HomeMy WebLinkAbout3080 DONNYBROOK LN - Building Permits(714) 754-5273 • Fv� (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE. COST� MESA, CA 92626
BUILDING PERMIT
�obAddress: 3080 DONNYBROOK LN
Suile:
Vicini[y:
Parcel Number: 14104307
Applicant: MCEUEN, DAVID
Address:
Owner: GREELEY, KENT
Address 3080 DONNYBROOK LN
COSTA MESA, CA
Contracmr. THE ROOFING SPECIALISTS
Address: 2428 NEWPORT BLVD #5
COSTA MESA,CA
Zip: 92672
Arch :
�Address:
G
2oning: R1 R1
Phone: 949-722-8846
Zip:
Phone:
Zip: 92626-2724
Phone: (949) 722-8846
License: 734068
Eng:
Address:
Phone:
ISSUED 8Y:
Status: ISSUED
Applied: O6/12I2002
Issued: 06/12/2002
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF COMP ROOF AND COVER WITH NEW 30 YEAR COMP SHINGLES. INCLUDES ATTACHED GARAGE.
Plan Check: $0.00
Permit: $11125
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existina: o
NOTES:
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
Right 0- 0
$4,485.00
$a,aas.00
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: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for lhe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepaetions end finel epprovel must be obtained. Failure to obtain inspections antl final approval will result in the expira�ion of this permit.
FOR INSPECTIONS CALL: (714) 7545626 .
!46fiAfi (fY00J
WORKERS'COMPENSAnONDECLARAnON:
I �ereDy attirm untler penelry of perjury one of ihe following tleclarations:
❑ I have end will melntain e certificate of consent to self-Insure for workers' compensation, es pmvided for by section 3700 ot the Lebor Code, tor ihe pertormence oi ihe
wo � for whic� t�is permit is issued.
r
I ve entl will maintain workere' mmpensation insurance, as required 6y secUon 3700'bf Ihe Lebor Code, for Ne pertortnance ot ihe work tor which this pertni� is issued.
y workers' pensailon Insurence r and policy number are: / /�� �fJ
Cartier �� � Policy Number. �� I b� �% t� C% "' `
(This sectlon need nof i lefed il the permit is valued ef one handred dollars ($100J or IessJ
❑ I certify ihat in t�e pertom ance of iha woTfa h this pertnil i I shall not employ eny person in any manner so as to becoma subJeq to Ihe workers'
compansation lews o Cal omla, entl egree th t I should h 4O sub�ec to the workers' compensation provisions ol Section 33700 0l the Lebor Cotle, I ahall forihwith
comply with Ihe �e pro isio s. \ r„ I �„ /� �
Appliwnt Signeture: Oate: �"El I U
WAfiNING: FNLURE TO E COlAPENSAiION COVERAGE UNLAW FUL AND SHALL SU&IECi M! EMPLOYER TO CRIMINAL PE TIES AN CML FlNES UP TO ONE HUN�RED
TMOUSAND OOLLARE (E100,000), IN PDDITION TO TME COST OF COMPENSA DAMAGES A$ PROVIDED FOq IN SECiION �W OF THE L480R CO�E, IMEREST, AND ATTORNE`/'S FEES.
LICENSED CONTRACTORS
I hareby attlrm �hat I em li n;
fOrte entl BNect. LIC. N
Contractors Signeture:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm Ihat there is e construction lending agency for the
Lendefs Name:
Signature:
OWNER-BUILDER DECLARATiONS:
Section 7000) ot Division 3 of ihe Business antl Professlons Code, end my Iicense is in tull
_ Class k
_ oate:
9 ot the work tor which this permit is issuetl. (Sec. 3097, Civil Cotle).
Lendar's Address:
Date:
I hereby aNirm Ihet under penalry of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Protessions
Cotle: Any ciry ar wunry w�ich requires a pertnit to consimct, alter, impwve, tlemolish, or repair eny strucWre, pnor to its issuance, elso reduires the applicam tor such pertnit
b tile a signed stetement that he ar sha is licensed pursuent to ihe proNsions ot Ihe Conirectors Llcense Lew (Chapter 9(commendng wit� Sectlon 7000) ot DlWsion 3 of the
Busineu end Pmfesslons Code) or Ihet he or she is exempt therefrom and the besis tor the alleged exemption. My vidation of Section 7037.5 Dy any epplicant tor a permit
subjects the epplicant to e civil penelry of not more than frve hundred tlollars (5500).):
❑ I, as owner ol iha property, or my employees with wages es their sole compensatlon, WILL DO 7NE WORK, antl the siruciure is not intended or oMeretl lor sale (Sec.
7044, Business and Pmfessions Code: 7Te Contracmre License Lew does not apply to an awner of properry who builds or improves thereon, and who does such work
himself or hersell or ihrough his or her own employees, provided that such improvements are not intentletl or oHeretl toi sale. If, however, ihe building or improvement is
sold within one year of completion, the owneo-builder will have ihe 6urdan of proving that �e or she ditl not build or impmve for purposa ol sele.).
❑ I, es owner ol the property, am E%CLUSIVELY CONTRALTING WITH LICENSED CONTRACTORS to construct the proleci (Sec. 7044, Business end Professions
Code: The contrectore License Lew tloes not applY to an owner of property who builds or Improves Ihereon, and who contracts /or suc� pm�ect wlth e contractor(s)
license Dursuant to ihe Contrectors License Wws.).
❑ I am e:empl untler sec. Business end Prolessions Code tor Ihis reason:
Signalure: Date:
Owner ID verified by driver's license. ❑ Ves ❑ No Driver's Licensa No. Expires:
Verificetion of Ownership by (Iype ot dacumen4 i.e. - property tez bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON:
� I hereby certify t�ai no escavation five (5) or more feet in tlepth into which a person is required �o descend, will be made in connec�lon with work authorized by Ihis
permit, entl t�et no building siructure, scattoldinq, falsework, or demolition or dismaniling theraof, will 6e more than thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Califarnia Adminis�retive Cotle).
❑ As owner-builtler, I will not employ enyone to do work which would require a permit Irom Ihe Oivision of Indusirial Safery, as no�etl ebove, unless such parson has e
pertnit to do such work irom Ihe tlivisian.
SignaWre: Date:
Division of Industnel Safery Permit Number:
CERTIFlC OF CO ANCE ANU AUTHORIZAl10N OF EN7RV: I cenity under penalty of perjury ihat I have read this epplicatlon antl stele that �he information given is
corrad. I gree to compl with ell state lews and ciry ortllnences relating to buliding consWction, and authonze representatives of the City ol Costa Mesa to enter upon the
ebove-described properry f r inspection puryoses. I egree not m occupy or ellow occupency ol eny building authonzed by this permit umil finel inspection.
CO�E /, INSVELTIOMTYVE
1616 Fixetl System Final Fire Preveniion
1266 Paol SDe Finel
200 Final Re-Rool
201 Flnal BIocWRataining Well
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
�g
� �� Ra
���
Data
COUE I INSPECiION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Elecincal
212 Final Fire Prevention
220 Final Planning Approval
222
250
Final Site
Final BuildingiOccupancy
BAIE Ixmu�s
otvrr�,R ABRAMSON, Gr']JRGE JR. ' DATE 6-17-59
JOB ADDRESS 30 0• onnybrook Lane BUILDING PERhfIT N0. 9�l%
GENERAL CONTRACTOR A 1 F8IIC2 CO• VALUE S 2ZO,OO • �
AP. No. 11}-}U}-U ( LOT TRACT FIAE ZONE DESCI{IPTION OF WORK Block �all
INSP@CTIONS DATE I GROUP J TYPE ZONE R 1
1� `Pground SOi� U.G. Water —� SUBGONTRACTOR I PERMfTS ISSUEO
'� � � 95�9
�OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 31] GOSTA MESA. CALIFORNIA
fOR APPC/CANT TO F/[C /N COMPLETE[Y
TYPE OR PRINT .
BUILDING �
ADDRE55 �DSO D uA7 � (�O� E.AN '
GOSTA MESA. CALIFORNIA
GITY s AM E 'NO.
ARCHITECT LIC.
OR' INEER NO.
� LEGAL I LOT u� O
�ESCRIPTION NO. (
� / �..� •
SIZE
OF LOT
� �.
e' ;��v, r`,i� .
(�, I 1'I�)�''�d'�
i I�!af�CE DEPi.
CI7• ^r rrlCr�� i�[c.,
APPLICATION' FOR PERMIT
\ BUILDING
foR officF usE oHcy
I RECEIP� NO. I � �T]NO.
J
CEIVED BY OA E flECE1VEO OATE ISSUED
�� � �� �� ��
COSTA MESA, CALIFORNIA
STATE APPROVED
ro.No.11�°I�i BY
,�t� �ti
I�671 ZONE INO.OF
TRAGT PLANS
� � A�YPROVED I.. Y
NO.OF BLDGB. vnonc
USE OF ICENTER LINE BT.)
EXISTING BLDG. FRONT
SETBRCK LINE FNOl.� �1 O � �
cervlen ov SiPEEi ��O / REAR� YARD R. SIDE
_�
/� /�
SIDE VARD LEFT (/ IRIGHT L.SIDE
DESCRIPTION OF WORK
REAR
NEV I II ALTERATION I II ADDITION I
'BUILDING NO.OF
SIZE ROOMS STORIES
�EXTERIOR WALL IROOF
7�� I� � Y� X S% � U�w� :�
4" 6' x G G' �
I HEREBY ACNNOy./�EDGE THAT I HAVE RE�D THIS APPLICqTION
qNO 9TATE THAT THE RBOVE IS CORqECT AN� FGliEE TO COM�
PLY WITH ALL CIYV OR�INqNCEB AND 9TATE LAW9 FEGOLqTING
BUILOING CONBTRpCT�. �
SIGNATURE OF /A� � / �� T•
PERMITTEE V �'��'���
AUTHORIZED AGENT
U9E OF NEW
BUILDING �
ua
THE AMOUNT BHOWN UN�Ep VqLURT10N IS FOR THE
PIIRPO6E OF E6TABLISHING A PERMIT FEE ONLY.
VALUATION � f �JO
PERMIT FEE $
s. �],Q • D 0 PLAN CHECK $ �
TOTAL FEE S � f-0
OWNER (`(�TTFRF r+nr4n rnr�rp�nrv � DATE Se�tTfl� IOKA ,_
JOB AITDRESS 3080 Donnvbrook I,ane BUILDING PERR3IT NO. 7509
GENERt1LCONTRACTOR The Hala Cn.nnanv � VALLiE $ 12 5Q4
AP. No. LI
GROUP I&J
�ECTIONS
Teenches Formf
Flooc Systcm
Steel Reinforce
Bond Beam
Frame and Flashinq
Lathing, In y O
Plas[er, beo�vn wat
3' ' Gas Test
ZONE
�.r�a
DATE I SUBCONTRACTOR I �AT� I NUMBER
i�f�►1—�i'�' .. /!��T_�1J'� '�ifi .�i�h1 �
i�l�i�3�lS•7 " � �1
����� �
-� q
• .r .. �/.��J
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADDRE55 3OHO
OWNER
Iane
COSTA MESA. CALIFORNIA
arv ananeim
ARCHITECT BULO �
OR E'- 'NEER
ADDRc�S LLOZ W. 17
CONTRACTORTtle Hale
nooRess 1777 W.Lin
LEGAL LOT
oescviPrioN NO. %
an - .
A.P. NO.
SIZE �11J
OF LOT
USE OF
E%ISTING BLDG.
Brookhurst
TEL.
NO. �
ley No: RE
.. Santa Ana
BLOGK
rv uc. 7350
NO.
ei��:KE 3-3161
TRACT 2,6]1
NO. OF a�o�s. None
NOW ON LOT
SETBACK LINE FROM q
cENiER oF siREEi SO1 REAR YARD JO'
SIDE VARD� RIGHT LZ� LEFT p�
DESCRIPTION OF WORK �
NEW X ALTERATION ADOITION
REPAIH MOVING OEMOLISH
BUILDING �L1V.NO,OF
size 440' -Gat RooMs 5 STORIES
EXTERIOR WALL ROOF
COVERWG SCUCCO ' COVERING Comp
BLSIEL�I�NG�W Sinele dwelline w/att. eara
_.._ ��i,..v�� 1 �.
C�������
-.in o-
V'ii�„i. � C�i �.
n. �n�—� , _ .
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. �frYl
d lJ' ,Y
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
I MEFEeV ACKNOWLEDGE THAT I HAVE PEAO THIS APPLICATION 4NO
ST4TE TNOT TNE A80VE IS CORRECT ANO 4GPEE TO COMPLV W!TH ALL
CITY OROINPNCES AND STATE LAWS REGUL4TING BUILOING CONSTRVC-
T'°" C LI,EGE MESA COMPANY VALUATION
pE �aTURE oF, y; The Hale Company,Gen. P n r
'i�/ „ �/„ _� $ 12,599
CORRECTIONS
PERMIT FEE 5 30.00
PLAN CHECK S LS.00
TOTAL FEE $ �+S.00 �e'"F
pPR 1 8 1960
ABI?�1ri450N, JR. , GEC. " nATF 9-
JOB ADDRESS 30ti0 Donnybrook Ln. BUILDING PERMIT NO. 10L�51
GENERAL CONTRACTOR O�mer-Bldr. VALUE § 10�..00 -�
AP. No. 113—"iO3-07 L�T TRACT FIRE ZONE DESCRIPTION OF WOAIiCOriSt. DOor in eui e
INSPECTIONS ' I DATE
SU6CONTRACTOR
-.. '_.._.'_"__"' _I_—_r . ri_
I LC
,.. 1���5�
G�OSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31'] COSTA MESA. CALIFORNIA
fOR APPL/CANT T0 f/LL /N COMP[ETECY
TYPE OR PRINT
BUILDING pf /�O �O�iCN/.> �r�� L,v
ADDRESS rJf/O �
COSTA MESA, CALIFORNIA
MAIL
ADORE55 -S
LEGRL LOT I%
OESCRIPTION NO. / D BL
n a r� n �� J `.�� 3�
FIRE
ZONE
� � ZONE
���� R�CEI@���
�� �-��.-., Y
FINANCE DEPT. ,
APP ��CATIOI�SI�;(7F2•EPERMIT
BUILDING
Fa,e oFficF us� oHcy
I RECEIPTNO. I /P^EfiM�T,NO./
0 LITJ
IIVEO BY I DATERECEIVED L DJTE ISSVEO
COSTA MESA, CALIFORNIA
f
TVPE -GROUP
� DATE
Z�ONING �-yl
NO. OF USE OF NEW
PLANS BUIIDING
� � o� %b —
SIZE NO.OF BLDG3. �'/�RDS
OF LOT Now oH wi � REqU1RED
USE OF �O v, � (CENTER LINE ST.1
EXISTING BLDG. FRONT
SETBhCK LINE FROM
cEN1Ea oc siA[ei REAR YARD C X� R. SIDE
SIOE YARD ILEFT `^' IRIGHT C X� L.SIDE
DESCRIPTION OF WORK
REAR
NE�' ISA II ALTERATION I� II AOOITION I
BUILDING
SIZE
EXTERIOR WALL
COVERING
USE OF BUILDING AND
OF
BE PERFORMED
1
C\�R99Y��:
I HEREBY ACKNOWLEOGE THAT I HAVE READ THIS APPLICNTION
AND STqTE THRT THE ABOVE IS CORRECT PNO qGREE TO COM- 7HE AMOUNT 6HOWN UNDER VqLUAT10N IS FOR THE
PLY WITH ALL GITY ORO�NANCES AND STATE LAWS REGULATING PURPOSE OF ESTNBLISHING A pERMIT FEE ONLY.
auaoirvc corvsTRu VALUATION
SIGNATURE O / t//� ///''' PERMIT FEE $ �—
PERMITTEE �/ L��/ +� / //,/.� � �
�'— '� v PIAN GHECK $ �
$
AUTHORIZED AGENT TOTAL FEE S���
OWNER
JOB ADDRESS �
E. A.
DATE
PERMIT NO.
GENERAL WNTRACTOR pc,mer-3uilder VALUE $ 101.00
AP No. 113-303-07 LOT TRACT FIRE 7.ONE DESCRIPTION OF WORKe�t_ r.�r.
IN5PECTIONS � Signature � DAT� ! GROUP ,j TYPE V' ZONE
�
Watcr
coat
OCCUPANCY
SUBCONI'RACTOR
' 16809
�OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIRORNIA
For Applicanf fo Fill In Compleiely
TYPE OR PRINT
COSTA MESA IFORNIA
OWNER �
MAIL
ADDRESS
TEL.
CITY NO.
ARCHITECT TEL.
OR '�INEER ✓ NO.
enn�.ea J�
■ BHTBACK LINH FHOM
TEL.
NO. OP BLDOB.
DESCRIPTION OF WORK
BUILOING NO. OF
SRE ROOMS
EXTERIOR WALL IROOF
�EE RECEIVED
�FINAf�C����PT.
cirr oF cosra MEsn
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
REC$ VED BY I iB�C IVqp I� T[ 188U6D
// G �
BUILDI �'
ADDRES
COSTA MESA. CA ORNIA �
FIRE
ZONE TYPE CaROUP
APPROV /` .�{ � �
BY �I DATE ./
�R �� NG
Z '� I NO. OR I UBE OP N �
PLANB �O BUILDINO
LEG L �
DEBCRIPTION
/ A. P. NO. '
YARDS EVES .
APPROVED ALLOWEO
�IR'NT6H LJNE OT4
FRONT FT. IN.
` R. SI�E FT. IN.
L. SIDE FT. IN.
IREAR FT. IN.
I A�YPROVED I � �/I� oeTd � =i /_ -/_'Y
I HEREBY ACKNOWLEDOH THAT I XAV6 PlAD TH19 APPLIWTION TNE AMOUNT BXOWN UNDHR VALLlAT10N IB FOR TH8
ANO BTATE TNAT TH8 ABOV6 I6 COPHHCT ANO A6R86 TO COM-
PUPP09E OP EeTABi.I8HIN0 A PHRMIT P6¢ ONLY.
PLY WIiH ALL CITY OFDINANCE9 ANO�6TATH I�W9 PEOIILATINO
euitniNo caxeixu ON. VALUATION /�5,(
SIGNATURE OF.
,N) PERMIT FEE S V �
PERMITTE ��
S /O/ PLAN CHECK $ �
AUTHORIZED AGENT !
TOTAL FEE