HomeMy WebLinkAbout3084 DONNYBROOK LN - Building PermitsA'
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CITY OF COSTA MESA
" ° BI/ILD/NG p1Y1S10N
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� DEVELOPMENT SERVICES DEPARTMENT 89 8-01 0 3 2
� PERMIT PERMIT NUMBER
��
(714) 754-5273 • Fax (714) 754-4856 gUILDING PERMIT �� FAIR DFIVE, COSTA MESA, CA 92626
�obAddress: 3084 DONNYBROOK LN
Suite:
Viciniry:
Parcel Nunmber: 14104306
Applicant: IDE, CURTIS
Address:
owner: MILLAR, MARK ROGER
Address 3084 DONNYBROOK LN
COSTq MESA,CA
Contrador: ROYAL ROOFING CO.
Address: 135 W. SANTA FE � �
Zoning: R1 R1
Phone: 714-449-7750
Zip:
Phone:
Zip: 92626 _ � ,
� Phone: 714-449-7750
FULLERTON,CA Zip: 92832
' " License: 678705
Arch / Eng :
Address: - r �
Phone:
Zip: ,
, " license: �
SCOPE OF PERMIT
T/O O�XIST COMP AND REROOF W/ 25 YR COMP SHINGLES.
Plan Check:
Permit:
SMIP Res:
SMIP Com:.
Other:
Inspection:
Total:
$0.00
$87.25
$0.50
$0.00
$0.00
$0.00
$8i.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existina: o
NOTES:
Rear 0- 0
Rear 0-0
Reauired: 0
FEESUMMARY
i
.. -
PLANNING & ZONING
�en o- o
Left 0- 0
Proposed: 0
Status: ISSUED ,l
U�
Applied: O6/15/1998
Issued: O6/15l1998 �
Calc Valuation: 83,aoo.00
Claimed Valuation: $s,aoo.00
Right 0- 0
Right 0-0
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
Irequired inspections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSA710N DECLARATION:
I hereby effirm under penelty of perJury one of the following tleclarations:
❑ I heve end wlll melnteln a certificate of consent to self-Insure far workers' compensetlon, es provided 1or by section 3700 of the Labor Code, for tha perfortnence of ihe
�work for which ihis permlt is issued.
I hava and wlll mainteln workers' compensetion insurance, es required by sedion 3700 of the Lebor Coda, for the perfortnance of ihe work for which this pertnit is Issued.
My worke ' compensatlon Insurance cartier end policy number are: //` /O T� C �/
Certiec ! Policy Number. ����C S � C� T
(This sec6an n d nat e complete i! e pelmit '� luetl at one hundred dollers ($f 00) or less.)
❑ I certily thet In the pertorm8n of ihe ork for which this permit is issued, I shall not employ eny pereon In eny manner so as to become subject to the workers'
compensetlon lews of Califo e, and � ihat if I shoul become subject to the workers' compensetlon proWsions of Section 3700 of the Labor Cotle, I shall fanhwlth
comply with these provislo . � /� �}' {�'
Applicent Slgnature: � Date: L! ��� ( L�
WARNING:FAILURETOSEWFEWORKERS'COMPENSATIIXJCOV GEISUNIAWFULANOSHALLSUBJECTIWEMPLOVERTOCRIMINALPENALTIESANDGVIIFlNESUPTOONEHUNORED
TFi0U5AND DOLLARE (5100,000), IN AD�RION TO TME WST OF COMPENSATION, DAA41GE5 0.S PROVIDED FOR IN SECiION 37060F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS
I hereby eHirm ihet I em licen;
torce end eflect. Lic. a�
ConVactors Signeture:
(wmmencing with Section 7000) of Division 3 of ihe Business nd p�fgss ions Code, and my license is in tull
Cless q � v %
Date: p �/� —�
CONSTRUCTION LENDING AGENCY:
❑ I hereby aflirm thet there is e consimction lending agency for the perfortnance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lenders Neme: Lenders Add�ess:
Signatura:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHlrm Ihet un0er penel�y oi perjury Met I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following-reeson (Sec. 7037.5, Business antl Professlons
Code: Any ciry or counry which requires e permit ro constmct, aNer, improve, demolish, or reDelr any stmcture, prlor to its issuance, also requires the applicant fa suc� permit
to flle e signed stetement ihet he ar she Is licensed pursuant to the provisions of the Conirectors License Lew (Chepter 9(commencing with Section 7000) of Division 3 oi Ihe
Business and Professions Code) or ihet he or sha is exempt Iherefrom and the basis for the elleged eaemptlon. Any vlolatlon of Section 7031.5 by eny applicant for a pertnit
subjecls ihe epplican� to e civil penalry of not more then five hundred dollars ($500).):
❑ I, as owner of Ihe properry, or my employaes with wages as their sole compensatlon, WILL DO THE WORK, end fhe structure is not intended or oNeretl tor sele (Sac.
7044, Business end Professions Code: The Contractors License Lew does not apply �o en owner of property who builtls or improves Ihereon, end who tloes such work
himself or herseli or t�roug� his or her own employaes, providetl ihat such Improvements are not intentletl or oflered for sale. If, however, ihe building or improvement Is
sold wit�in one year of completion, ihe owner-builder will have the burden oi proving ihet he or sha did not buIIG or improve for purpose of sale.).
❑ I, as owner of ihe properry, em EACLUSIVELV CONTFiACTNG WITH LICENSED CONTRACTORS Io construct the pmject (Sea 7044, Business and Protessions
Code: The contrectors License Lew tloes not apply to an owner ot properry who builds or Impmves thereon, entl who contracts for such projed with a contrecbr(s)
licensa pursuant to the Contradors License Laws.).
❑ I em exempt under sec.
Signature:
Owner ID verified by drivers license. ❑ Yes ❑ No
Business and Protessions Cotle for Ihis reeson:
Venfiration ot Ownership by (type of tlaumen�, I.e. - properry ta�c bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
Drivefs License No.
Date:
Expires:
❑ I hereby certity thet no excavetlon ilve (5) or mora feet in tlepth into which e person Is required to descenQ will be made in connection wit� work authorizetl hy ihis
pertnit, end thet no building sirudure, scalloltling, falsework, or tlemolition or dismentling ihereaf, will be mare than ihirry-six (36) feet high. (C�ep. 32, Grp 2, An 2, Sec.
341, Title e, Celifomla Adminlstretive Cotle).
❑ As owner-bullder, I will not employ enyone to do work which would require a pertnit from ihe Divislon ot Indusinel Safery, as notetl above, unlass such person has e
pertnit to do such work irom the division.
Signature: Date:
Division of Industdal Sefery Permit Number:
CERTIFICA O COMPLIANCE � AUTMORRATON OP ENTRY: I certify under penalry of perjury that I have read this application and state that the information given is
correct. I a e o comply with state laws entl ciry ordinances relating to building constmction, end euthonze representetives W the City ot Costa Mesa to enter upon the
ebove-des 'b proDerty for i pection puryoses. I agree not to occupy or allow occupancy ot any building euthorized by this permit until tinal inspection.
CO�E �. INSVECTIONTYVE
1616 Fixed System Finel Fira Prevention
1266 Pool SDe Final
200 Finel Re-Roo1
207 Finel BIocWReteining Wall
202 Finel Fectory Fire Plece
203 Finel Sign
204 Final Demolition
2446d8
DAIE UIiIDlLS
`idli /��
� -��-��
Date
COOE� INSPECTIONTYPE
206 Finel Mechenicel
20B Final Plumbing
210 Final Electrical
212 Final Fire Preventlon
220 Final Plenning Approvel
222 Final Site
250 Finel Building/Occupancy
�� ��
OWNER COLLE('.�, A'�54� C:()}dPA�7Y �ATE Stant. A� lOC$ _
JOB ADDRESS ' 3086 Donmrhm�Y T.gYyp BIiILDING PERMIT NO. 7K�g
GENERAL CONTRACTOR Tha N31p r��ap� VALUE $ 12�0
AP. Na LOT 6q TRACT �(�71FIRE ZONE DESCRIPTION OP WORK g� n�� P�7urp� �� n�, y7�att gar.
GROUP 7'YPE ZONE PLAN NO. �
.PECTIONS I DATE I SUBCONTRACTOR I DATE PIRMITSNUM ED
coat
Gas Test
. ,�� � �- '7,���
,
' COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
' 3084 Donnybrook Lane
COSTA MESA. CALIFORNIA
OWNER COLLEGE MESA COMPANY
ADDRE55 P•�• Box 2277, Brookhurst Station
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.._� ,��.���'J��
[' G I_�I �
! �I.1�I:LE ��PT.
APPLIC,4TION' FOR� PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. P�RE�1��(
0 l� �
'ECENED 9Y [�ATE RECEIVEO OPTE ISSUED
�... 9. .c =1�' SEP 8 1�
Anaheim rE� KE 3-3161 IBUILfJING '
CITY � NO. ADORE55
ARCHITECT Bll Otl � Q111g EY LIC.
oa EN��NEER an�l l�lark No. RF. 7791 COSTA MESA. CALIFORNIA
UZ W. 1/Ltt SC., J8IlL8 AIiB
1«e Hale Compan}�ITY JICO. ]350
ADDRE55 1777 W.Lincoln�Maheid�o;KE 3-3161 ByPROV
�E�•� �or 69 2671
OEScnivnON NO. BLOCK TRACT
� P an -AR
A.P. NO.
srze 67 x 101
OF LOT
USE OF
E%ISTING BLDG.
SIDE YARO
NEW
REPAIR
BUILOING
SIZE
° °F 8LDO5 None
1 1
SO REAR YARD '31
RIGHT 1Q' LEFT lO �
DESCRIPTION OF WORK �
X ALTERATION AODITION
MOVING DEMOLISH
- 1V. NO.OF
- �Gat. ROOMS 5 STORIES 1
WALL SCIICCO COVERING COIIl�.10
`"Single dwelling w/att. gargge
STATE TM4T THE 180VE IS CONNECT wND nGNEE TO COMPLY WITH 5LL
CITV ORDINFNCES RNO ST1TE L��NS NEGULFTING BVILDING CONSTRVC-
'�°" COLLEGE MESA C�IPANY uALUATION
$ 12,890
CORRECTIONS
PERMIT FEE 5 30.00
PLAN CHECK S LS.00
TOTAL FEE B 45.00 ..°""
04VNnR w�NG� DAVID � DATE 6-17-59
JOB ADDRESS 3081t Drnmybrook Lane BUILDING PERMIT NO. • 9 53
GENERALCONTRACTOR A 1 FeRC2 CO. VALUE s268.��
ar. rro.113-303-4 LOT TRACT PIRE ZONE DESCRIPTION OF WORK OC�c 8
IN�PECTIONS DATE I GROUP J TYPE ZONE R 1
i rground Soil U.G. Water _I I ___ PERMITS ISSUED__
- SUBCONTRACTOR
N' � e
L n.
Form ]10-3M-1-59
'� 9�53
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 CO6TA MESA. CALIFORNIA
fOR APPUCANT TO f/LL /N COMPLETELY
TYPE OR PRINT
BUILDING Q�`y'� T �/}�/�� ,/ ,/�
AODRE55 � 1 1/(�.fMV fICLII�C LAUE
A Iv1ESA. CALIFORNIA
OWNER /-��L. V'�
MAIL
ADDRE55 �HME
CITY �AM �
ARGHITECT
OR � ' :INEER
1
d LEGAL
�SIZE
OF LOT
I�IC�11
!� �'�k � L CT NTO. I( I�
W , �i f�+ �i.. �A.
6-1 I BLOCK I TRAC�T
� 3 �3 � �
// / no. ov e�ocs.
X ( �J / NOw ON LOT
GET9/.CK LINE FNOM /^�
CENTEF OF STREET ✓� � �"REAR VAf
I
SIDE YARD LEFT l IRIGHT
DESCRIPTION OF WORK
BUILDING
SIZE
EXTERIOR WALL
COVERING
USE OF BUILDING AND
OF
. �.� ���G�s�f�G
(��17 �.i `f � ��
FINANCE DEP7
APPLICATION- FORa PERMIT
rIWN
BUILDING
Fo,e oFficE usF aNcy
I RECEIP� NO. I "P�M �
✓ L�.
FECEIVEU BY DATE pECE1VEO DATE ISS�IEC
�,.�n/ �ti-i7- : fi� /__.7_�
COSTA MESA. CALIFORNIA
ZONING
ZONE (� NO.OF fISE OF NEW
// � I PLANS �i/I BWLOING
YARDS
REQUIRED
(CENTER LINE ST.)
FRONT
N R.SIDE
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IaM
' �-vti - f .C._ c�C..
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�1 HEHEBY ACNNOWLE�GE THAT � MAVE HEAD THI$ APPL ATION THE AMOUNT SHOWN IINOER VALUATION I6 FON THE
FND STATE THAT THE ABOVE I6 CORFECT NN 1pGREE TO COM� pURPOSE OF ESTABLISHING A PEFMIT FEE ONLY.
PLY WITH /�LL CITY OF�INqNCES RND STrITE WS REGIILATING
�UILDING CONSTRlICT10N. VALUATION
SIGNATURE OF O'Ll PERMIT FEE $ p�i ��
PERMITfEE . ` I � � `I
a��"v PLAN GHECK $
$
AUTHORIZED AGENT TOTAL FEE $ �� �O
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