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
�,
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