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HomeMy WebLinkAbout3077 DONNYBROOK LN - Building Permits(714) 754•5273 • Fan (714) 7543856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lobnddress: 3077 DONNYBROOKLN Suite: Vicinily: Parcel Number: 14104210 Applicant: STARBEK, BRIAN Address: Owner: COLEMAN, RODNEY E Address 3341 MARYLAND CIR COSTA MESA, CA Contractor: RED HAT ROOFING Address: 2625 ELDEN AVE UNIT B COSTA MESA, CA Zip: 92627 Arch : Address: Phone: Zaning: R1 R1 Phone: 714-337-8283 Zip: Phone: Zip: 92626 Phone: 714-82&7663 License: 345449 Eng: Address: ISSUED BY: Status: ISSUED Applied: 09/77/2002 Issued: 09/17/2002 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF 2 LAYERS OF COMP. COVER WITH 40 YEAR COMP. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 $111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Reauired: 0 FEE SUMMARY Calc Valuation: Sa,oa�.00 Claim Valuation: 3a,oa�.00 PLANNING & ZONING Left 0- 0 Right Left 0- 0 Right Proposed: 0 0- 0 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 72-21-92) EXPIRATION: This permit shall automatically ezpire and become void it 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, antl all required Inspeatlona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545828 zaaae �eroo� WORKERS' COMPENSA710N DECLARATON: I hereby atfirtn under penalty of per�ury one of Ihe tdlowing tledarations: I have end will maintain a certificete oi wnsent to sell•Insura tor workers' compensatlon, es provitled lor by section 3700 of the Lebor Code, for Ihe peAortnence oi the wark for w�ich this pertnit is Issuetl. have entl will maintain workers' compensetbn insurance, az requiretl by sectix: j00 ot �e la6or Code, for the peAartnance of Ne work tor wliich this pertNt is IssueC. y workers' compensatlon Insurence carder entl pollcy number ere: Certier: �r policy Num�er: (Thls sectlon need not be campleted A�he permltls ve/ued ef one hundred ddlers (5100) or /ess.) ❑ I certiy thet in the OeAormance of Ihe work lor which Ihis pertnit is IssueO, 1 shell not employ eny person In any manner sa es to hecome suD�ect to the warkers' compensatlon laws ol C� mie, end egree Ihat It I should becoma sub�ect to Ihe workers' compensetlon provisions oi Sectlon 37 �a� �CoQe, I she0 toMwith comply with ihese provis s. � j+ _ � Applicant Signeture: Date: 1 WARNINO: FAILURE i0 SEWFE WOfU(ERS' COMPENSATION GVVEMGE IS UNLAW NL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENAlT1ES AND GVIL FlNES UP TO ONE HUNDRED THOUSAND DOLLr1RE (5100,000), IN / DDITION TO THE CQST OF COMPENSATION, �AlMGES AS PROVIDED FOR IN SECfION 3)OB OF THE LABOR CAOE, IMEREST. AN� ATTq1NEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm thet 1 em Ilcensetl untler Drovisions of Chapter 9(commendnp with Sectlon 7000) ot Dlvlslon 3 ot the Business antl Proteuions Code, entl my Iicense Is in lull torce end eMect. Lic. M Class # Comrectofs Signeture: Dete: �. � � '-"7 _/\ CONSTRUCTION LENDING AGENCY: ❑ I hereDy aMirtn Ihat there is e construction lending agency br the pedormance oi l�e work tor whlch I�Is permil is issued. (Sec. 3097, CNiI CoOe). Lendefs Name: Lenders Address: Signeture: Dete: OWNER-BUILDER DECLARATONS: I hereby ettlrm ihat untler penelry of pe�ury thel 1 am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Buslness entl Professlons Code: Any ciry or counry which reavires e permit to construct, elter, Improve, Aemdish, or repair eny slmcWre, pnor to its iuuance, elso raquires the eppllwnt for 6uch pertnit to file e signetl stetement �het he or she is Ilcensed pursuent lo the provisions ol the Conirectors License Lew (Chepter 9(commencing with Section 7000) of Divlslon 3 ot the Business antl Proteulons Code) or ihat he or she b ezempt t�eretrom enA the basls for the alleged exemption. Any vidation oi Section 7031.5 by eny eppliwm tor e pertnit sub�eds Ihe appllcant to e civll penelry of not more than Ilve huntlred dollers ($500).): ❑ I, as owner o1 tha properry, or my employees with weges as ihelr sole compensetion, WILL DO THE WORK, and the sinictura is not inlendetl or offeretl for sele (Sec. 7044, Business and Professions Code: The ContreMors lJcense Lew tices not epDN �o an owner of properry who builds or improves thereon, and who does such work himsalt ar herself or through his or her own employees, prodded that such Improvemenis ere not Intended or otfered for sele. If, hawever, the builtling or improvement is sold within one year ol completion, the owner-builder wfll �ave the burden ot proving ihat he or she did not build or improve tor purpose of sele.). ❑ I, es owner of the property, em E%CLUSNELY CONTRAC7ING WRH LICENSED COMRACTORS to consWc� the prolecl (Sec. 7046, Business and Pmtessbns Cade: The contrectors LJcensa Lew Coes not eppty to en owner oi property who builds or Improves thereon, entl who camracts for such pro�ect wit� e contwctor(s) license pursuant ro the Contrectors License Lews.). ❑ I am exempt untler sec. Slgne�ure: Owner ID veritietl 6y tlnvefs license. ❑ Ves ❑ No Business and Profe55ion5 COde for �hi5 ree5on: Verification ot Ownership 6y (rype of tlaament, I.e. - properry te�c bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMfT CERTFICA710N: Drive/s Licensa No. Date: Ezpires: 0 I hereby ceNfy ihat no exwvetion frve (5) or more leet In dept� into which e person is required to descend, wlll be made in canneqion with work euthoAzetl by Ihls permit, and that no bullding structure, sceNaldinp, lalsework, or demalitlan ar dismanlling ihareol, will be more ihan Ihirry-six (38) feet high. (Chap. 3.2, Grp 2, Ar12, Sec. 341, Tiile 8, Celitomia AtlminislretNe Cade). ❑ As owner•builder, I will not emplay enyone to do work which would require a permit Irom the DlWslon ot Indusinal Safery, es noted flbove, unless such person has e pertnil b tlo such wark tmm the diNsion. Signature: Date: Division oi Industnal Sefety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EMAV: I certiy under penalry ot perjury that I have read ihis epplication end state Ihat the infortnatlon given Is wrtect. I egree to comply with ell state laws flnd dry ordinances relating to building construdion, end authonze represenWGves oi the Ciry oi Cosla Mesa to enter upon Ne ebova-described properry for Inspection purposes. I egree nat to occupy or allow accupanry of any building aul�orized Dy this permit until linel inspection. ./1 Signature Of Le al Owner(s) ���� � �` 2 �/� V O And/Or Aut�odzed Appllcant Date &QOE 1, INSPECTIONTTE 1618 Flxotl System Flnel Fire Preventlan 1268 Pool Spe Finel 200 Final Ro-Rooi 201 Flnel Blxk/Retelnlnp Well 202 Final Fectory Fire Place 203 Finel Sipn 204 Finel Demolition PAIE Q�LS �Z � COOE1 INSPECTIONTYFE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Pire Prevenqon 220 222 250 Flnal Planning Apprwel Final Site Finel Bullding/Oaupency � �� OWNER ��i.7Fr.�^, n^u�en �Q,.�r'�npiv DATE Sent. 8, 19�8 _ ]OB ADDRESS i077 Donnvbro�k Lana ' BUILDING PERMIT NO. 'j(�96 GENERALCONTRACTOR The H�le Com,ns3�y VALLIE$ 12,890 AP. No. LOT 5� TRACT ?(�^j].F[RE ZONE DESCRIPTION OF WORKSlnp] e dw2l l i na w�att �ar, G� -��P TR�J TYPE V ZONE gl � PLAN NO. INaMECT10NS � DATE I SUBCONTRACTOR P" �ng Fixtv. P�. Gas Test .. ' _r_� '7���i COSTA MESA BUILDING DEPARTMENT P.O.BO% 31� � � COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN __ _ - - - - - - BUILDING nooREss 3077 Donnvbrook Iane COSTA MESA, CALIFORNIA OWNER COLLEGE MESA COMPANY ,��� r�cCti��/tL� �r���s� FIN^,NCE DEPT. APPL�I;C'ASiI;ON� F�O-OR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. MET�KV'}� MAIL RECEIVEO 9Y DLTE RECEIVEO � O.�TE ISSVEO nooRess P.O. Box 2277, Brookhurst Station � Ep s �� cirv Anaheim TNo: � 3-3161 AooRe�ss ARCHITEGc BULOCf. 4�1 lg ey ��a COSTA MESA. CALIFORNIA OR EN _ER Ant1 l:lar NO. �]191 >anca HRS TY No: 7350 ADDRE55 1777 W.Lincoln�Anahei�: KE 3-3161 BYPROVED DATE �E�A� �or 5� 2671 CORRECTIONS oESCRIPiiON NO. BLOCK TRACT A.P. NO. • 63 x 123 �NO.OF a�o�s. None NOW ON LOT USE OF EXISTING BLDG. SETBACK LINE FROM NEW REPAIR BUILDING 512E 5�� � RIGHT S� LEFT S� DESCRIPTION OF WORK X ALTERATION ApDITION MOVING DEMOLISH L - . 153' -Liv. Room`s ' S sroAies 1 RIOR WALL ROOF RING SCUCCO COVERING COIIIAO ST/TE THAT TME ABOVE IS CORRECT iNO tGREE TO COMPLY WITH 4LL CITY OFDINANCES <NO STGTE LAW$ REGVLFTING BUILUING CONSTflVC� T�°" C LLEGE MESA COMPANY VALUATION P RM^ITTEE �F � THE HALE COMPANY, GE�axt i AUTHORI $ 12,890 PERMIT FEE $ 30.00 PLAN CHECK S 1S.00 TOTAL FEE S (�,S.00 �, n