl forl�wilh comply wit� suc� provisions ar Ihis permi� shail Oe Eeemed revake�.
CONSTFUCTION LENOINC RGENCY: I hereby affirm t�at t�ere is a consimction lentling agency for the pedormance of t�e work for
wh¢h this permil is i=sued �Seclion 3097, Civ. C�.
LENDEN:
nooness:
OWNEP 6WLOEfl OECLABPTION: I hereby alfirm Ihat I am exempt imm ihe Contracmrs' State �icense Law for ihe tollowinp reason
�Sepion 7031.5 Business antl Pmfessional Cotle: Any ciry of county w�ic� reQuires a Dermit ro cons�mct, alter, improve, demolish, or
repair any s�mclure, prior to it5 issuance. also requires �he apDliCan� tor SUth Oermit to �ile a SigneO Staiement �ha� �e/She is litensetl
pursuani Io Ihe D�ovivons ol ihe Conlraciors' S�ale License Law (Chap�er 9 �commencinA wi�h Section 7000) o� Oivision 3 o� Ne Business
antl Pmlessions Catle) or Ihai helshe is exempt there�mm an0 Ihe Oasis for the alleged exemD�ion. Any viola�ion ol Section 7031.5 by
any applicanl for a permit sublec�s the applicant io a civil penalry of no� more Ihan �ive hunO�eU tlollars (5500).
❑ I, as owner of the pmpeny or my employees with waAes as iheir sole compensation, will Oo Ihe work, antl ine
slmcture is no� inten0ea or o�feretl br sale (Secnon 7044. Business and Protessional Code: The Comrac�ors' Siate License Law
tloes not appry �o an owner ol a D�operty who builds or impmves ihereon, antl w�o tloes such work �imseli/herseli ar ihrouAh
his or �er own employees, pmvi0etl Ihat such impmvemenis are no� in�en0etl or ot�eretl br sale. If, however �he builAinA or
impmvement is soltl within one year of completion, �he owner will have Ihe bur0en of pmving he/she tlid noi builU or imOmve
lor the purpose ol sale�.
I, as awner of �he propertY. am erclusively coniracting with licensed conlrac�ors to consimct the pmject (Section 7044, Busine5s
❑ antl Professions CoOe: The Contractors' State License law tloes not apply to an owner of pwDerty who Duiltls or impmves ihere0n
antl w�o coniracls for such pmjetls with a coniracbr(5) license pursuant Io �he Contrac�ofs' S�aie License Law). I am aware
Ihat proof ol their WorkeYs Compensation insurance shoultl �e pmvide0 �o me.
� I am exempt under Section: B. B P. C.
lor Ihis reason:
oate: Ownec
I tla hereby cenily Ihat I am aware oi anA unUerslantl Ihe requiremen�s of Cahfamia Heal�h and Sa�ety Code Seciions 255Q5, 25533, an0
2553a antl thal I or any Wlure builtling occupant will/will not (circle one) neetl to comply wi�h 5ai0 s�a�e cotles antl �he requiremen�s �or a
permit lor con9mclion or modifiw�ion �rom ihe Air Oualiiy Managemenl Oistrici. ReSiJeniial conSlmciion apDlicalions are exempt trom
Ihese pmvisians.
Date: ApPlicam:
I here�y certity Ihai I have read ihis applica�ion an0 sla�e Iha� ��e above intormaiion is correc� I agree �o comply wiih all ciry antl counry
ordinances ane slatelawsrelatinglo �uiltling consimction and hereby authorizereDresentatives ofihis ciryto enlerupanthe above�mentione0
pr ry �ar /insp¢ciion pw0ose5. �7/j
ai . O ��'! � SignaWre: /�---��� (�! id��
oriver's License or sodai Secudiy a� ��
t6at�46 wnite—Boilding: Grean—Cotle EnforcemenC Canary—Ap0licanl: Plnk—Revenue; GolCenrod—Assessor
CITY OF COSTA MESA — HUILDITIG PERMIT PERM NO: F 06"/438
PERMIT NO: P 067438 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: ALT
JOB DESCRIPTION : DISHWASHER CAANGE—OUT
SQ FT:
CLAIM C�ALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
i�-*�*�r��c*+r z**�c�*i-�+t***x�c��rir+��*�r*�+�**�c-*�+r*+�*� �*x*x����*x�*+�**+e+c�x�c**+�it*+���r*�«*��c�x
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRN1': FT IN REAP.: FT IP]
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
FARKING REQ: PROV: FAACEL: 14116603 ZNE: AEF NO:
PLANNING NOTES>
i
**�**+�*�*+�***�**�*�**,��*�c��*+�*x;�*****�**��*��r*�*�+�*+�******�****�*�r*�*�«****�***
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ZSSUED HY: ����� DATE: �/ v)�
*�?eifir*+�f�x��c�*�t��*+r�**i�i�r+�-.., . +r,.��-- : x�./`i�3F�F�'r�e�r *��#'�F���E�c*��uf�**#�E*�ir+r�.-�i."�����!**
1t Y-iE if it?f iE ii� # 1f iE iE r if # iE iE iE jE iE it iE iE iF� iF iF iE if it iE if!!+t iE iF it iE iF if a} iM1 �c+t if iF �lf * it+F i. iP iE iE *#� jt 9t r� 3E iE it ib iF iE �lE if iF it�W it �tE it iE iE v�+t �
LEGALIZATION:N � F E E S,U M M A R Y STP.UCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/F.ES GRADING
PERMIT 7.00
25� _ SMIP/NON—RES
PLAr�
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE
TOTAL5----> 7,00 Z0.00
PLAN—CHECH TOTAL PAID DUE
o.00 z�.eo z�.00 .00
REC�ENUE DIVISIOiV TOTALS--> COLLECTED: 27.00 OVER/SHOP.T; 00
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECK
� 7 , � � � ,
if !E # k iE ic iE iE iE jf �f iE if iE if a: iE it i' 1E iE #E it!F iE if �E iE it jE 1E 3E �f 1E iE if ifif it 1F1E �f iE �F iE 1F iE?E if 1F � jElE if±f 1E M iE if aE iE ff 1E if �E 1E iE iF iE jE iE iF iE �E if 1f iE 1E iE
Z N D I V I D U A L ;F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 DISHWASHER
7.00 7,00
END OF,FEES
� �1 00161535—Q0161535 T CrT 27,pp
,. DATE+ 06/02/9f TINE% 15:36 �
CpNSTRUCTION AND PLANNING POOL . rA
APPROVALS Permit # Date inspector p�ppROVALS Permit # Date inspector
1. Temporary Electncal Service or Pole 52. Pool & EGuipment �ocation
2. Soil Pipe�Undrgrrid. � 53. Steei Reinforcement
3. Efectrical Conduit Uti4itY-Undsgrnd. 54. fo�ms
4. Efectrical ConduibUndr3md. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Pium6ing & Pressure Test
6. ElecVicai UPER Gmd. 57. APPflOVAL TO COVER�GUNITE
7. Footir.gs 58. Eiectrical Conduit�L'ndrgrnd.
8. Foundation 59. Gas Pipe, O Undrgmd., Tss[
9. Water Plpe-Undrgrnd. 60. Backwash Lines, P�Trap, r Undrgrnd. `
10. Structural fioor SYstem ` 67. APPROVAL i�0 DECK
7 t. Property Sewer U�e & House Connection 62. Backwash & Recepter-Final
12. Sewer Cap 63. Heater & Vent�Finai
, 13. Roof Drains _ 64, Plumbing System - Final
14. Rough Plumbing � 65. Electrical�Fina:
15. Rough Elecc: ical�Conduit ' 66. Solar SVstem-Final
16. Rough Electric Wiring 67. Fencing & Acczss ApProvai
17. Rough Wirirtg Siyn 68. APPROVED FOR PLASTERING
18. Rough Electricai�T Bar Ceiling 69. POOUSPA SYSTEP:iS FINAI �
19. Rough Hea:ing & Air Conditioning FIRE DEPT. REQUIREM1�IENT
20. Rough Factory F��ePlace APPROVALS Permit #
21. Ducts, in Structute 70. Under9rou�d Hydro
22. Ducts, Ventilating 7i. Product Piping �Gas ❑Oii
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Root Framing 73. Underymd.StorayeTank i�Gas ❑Oi!
25. Roof Sheathinq , 74. Overhead Hydro
26. T-Bar Ceiling �Structural) & Monocoat 75. Dry Chemical
27. Frameand Flashing 76. Dry Standpipe
28. �athinq & Siding 77. FIXED SYSTEM FINAL
I 29. Insul2tion 7$. FIRE PREV. FINA�
30. Drywall Naiting HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coai 79. FINAL INSPECTION
32. Electrical Power h9eter-Pnai 80. FOOD CERTIFICATE ISSUED
33. Finai Electrc Notes:
34. Final Heating & A« Conditioning � � �6�4 �Q �_� -�'
35. Finai Gas Pipe�Test � , � �� ���_�_�-tiA��� �
36. Hood or Canopy
37. Final Facmry Fireplace _I
38. Final Plumbing ,Ej�� 1
39. Water Servicz�Finai
40. Gas Szrvice-Final
Ai. Solar Qomestic-Finai ._
42. Backflow Preventer , ,
43. Backfiow Irrigation
44. landscape IrrigaTion Sysiem �
45. Sound Attenuation
i
46. Handicap Ragulations .
47. FINAL STRUCTURE & BUILDMG
48. FINAL P�ANNING
49. Electric Refease to Edison
50. Gas Release to Southern CaHfornia Gas Co �
5L CERTIPICATE OF OCCUPANCY
No. Dace
., �
OWNER Colleee Mesa i�,0. DATE 9�Q1�55
JOBADDRESS �� n���r��k �P BUILDINGPERMITNO. �AC�K
GENERALCONTRACTOR Hale CO. VALUE $ B.00O.00
L 1�
GROUP 7
INSPECTIONS
Footing Trench
Foundation Forms and Grade to
Rough Framing -
Piumbina. Rough to SIa6 �
Temporary Pole �
Wiring, Rough
Heating, Rough
Heating, Final �
Sewer, House � .l Sewer, St.
L ❑g,l
Plumbing, Finai, Fixtures
Plumhing, Fin�al GasTest
Wiring, Final
Occupancy
Form 110 G-H 1500 1-5:
BLOCK
TVPE p
DATE
✓8 �l'l0
ige ����
�( _!/ '
-��— )' . L `'
1 1 '�
/0
TRACT
F'lllYd�LYI:L[��P
PERMITSISSUED
I NUMBER
>
� . ; Costa Mesa Bwlding Department
r, - 1H EAST 20th STREET
. COSTA MESA� CALIFORNIA
FOR APPLICANT TO FII.L IN
Build(ng
Address 3084 Donnybrook Lane�
Costa Mesa, California
Ceares j�jatyOII
APPLICATIUN l+'VK Yl+.'tGmi'�
=�_�`�� � U 1� L D�L N G
FOR OFFICE USE ONLY
� � Receipt No. Permit No.
!I �\,1 % S�
Recei e by '� Date Rec'd. Date Issued
- �' +,� sEP�. s ,ss� a-�.� -��'
PO85 .�.y
Address
Owner College Mesa Company �
Mall g002 Central Ave.
Address � Nearest t
Garden Grove T`�•Le.9-2158 crossst. ,
City No. Zone ,�/
E gi eer �rDavis & Qui le ��O' C-1790 �f
g y No. Approvedl
address 43 Malaga Cove P1aza�Palos Verdes b �
The Hale Co � c�sy ua3422 �
tractor � y No.
nda�ess 8002 Central Ave. � Garden Grove
�
De criptlon I No. 1�� I Block I Tract 2341 �
FF17 No. of Bmga NOIIe
Size of Lot Now on Lot
Useof I Nn_of I Ne.e}
9
9
Trom
Vard
S I Alteration I I Addition
F]
Rooms 6 Stories 1
I Roof
�'iB��OTI11'd.
�e APPROVALS
yith Foundation Location , I Inspecto
Forms, Materials,
I hereby acknowledge that I have read Uvs Application
and state that the above is rnrrect end agree to comply Lath. Int.
with all City Ordinances and State Iaws regulating
building mnstruction. Lath. ext
S�gnatureof TH� HALG CODiP
Permittee Plaster, Int.
AuthoNzed Agt. �(� �� 1 R9ti� Plaster, Ext.
VaLuailon �D'�R Permit Fee $ �oi 6"� Masonry Reln
$ �J oo O TIoa�Check $ 3�� gond Beam
jSt Fee � 3 '�I FINAL
RM 204 S-BP 2M 8-55 ' + ...
PLOT PLAN
Show location and distances from
propeHy line and between buildings
5
Y ;.
SEP 7.1-55P�yESpPS73a r-`^' �3.�0