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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