The URL can be used to link to this page

Home My WebLink About3097 DONNYBROOK LN - Building PermitsY ` , CITY OF COSTA MESA t BUILDING DIVISION > � DEVELOPMENT SERVICES DEPARTMENT � PERMIT J •� A` (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT JobAddress: 3097 DONNYBROOKLN Suite: Vicinity: RESIDENCE AND ATTACHED GAR4GE Parcel Number: 14104214 Applicant: FAUBERT, BRAD Address: 8902 SAILPORT DR HUNTINGTON BEACH, CA owner: ROMERO, LEANDRO L Address 3097 DONNYBROOK LN 2oning: Rl R1 Phone: 714-962-2203 Zip: 92646 Phone: COSTA MESA, CA Zip: 92626 Contracror. STAR COURSE ROOFING CO. Address: 8902 SAILPORT DR Arch : Address: Zip: Phone: (800)854-0011 HUNTINGTON BEACH, CA Zip: 92646-2664 License: 532778 Phone: License: Eng: Address: 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applietl: 10/04/2001 Issued: 10/04/2001 ISSUED BY: � • ' � � �l�' ' �' SCOPE OF PERMIT TEAR OFF EXISITING COMP ROOF, NO NEW SHEATHING PROPOSED, COVER WITH 25 YEAR COMP. FEESUMMARY Plan Check: $0.00 Calc Valuation: Permit: $69.25 Claim Valuation: SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $69.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Ffont 0- 0 PARKING Existin : o NOTES: Rear 0- 0 Rear 0-0 Re uired: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Right 0- 0 Right 0- 0 Phone: License: 51,990.00 $1,990.00 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 180 days, or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In Order for the wotk authorized under this permit to be considerad legal, such work must comply with all aDP��ble codes, and all requlred Inepectiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 iy}gyg (gipp) WORKERS'COMPENSATON DECLARAnON: I hereby ettirtn untler panalry of perJury one ot the tollowing declaretions: ❑ I heve end will meintein e certilicate of consent to self-Insure br workers' compensation, as provided for by section 3700 oi the Lebor Cotle, tor the pertortnance of the work tor which Ihis pertnit is Issuetl. I heve end will maintain workers' compensation Insurance, as required by sectlon 3700 of ihe Lahor CoGe, for Ue peAortnance of t�e work for which NI5 pertnit is issuetl. My workers/' �-�o-m�p- yr��s�atlon Insur/g�u� carrier entl� /p'�oIlry number ere: G� Gerrier: / I /T � !- /A/1�1 ��I � . , '' Policy Number. I .� � / l � �0 � (lhis section need nof be comp/efed i( the peimit is veluetl af one hundred dollars ($100J or less.) ❑ I certity ihat in ihe peAormence of the,workfor which ' permit is issued, I shall not employ any person in eny manner so as to become subject to the workers' compensetion lews of Celitomi�� slda shoultl bewma subject to the workers' compensatlon proNsions oi Section 700 oi Ihe Labor Code, I shall forthwith ComD�Y �'Ith ihese provlsion � ' I ^ � �' � f �-- -- LI ApDllcant5l8nature:'—�- _ Date: WARNINp: FAILURE TO SE RE WORKERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPIOYER TO CRIMINAL GENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSFNDDOLLARE�51 , , ADDITIONTOTHECOSTOFCAMPENSATION,DAMAGESASPPOVIDE�FORINSECTION3]OfiOFTHELA80RCODE,IfJrEREST,ANDATTORNEV'SFEES. IICENSED CONTRACTORS DEClARA710N: I here6y aHirtn that 1 em licensad under Dwvlsic lorce end eHect. Lia N � 7000) of Divlslon 3 af the Business entl Professions C f�, e�rt�y.{icense is in tull Class N . n "� Dete: CONSTRUCTION CENOfRG AGENCV: ❑ I hereby eHirtn thet there is a consiruc�lon lending agency for ihe pertormance of the work tor which Ihis permit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lentler's Atltlress: Signeture: _ OWNER-BUILDER DECLARA710NS: Date: I hereby aHirtn thet under penelry of perjury Ihet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business and Professions Cade: Any ciry or counry which requlres a permit to consiruct, alter, improve, demolish, or repair eny slrucWre, pdar ro its issuance, elso requlres the epplicant for such pertnit to file a signetl statemant t�el �e ar she Is Ilcensetl pursuent to t�e provisions of �he Contractore License Lew (Chepter 9(commencing with Secllon 7000) at Divislon 3 at iha Business and Professions Code) or thet he or she is ezempt therefrwn and the hasis For the ellegad exemption. Any Woletion ol Sectlon 7031.5 by eny applicant tor e pem+i subjects ifie'epplicant to e dvil penelry ol nat mare Ihan five hundred tlollars (5500).): ❑ I, as owner of ihe property,�or�my employees with wages as Iheir sole wmpensation, WILL DO THE WORK, antl ihe sWCWre Is not Intendetl or oHeretl for sale (Sec. 7044. Business and Profes5ions Code: Tha Coniractors License Lew dces not apply lo an owner of property who Duilds or improves Ihereon, antl who does such work himself or herselt or thmugh"fils'or her awn emplayeas, provitletl that such improvemenis ere not imendetl or oNered br sale. If, however, tha builtling or improvement is sold wilhin one yeer of completion, ihe owner-builder will heve Ihe burden of proving t�at he or she did not builtl or improve for purpose ot sale.). ❑ I, es owner ot the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to comtruct t�e project (Sac. 7044, Businass antl Protessions Code: The coNrectors Llcense Lew tloes not apply to en owner of pmperry who 6ullds or Impraves Ihereon, end who contrects lor such projact with a coniractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt un0er sec. Signature: Owner ID verltled by tlrlvef511cense. ❑ Yes ❑ No Business and Professions Code for ihis reason: Veriticetion ol Ownershl0 by (type oi tlocument, Le. - property ta: blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Drivers License No. Da�e: Expires: ❑ I hereby certity thet no excevatlon five (5) or more feet in dep�h into which a person Is requiretl to Eescend, will be mede in connectlon with wark euthorized by Ihis pertnit, end thet no bullding simcture, scaflolding, falsework, or tlemolition or dismantling thereot, will 6e more ihan thirty-six (36) leet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title B, Callfornie Atlministretive Catle). ❑ As owner-builtler, I will not employ anyone 10 do work which would require e permit from t�e Division ot Indusirial Sefery, es noted ebove, unless such person hes e pertnit to do such work from the division. Signature: Date: Division of Industrial Safery Pertnit Number: CEHTFICATE OF COMPLIANCE AND AIJTTfORIZA710N OF ENTRV: I cenity under penalty of parjury that I hevo reed this epplication end slate thet ihe information given is correct. I egree to comply with ell stele lews end city orCinences relating to builtling consiruction, and authorize representatives ot ihe Ciry of Costa Mesa to enter upon ihe abova-described property for insgection purposes. I egre t to occupy or ellow occupancy of eny building euthonzed by this pertnit until final inspection. COUE �• INSPECTIONTYPE 1676 Fi:etl System Final Fire Prevention 1266 Pool Spe Finel 200 Finel Re-Root 207 Final BIaWRetaining Wall 202 Finel Factory Fire Plece 203 Finel Sign 204 Finel Demolition p/� I L 1 C/ �1 loJ �J°�1 Date CODE I INSPECTION TYGE 206 Final Mechanical 20B Flnal Plumbing 210 Flnal Electdcal 212 Final Fire Preventlan 220 Final Plenning Approval 222 Final Site 250 FinalBuilding/Occupenq pl.\I�I5u1l.1�', �OWNER COLTFf:F T�44 �(�rnaeNV ' DATE San+,�i� i��.r,�_ JOB ADDRESS 3097 Donnvbrook Lane BUILDING PERtoi1T NO. 7K�� GENERAL CON7'RAC7'OR The Ha1B ComBDriV VALI[E S 12 , 599 AP. No. LOT 61 T�CT ?h71�� ZONE DESCRIPTION OF WORR qi nvl a rh.ral l; no ,.r�/�+t ,_V�,3r'. (="`�UP jfy�J TYpE V Z0� Rl PLAN NO. I�...PEGTIONS I DATE I BUBCONTRACTOR I DATE� coat Gas T¢st ^� .. . � '7�C�0 COSTA MESA BUILDING DEPARTMENT • P. O. BO% 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN 3097 Iane COSTA MESA. CALIFORNIA OWNER COLLEGE MESA COMPANY ADDRESSP•O. BOX 2277, Braokhurst Station arv Anaheim �No: KE 3-316 ARCHITECT U OY� QU g 0Y LIC. OR ENGINEER and Clark �o� RE 7191 ADORESS�lOZ W. 17CY1 SC.� Santa i�RB CONTRACTOR TI70 H310 AODRESS1�7J W.Linco t[cn� lOT L DESCRIPiION NO. V � an o. A.P. NO. 5'�E 66 x 101 OF LOT USE OF EXISTING B�DG. +o`. 7350 16 "� °` a`°`� None NOW ON LOT SETB.�CK LINE FROM gO CErvTEA OF SiFEEt SO� � FEAR YARD JG � SIDE YAR� ftIGHi 9� LEFT 9� DESCRIPTION OF WORK NEW X ALTERATION N ADDITION � REPAIR MOVING II DEMOLISH BUILDI � �L1V. ryO.OF SIZE O� �GdT. ROOMS S STORIES EXTERIOF WALL ROOF COVERING StUCCO. COVERING CORlPO. USEOFNEW_. . . __. . - , ,� _.� ��v�. J �_.. ��j� �' Fii!^,"�CE DEPT. nr �.nrTp M1�rr APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY BUILDING /ODRE55 FIRE 20NE IONE 1� COSTA MESA. CALIFORNIA STATE THNT THE aBOVE IS CORRECT RN� RGREE TO COMPLV WItN 1LL CITY OROINPNCES FND STATE LAW$ HEGV�ATING BVILDING CONSTRUC� ��o�. [mr CO�LEGE MESA COMPANY VALUATION P RM�ITTEE DL• ��he Hale Companv,Gen.��artne g 12,599 G DATE CORRECTIONS PERmiT FEE 5 30.00 PLAN CHECK S LS.00 TOTAL FEE S 4S.00 K 9"^ ci