HomeMy WebLinkAbout3083 DONNYBROOK LN - Building Permits-OWNER (7f17.7.Rf'rR biF4d M7t7P4AN DATE 4pnt A� �ioKR _
]OB ADDRE55 �(1R 7 Tlnnnt+ti�rp�y�, T�.�0 BUILDING PERMIT NO. � q7
AP. No.
�"—'lUP
TYPE V ZONE
DESCRIPTION OP WORK
InoPECTIONS I DATE I $UBCONTRACTOR I �
DATE NUMBER
coat
Gas Test
6'
•�' i � � , , '�.LIJ I
' ( (�' ���
COSTA MESA BUILDING DEPARTMENT '�'� V`L(� �Ly/tl ���
_ P. �. e OK 3 � � G I j; �s 0
' COSTA MESA. CALIFORNIA F��n�; E DEPT.
FOR APPLICANT TO FILL IN (�IrAPPL^�I,C�AT;.I.ON FOR PERMIT
ADDRE55 3083 Donn brook Iane B U I LD I N G
COSTA MESA. CAtIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. P PMIT NO
............ ....... ............. �-+� n
nECErvED BY
ADDRESSP.O. BOX 2277, Brookhurst Station
arv � Anaheim TrEio: KE 3-3161 AooR
AftCHITECT Bulot� Quigley �ic.
OR ENt;INEER NO.
AOD� �1102 W. 17th St.. Santa Ana ZONE
CONTRACTOR The Hale Compan
ADDRESSLJJ% W.L�I1C01[1�AI18
LEGAL LOT
DESCRIPTION NO. SH BLOCK
P a�n ]��3-B
A.P. NO.
OF LOT ��X � IIiY
zo
No: 7350
[Wn� � 3-3161 BY
NO °F BL°`� None
NOW ON lOT
SETBACR LINE FNOM � �..� n..�
SIOE YARD RIGHT p� LEFT p�
DESCRIPTION OF WORK �
NEW X ALTERATION I ADDITION
REPAIR MOVING DEMOLISH
BUILDING ZZ �L1V. NO.OF
SIZE � ROOMS STORIES
E%TERIOR WALL ROOF
COVERING SCUCCO COVERING Compo.
IJSE OF NEW
BUILDING Sinola familv Tkuallino w/att.
COSTA MESA. CALIFORNIA
I HEFEBV PCNNOWLEOGE THPT 1 MPVE NtSO IMIS oYYLICnIiVn nrvV
STaTE THAT TME I�BOVE IS COFRECT wND AGFEE TO COMPLY WITN wLL
CITY OROINPNCES ANO STRTE L1W5 REGUL4TING BUILDING CONSTRVC�
TOrv' Cq�LEGE MESA CAMPANY �ALUATION
SIGNATURE �F •��Phu Hnlu Cmm�anv Gan. A�rtna
$ 12,599
OATE
CORRECTIONS
PERMiT FEE S 30.00
PLAN CHECK $ 1S�OO
TOTAL FEE 8 �LS.00
�eMr
OwNER CAUDILL, RUBEN
JOB ADDRFSS onn;
GENEAAL CONTRACTOR
INSPECTIONS
OCCUPANCY
Form 210—SM-71-59 SB P
DATE
ZONE
SUBCONTRACTOR
VALUE
2-2�-61
WORK
PERMITS ISSUED
,: ; } _ 239�5
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 90% 9t7 C08TA ME8A. CALIFORNiA
For Applieani fo Fill In Complefely
TYPE OR PRINT
BUILDING � �9`� �N��� v ._ /
AO�pES6 1 "� /��yr
- COSTA MESh CALIFORNIA
■ ARCHITECT
� STATE
� BETB�GK LINH KAOM
BUILOING
SIZE
EXTERIOR WALL
COVERING
USE OF BUILtlIN
NO. OP BLDG9.
OF WORK
TO BE PERFORMED
FEE R�C�O��D
� FI I�t��4 ���pfi�,
APPLIC�A�TIOK �FO��P�RW1 tP�
BUILDING
For Office Use Only
nece�rr no. ��y�ty4Tp,r{o.
V Jv'J
rtecmvso er oe� necerveo nere isauco
,r.��--.� �-d 5<- 4/ I.�-�2 4�- 6 I
ILDING
DRE65
COSTA MESA. CALIFORNIA
FIRE
ZONING �
ZONe /� � I NO. OP � U9H OP N8W )� ��
/!�` PLANB BUILDINO y�
�a�� / S�'�TR • ��
OEBCRIPTION
e e .�., i/ �� �� �2.— %/
LINe HTJ
�
�----.
FT.
s�n. __�_
1 HERBBY ACKNOWLBDGH THAT 1 MAVB READ T1fIB APPLIGT�ON n{g AMOUNT BHOWN UN�BR VALUAiION IB PON TH6
•ND 9TAT6 THAT TME ABOVC I6 COPRECT AND AaREB TO COM- pUliPOBE Op EBTA9lI8XING A PQqMIT FEH ONLY.
PLY WITX �LL CIT' OMINANC88 AND HiATH LAWB PHOULATINO
euiLnlNo CONeinUCT1oN. � VALIJATION
81GNqTURE� `� , PERMIT FEH $ � • �f
PERMITSE � � '� �'_a B� ._
S � �/. PLAN CHEGK $
AU7HORIZED AGENT �cz�
TOTAL FEE �•
OWNER KINLEY� a, M, DATE ��_2__
�OB ADDRESS 3083' Donnybrook Lane BUILDING PERMI
PL�
SUBCONTRACTOR
,� ROUGN PLIIMBING
PROP. SWR. LINE Q H01
SPRINKLING SYSTEM
rMISCEILANE0U5
(q�+ ROUGH ME�TING AN� �IR
�\ TEMPOR�RV SERVICE ON
BONO BEAM r� STEEL REINFORCE
SHEATHING
FR�ME ANO FLRSNING
LITMINf. _ IN n OIIT n
1%,;�;:MG, VENT., PEFRIG. �NO �.C., F
PLUMBING. FINRL �N� G�5 TEST �J
ELECTRIC, FINAL
BOIL�ING, FIN�L
IT�Y���.
i
'i 9 ♦
' � . .
rr�W.�
r
A
' �43125
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILOING �iO CS'� }' '/
ADORESS J D N d�/
/%� O
OWNER �1////
MAIL
ADDRESS � I � 1 �
TEL.r7 /��
CITY NO. O
CANST'RUCTION
LENDER
BflANCH
ADOflESS
AqCHITECT TEL.
BUILDING
ADDRESS
OWNER
lr , PAIL � {r;Snt:Yf}
r 7-7b�„—,00 13a<. 5.50
FORSTRUCTURALPERMIT
DATERECEIVED DA ISSVEF
/� 9 —
� il ZJ7 .�
VALUE
FIRE
ADDRESS ZONE TYPE GROUP
Q C APPROV
CONTRACTOR 7 BY DATE � �
ADDRESS �Q g /
20NE �1 NO.OF USE OF NEW �
CITY C(�}�f� (Q NOL,�49-49� r�' P�� BUILDING N
F STATE CITY VARDSAPPROVE� VARDSAPPROVED
� IIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
(y� SI2E NO.OFBLDGS. (FROMC/I,STREET)
L OF LOT NOW ON LOT ONT FT.
a USE OF
� EXISTING BLDG. E C F � FT
�
s Separate permits are required for L. SIDE FT. p FT.
q electric, plumbing and heating work. REAR I FT. �, v /�
FT.
� USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET. MAIN &
MAIN BLDW'^. ACCESS. BLDGS,
� C' VAR.� DATE
Q"' C�+ C.U.P.# APPROVED
� g � D APPROVED�� n P• J• /� Z �
�i /C /
a �
W
� 1 hereby acknowletlBa that I have reatl this applicetion antl state �
N
y� thet tha ebove information is correct entl agrea to comply with m
a all laws regulating bulltling coartruc8on, end 1 shall �ot amploy �
rZ any porson in violation ot the workmon's compensaT�on laws of m
Sthe Stata ot Californie. I�O m
3 I hareby cart(fy that I am properly Iiconsetl as a coniractor untler SQ. FT. N
ihe Stete of Californie Buslnezs and Profezsions Code, Division 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR m
Chaptet 9, entl that s�ch licansas a�e In f�ll fo�ca entl effect, o� I THE PVRP�E OF ESTABLISHING A PERMIT FEE ONLY:
am exempt trom tha provfsfons of the Stnie of California 8usiness y
VALUATION pERM1T FEE $
and Protassl0ns Cotle, Dlvision 3, Chapie� 9./� J n �./� J�
$ignatu�e Qf/ � �q A A� �� 7l r„y� y� $��O � PLAN CHECK E �
Permittao X U� � �/ "��—Y � —""� TAX S � LL
F
Authotlzetl A t u
TOTALPAfO b �