HomeMy WebLinkAbout3098 DONNYBROOK LN - Building PermitsL�.
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CITY OF COSTA MESA
BI/ILDING DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
P98-00417
PERMIT NUMBER
(714) 754-5273 • Fvc (714) 7543856 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vlcinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
3098 DONNYBROOK LN
14104303
NOCK,RON
KROGH, MARK
Address 3098 DONNYBROOK LN
COSTA MESA, CA
Contractor:
Address:
ArchlEng:
Address:
NOCK PLUMBING
11612 KNOTT ST
GARDEN GROVE , CA
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater.
Drein, Roof
Dnnking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (t-4 outlets)
Gas (Over 4 ou[lets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
AMT
$22.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$8.75
30.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Qrv
PLUMBING PERMIT
Phone:
Zip:
Phone:
Zip: 92626
Phone:��714 8951246
Zip: 92841
License: 707775
Phone:
Zip:
License:
SCOPE OF PERMIT
INSTALL DISHWASHER.
FEESUMMARY'
AMT
Laundry Tub I Washer $0.00
Landscape Irrigation 50.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 70 fl) $0.00
Receptore $0.00
Septic Tank $0.00
SewerCapforDemo $0.00
Sewer Connect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, wmmercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Status: ISSUED �
Applied: O6/01/1998
Issued: 06/03/1998
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Soflener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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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 tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inepectlona and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
WORKERS' COMPENSATION DECLARATION:
I hereby ettirtn under penalry of De�ury one oi the Following deUaretions:
❑ I heve entl wlll meintaln e certificete of consent to seli-Insure for workers' compensetlon, es providetl for by saction 3700 of t�e Lebar Code, tor the performence of t�e
rk for whiCh �hi9 permit is issuetl.
I have end vnll meintein workers' compensalion insurance, es requiretl by section 3700 ot the Labor Code, for the peAortnance ot the work for wliich ihis permit is issued.
My workers' ns on I suranncne c.a,rtier and poliry number ere: %� ? �/ (/ "�
Cartler. � �.J�4ury .� O Polity Number. �� /.J T T Qd
(77tls sectlon need naf be �plefed il Ne pe it is velued a( one hunOred tlollers ($100J or less.)
❑ I certly ihet In ihe performance of the work for which Ih' rtnit Is issue0, I ahall not employ eny person in any menner sa as to become subject to the workers'
campensation laws oi C I)fomia,� n agre Ii I shou b come sublect to Ihe workers' campensetion provlslons o1 Sectlon 3700 of the Lebar Catle, I shall fort�wlth
comply with these prov �6ns. % y/�
Applicent Slgneture: N / Dete: /U � �— �v
WARNINO: FAILURE TO SE RE WORKERS' �MPENSATION COVER40E IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CRIMINFL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED
TFKKISAND DOLLAFE (51 .00O�, IN AOOITION O THE COST OF WMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CADE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirtn Ihet I em Ilcensed under provl � ns of
force end ettect. Uc. x
Cantrectors Signeture: �� �
with Secilon 7000) ot Division 3 oi the 8usiness end Prolessions Cade, end my license is in full
_ Class N
_ Date: � — 3 —
CONSTRUC710N LENDING AGENCV:
❑ I hereby eKrm that there is e constructlon lending egen�y for the pedormance of Iha work for which Nis permit is issued. (Sec. 3097, Civll Cotle).
Lentlefs Name:
Signature: _
OWNER-BUILDER DECIARATIONS:
Lenders Atltlress:
Date:
I hereby aHirtn thet under penalty ot perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following raeson (Sec. 7031.5, Business end Professions
Code: Any clty or county w�ich requlres e pertnit to construct, eltar, Improve, tlemolish, or repair eny structure, prior to Its Issuence, alsa requlres ihe epplicant for such parmit
to flle e signetl stetement thet he or she is Ilcensed pursuent to the Drovisions of Ihe Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) oi Dlvision 3 of Ihe
Business end Professlons Cotle) or ihat he or she is ezempi �heretrom antl t�e basls tor ihe ellegad exemption. Any violetlon of Sectlon 7031.5 by any epplicant for e permli
sublects the eppllcaM to e civll penelry oi not more then five huntlred tlollars ($500).):
❑ I, es owner o11ha property, or my employees with wages as ihelr sole compensatlon, WILL DO THE WORK, end the structure is not intended or oNered for sale (Sec.
7044, Business flntl Professions Cotle: 7Te Contradors License Lew tloes not apply to an owner at pmperry who builds or impmves thereon, and who tloes such work
' hlmseli or hersetl ar ihraugh his ar her own employees, proNded thet such Improvements are not intended or oXered for sele. II, however, Ihe bulltling or Improvement Is
sold within one year of completion, t�e owner-bulltler will heve ihe burtlen of proving Ihat he or she did not bulltl or improve 1or purpose af sale.).
❑ I, es awner of Ihe properry, em E%CLUSIVELV CONTRACTING WITH LICENSED CON7FiACTOFiS to construct the proleci (Sec. 7044, Business and Pmfessions
Code: The contractors License Lew does not apply to an owner of praperty who Dullds or improves Ihereon, end who wnirecis far such projed with a contractor(s)
license pursuent to the Coniractors license Laws.).
❑ I am exempt untler sec. Business end Professions Code tor this reason:
SigneNre: Dete:
Owner ID venlled by driver's license. ❑ Yes ❑ No Driver's License No. Expires:
Vediicatlon af Ownership by (type of document, i.a. - properry tex bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ,
❑ I hereby ceNfy t�et no excavation tive (5) or more feet In tlepih into which e person Is requlretl to descentl, wlll De mada In connectlon with woM authodzad by Ihis
permit, enA thet no builtling structure, scaXolding, felsework, or demolition or dismantling thereoi, will be more than t�lrry-six (38) leet high. (C�ep. 32, Grp 2, Art 2, Sec.
341, Title B, Cellfomia Atlministretive Code).
❑ As owner-builder, I will not employ enyone to do work which would require a pertnit from the Division of Industrlal Sefery, es noted ebove, unless such person has e
permit Io da such work irom Ihe division.
Signeture: Dete:
Division ot InCustrial Safety Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORPIITON OF ENTRY: I certiy under penalty ot perjury thet I have reatl this epplication and state ihat the infortnation given is
wrrect. I egree to comply with all state laws end ciry ortlinences relating to building consiruction, end euihodze representetives ot Ihe Ciry of Costa Mesa to enter upon the
ebove-dasc�ibed properry ior inspedion purposes. I�pr@e not to occupy or ellow occupancy ot eny building euthorizetl by Ihis pertnit until final inspection.
fApE �. INSPELTWNTYPE pA1E I�15
1816 Fixed System Finel Fire Pravention
1288
200
201
202
203
Pool Spe Finel
Final Re-Rool
Final 81ocWReteining Wall
Finel Fectory Fire Plece
Final Sign
204 Flnel Demolition
2d48d8
Date
6-�-
Date
CO�E� IXSPECTIONTVPE
206 Flnel Mecnenicel
208 Finel Plumbing
210 Finel Elett�icel
212 Final Fire Prev8nU0n
220 Flnal Planning Approval
222 Final Slte
250 Finel Building/Occupency
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wmeasxweivpwiw KROGH, MARK V FLOOD: X 46
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COSTA MESA,CA 92626
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CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: H U82344
PERMIT NO: B 082344 PLAN CHECK NO; N GOVT: N SUPP: N��
� �
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE:
���
JOB DESCRIPTION . T/OFF RECOVER W/30 YR COMP SHINGLE SQ FT: 4,20$ �m
� 6 ��
CLAIM VALUE: 4,200.00 CALC—VALUE: 4,200.00 GROUP OCC: R-3 /U—�`�CF"
� M
*�********�r**�*D**rt***i�R**��**f�*��x�***�e*�r�r�rx-**�r-�rt**-x��**�+trt*x*x**�***�rx *�tx x�r*f� k�
Z O N I N G R E Q U I R E M E N T S p W
S E T B A C K S m a
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14104303 ZNE: REF NO:
PLANNING NOTES>.
• i ' '.n
if 1F iF �ElE if !E iE IF If if iE �f iE"iF iE iE IE 1E K IF IE if iF iF 3E 3ElE iE 1f 1E iE IE iE iE iE IE iE jE 3f iF if if if iF iE if iE 1E iF IE iE iE iE 3E 1E!(-fE iF if iE 1f iE iE 1F iF jF iF jE i! iE iE iE 3E 3E jt iF iE �f
D E V EiL O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE: `
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY
if iE iE 1E iE iE iE fE iE if i! if 1E 1E if 1E iE 1E 1P IE if
LEGALIZATION:'N
BLDG PMT PLUMBING
PERMIT 99.75
F E E S U M M A R Y
ELECTAIC MECHI�NIC
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 100.25 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
99.75
�DATE: /.��E�
�E1f1ElfiElEiEiE1EiE�� iElE
STAUCTURAL SEGMENT:Y
FIRE SMIP/R50 GRApING
SMIP/NON—RES
TOTAL PAID DUE
100.25 100.25 .00
100,25 OVER/SHORT: .00
FIRE SMIP/TO�T GRADING PLAN—CN6CK
N� iE 1f if iE K� 1ElE iE 1E jE !f if k ik 1E k IE iFlk if iE N!F iE fE IE It If �f iF k iE IF i41k 1FlF 3E if if 1f fk 1k if 1f iE 1E 1E 1E IE �( !F 1E iE 1E i61E 1E iE i! fk fE 1k iklt 1! iE iE IF iE 1E iE 1E iE i� iP i! iF
I N D I V I D U A L F E E B R E A K D O W N
1'YPE QT'Y D E S C R I P 1' I O N UNIT COST TOTAL COST
SFR 4200 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,200,00
END OF FEES
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RCPT • 451
PER :082344
CONSTFUCTION ANDPLANNING � _ POOL �A
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
. i. Temporaiy Electrica� Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgmd. 53. Steel Reintorcement
3. Electrical Gonduit Utility�Undrgrnd. 54. Forms �
4. Electrica� Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
6. Electrical UFER Gmd. . 57. APPROVALTO COVEFi�GUNITE
7. Footings 58. Electrical Cqnduii�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK .
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final�
12. Sewer Cap 63. Heater & Vent•Final
73. Roof Drains 64. Plumbing System • Final
14. Rough Plumbing 65. Electrical�Final .
15. Rough Electrical�Conduit � 66. Solar SYstem�Fina�
16. Rough EleGtric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. �ucts, Ventilating 77. Prodvct Piping OGas ❑Oil
23. Gas Pipe•Rough & Test - 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing �/1/�'% 74, Overhead Hydro
26. T-Bar Cei�ing (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM F�NAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster BroWn Coat 79. FINAL INSPECTION
32. Etectriwl Power Meter-Final 80. FOOD CERT�FICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Condi[ioning
35. Final Gas Pipe-Test
36. Nood or Canopy
37. Final FactO�Y F�replace
38. Final Plumbing
39. Water Servlce�Final
40. Gas Servics-Final '
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape irriqation System
45. Sound A[tenuation
46. Handicap Re9ulations
47. FINAL STfiUCTURE & BUILDING �'ly��¢7/'�..L
l ! (Y�•`•,�
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERiIFICATEOFOCCUPANCY
No. Date
,
COSTA MESA BUILDIfdG DEPARTiiAENT
P. 0. BOX 317
COStA MESA CALIFORNIA ��E
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
� I ��B�D I .
17 1959 FOR APPLICANT TO FILL IIV
(`./� BUILDING ADDRESS -�� �g �""'^`�''�p�"A" r�'�""-
Owner �.,.'-'" '� �°' '419-'`s�'„
Mail Address .3 � `� g ��""`"'�"'�`'"""� �'-'""-
City �-'`�" �''"'�" Ph. No. F:i- S- 58%
a
Contractor Ph. No.
Address
City Lic._No. State Lic. No. —
Size of Lof � 7� X/ o� AP Ne"!'° t' ' n - 7-- in-�
Setbacks: C/L Stree � ��'f Rear �
Y �
Side Yard - Righ / Lef /
Type of Fence V�+-�`��' � r" �-
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with a11 City Ord-
inances and State Laws regulating building construction.
Signature
oE Permittee _
FOR OFFICE USE ONLY
VALUATION
-��-5 YI� /h
Permit Fee $S�
Plan Check $�
�/
TOTAL FEE $_2'
USE REVERSE SIDE FOR DETAILS
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-OWNER COLL".rrE MFSA (:(1a7PA\iV DATE RPnt R� '!�H ,
JOB ADDRESS 3098 Donnvbrook I�aT+P BUILDING PERMIT NO. 7505
�GENERALCONTRACTOR The Nale Co.�mamr VAL[lEj 12�890
AP. No. LOT (�6 TRACT �(��� PQtL ZONE DESCRIPITON OF WORR Si nola rhaal l i n
- _ � .. [,'�-t � .--�s,
I. ,�ECTIONB I DATE I BUBCONTRACTOR I
DATE
coac
(�ias
PERMITSISSUED
�s �� ����iJ ' SEP-8-5^i��esn�'�56a a,�tr�.4��.0�
� � _ ,;-n � '� ,
COSTA MESA BUILDING DEPARTMENT-�- �� ��-h ��1`�
P.O. BOX 31� ��(��;�/
COSTA MESA. CALIFORNIA a 3
_,,�•�r FPT
FOR APPLICANT TO FILL IN r� "'��A:'PPLICATION FOR PERMIT
�c �.�u*„ + -
ADDREI55 3098 Donnybrook Lane B U I LD I N G
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. �Mli
OWNER COLLEGE MESA COMPANY e:�
ARCHITECT DLL1UL �(LL �
oR r veerz and �lar
ADORE55 LLOZ W. LJCLl S
CONTRACTORl��e Hale Comg
AD�RE55 1777 W.Lincoln�
LEGAL LOT
oEscAiPriorv No. 66 � a�
an -
A.P. NO.
s'�E 67 x 101
OF LOT
USE OF
EXISTING BLDG.
SETBf�CN L NE FFO SO ,
CENTER OF STREETM
RD
NEW
REPAIR
6UILDING
SIZE
RECEIVE� BY pATE RECEIVE� O�
�khurst Statio ,i^rr�. - �-�f�
TNo KE 3-3161 nooRess
No: RE 7191 COSTA MESA. CALIFORNIA
FIRE
Santa Ana ZONE
ITY NO. %350 xorvE/�, poe
; KE 3-3161
TRACT 26
"° �` a`°`� None
NOW ON LOT
REAR YARD 341 �
FIGHT 9 � LEFT V �
DESCRIPTION OF WORK �
X ALTERATION ADDITION
MOVING OEMOLISH
1V .
440'-Gai. aooMs S STORIES 1
WALLSCUCCO COVERING COIDDO
w/att.
STPTE THFT THE P90VE IS CORPECT AND 4GREE TO COMPLV WITH TLL
CITY OROINANCES <ND STATE L<WS REGVLATING 9VILOING CONSTRVC�
T'°" COLLE MESA COMPANY vnwnnoN
SIGNATURE OF Q
PERMITTEE l�y; � Hale Company /�
���%i'���'_ /�!��� . ,
DATE
CORRECTIONS
PERMIT FEE $ JO.OU
PLAN CHECK S LS �OO
TOTAL FEE S 4S.00
�,M,
. •�
OWNER ��TFR� ATS/TN ANTI .T(1SFPHTAIF DATE2-16-59
IOB ADDRESS ���8 n�sl;yy�i�,06��C iailg BUILDING PERMIT NO. $(�$9�
GENERALCONTRACTOR VALUES lliFi_!Yl
AP. No. LOT TRACT FIRE ZONE ' DESCRIPTION OF WORK
I. ?ECTIONS � DATE I SUBCONTRACTOR I PERMITSISSUED
DATE NUMBER
coat
Gas
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