HomeMy WebLinkAbout101 THE MASTERS CIR - Building Permits CITY OF COSTA MESA
4 s • BUILDING DIVISION
>:f ..� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
F t j./s PERMIT
J' ik
'hb,, m ' JB03-00137
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 101 THE MASTERS CI Status: ISSUED
Suite: Applied: 01/28/2003
Vicinity: ROOF Issued: 01/28/2003
Parcel Number: 11939149 Zoning:
Applicant: RANDOL, HOWARD L ISSUED BY:
Address: 1435 SEARIDGE
Phone: 714-658-3136
NEWPORT BEACH,CA Zip: 92660
Owner: HOGLAND, DENNIS W TR
Address 1769 NEWPORT BLVD
Phone:
COSTA MESA,CA Zip: 92627
Contractor: RANDOL ROOFING AND CONSTRUCTION
Address: 1435 SEARIDGE
Phone: 714-658-3136
NEWPORT BEACH,CA
Zip: 92660 License: 451937
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL DURALIGHT,CLASS A TILE, ICBG#ER-2656.5.6 LBS PER S.F. 1,500 S.F. INCLUDES ATTACHED
GARAGE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $7,000.00
Permit: $139.25 Claim Valuation: $7,000.00
SMIP Res: $0.70
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $139.95
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
244646(axle)•
•
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: •
1 hereby affirm under penalty of perjury one of the following declarations:
.❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code.for the performance of the
w for which this permit is issued.
I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
My workers'compevetion9surance carrier a policy number a//g
Carrier: at Policy i(.xi.�/ X Policy Number: ®d �/ 3
(This section need not be completed ii the pe Is valued at one-hundred dollars($100)or less.)
❑ I certify that in the performance of the work for w 'ch this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and 'gr- that I should bec• e 'Oct- to the workers'compensation provisions of Section 37 f t e Labor Code,I shall forthwith
comply with these provisions. '//,
Applicant Signature: / Date: CD -7
WARNING:FAILURE TO SECURE WO- ERS • NSATION COVET GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business a•• Professions Code,and my license Is In full
force and effect.Lie.N _ / Class It / —G 3'% r- Til /�4C
Contractor's Signature: 71A r ,( Date:ar Air
•
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
O I em exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e..property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2.Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 MI the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required.has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application aEEermlt for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? .P Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If"yes'',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (if"yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all stale laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signatures e/ D•
alra
CS-e
CODE A INSPECTION TYPE PATE INITIALS yODEi( INSPECTIONTYPg pAle INTITIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof a_!q..3 Safi-- 210 Final Electrical •
201 Final Block/Retaining Wall 212 Final Fire Prevention _
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site •
204 Final Demolition - • 250 Final Building/Occupancy
CITY OF "TSTA MESA PROPERTY DETAIL .EPORT
101 The Masters Cir
Costa Mesa, CA 92627-4640
Owner: Hogland Dennis W Phone: DNC
Resident: Hogland, Dennis Phone: DNC
Site Address: 101 The Masters Cir Tax Address: 1769 Newport Blvd
City/Zip: Costa Mesa/92627-4640 City/Zip: Costa Mesa/92627-2719
Parcel Id: 119-391-49 Own. Occ.: Yes
Location: Costa Mesa City School District: Newport-Mesa Unified
Neighborhood: Unknown Census Tract: 063101
Wealth Code: 4.0 Year Listed: <1993
Legal Desc.: N Tr 6508 Lot 1
Zoning: Unknown
Subdivision: Unknown
Usage: 001: Single Family Residential
Style: Unknown
Construction: Unknown
Year Built: 1970 Ttl. Rooms: 8 Blktop Paving: Unk.
Stories: 2 Bsmt. Type: Unknown Concrt Paving: Unk.
Bdrms: 3 Bsmt. Fin.: Unknown Carport: No
Baths: 3 Full Gar.Type: Attached Garage Deck: Unk.
Heating: Unknown Gar.-Cars: Patio: Unk.
Cooling: Unknown Gar. Sqft: Pole Barn: Unk.
lrr. Lot: Unknown Roof Mater.: Unknown Pool: No
Terrain: Unknown Roof Style: Unknown Fireplace:
Water: Unknown Attic Type: Unknown Gas: Unk.
Sewer: Unknown Condition: Unknown Electric: Unk.
Sqft 1st: Lot Dim: Units:
Sqft 2nd: Lot Size: .154 acres
Sqft Bsmt: Lot Sqft: 6708.24 sq.feet
Sqft Total: 2171
Market Value: $92,097 Gross Tax Semi Ann.: $591.65
Assessed Land: $39,245 HB920 Credit Semi.:
Assessed Bldg: $52,852 RB Credit Semi Ann.:
Assessed Total: $92,097 RBA Credit Semi.:
Percent Improved: 57% Homestead Exemption:
Delinquent Taxes: Spec.Assmt. Semi.:
Tax Semi Ann.: $591.65
Sale Date: Oct-20-1971 Mortgage Date:
Sale Amt.: $45,000 Mortgage Amt.:
Deed Type: Unknown Mortgage Type:
Volume& Page: 9854/346 Volume& Page:
Seller: Lender:
Title Company: Unknown Mortgage Term:
Multi-Parcel: No Mortgage Rate:
The information is deemed reliable but is not guaranteed. 2002-2003 Tax Year Copyright 2003 Haines Printed Aug-08-03
SOUTH ORANGE CA
X S50 ' ' CITY OF COSTA MESA
BUILDING DIVISION
o r/ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
J rilPERMIT
4kbetiwtool 1P03-00130
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 101 THE MASTERS CI Status: ISSUED
Suite No Applied: 02/27/2003
Issued: 02/27/2003
Vicinity:
Parcel Nunmber: 11939149 ISSUED BY:
Applicant: NOCK, TIM
Address: 11612 KNOTT ST
Phone: (714)895-1246
GARDEN GROVE,CA Zip: 92841
Owner: HOGLAND, DENNIS W TR
Address 1769 NEWPORT BLVD
Phone: 714-557-9891
COSTA MESA,CA Zip: 92627
Contractor: NOCK PLUMBING
Address: 11612 KNOTT ST
Phone: (714)895-1246
GARDEN GROVE,CA Zip: 92841
License: 707775
•
Arch / Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
WATER HEATER CHANGE OUT.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 .0 _ Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6(00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is issued. ,
I have and will maintain workers compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are: 1�
Carrier: _T Y(5L,*1 •• Col Q' p)ew `l/(11IF Policy Number: i`[(t 70000;62OD
(This section need not be co7lip/ate&?Him permit is valued at One hundred dollars($100)or loss.) .
❑ I certify that in the performance of the •rk for which this permit Is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Calibmia,en• :,roe that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provi-• s.
Applicant Signature: it / Date: 3/ - S - 0 S
WARNING:FAILURE TO SECIIR: r' " '*0 -ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE(51OO,OOO),IN A•DITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Profusions Code,and my license Is in full
force and effect.Lic.# 107.7( Class# Ci ,b
Contractors Signature: A ...••••• Date: 3 - S - 0 CWr•
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of ONislon 3 of the
Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: _ Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes U No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application.have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No
8 (if'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF >' •Y: I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws a d city ordina' relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection --s.I agree n• •occupy or allow occupancy of any building authorized by this permit until final inspection.
Signatur 1Le.a .r(s) 3 ,� _D, 3
� � v
And/Or Authorized •p t Date
CODE I INSPECTION TYPE PdIT• 1tIIIIlA CODE I INSPECTION TYPE . PAIE INIIDALO
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing 4-1.322_3 a
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
OWNER UNITED SAVINGS & LOAN DATE 4-27-70
JOB ADDRESS 101 The Masters Circle BUILDING PERMIT NO. 31733
GENERAL CONTRACTOR Ryness S Smith DESCRIPTION of WORK Residence W/Attached Garage
A ,. - LOT 1 TRACT 6508 FIRE ZONE VALUE $ 31,633.00
INo,-ECTIONS Si•nature Date GROUP I 6, J TYPE V ZONE R-1
SOIL fri 5 5--[.'OC SUBCONTRACTOR PERMITS ISS4ED
Date
GASI
y// Number Signature
W ATER149k15 -13--7? /4 SG -2V-76 -IYm.in•
.7.-
ROUGH
ROUGH PI MBING nI /i��//!�`���0 r /� le-.29- 7/yamMi�j
PROP. SWR. LINE HOUSE CON, VJ 4-7 S 4t-2-7a j�� / " t • /I .
64/-.X, o�Fy ✓�
SPRINKLING SYSTEM /�'
MISCELLANEOUS .!,
ROUGH HEATING AND AIR CONDITIONING /IA sO Z.6 70
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING 1 Ip'Z `',y I'loatin2 an• Ve t. /
TRENCHES {S� FORMS Z STEEL REINF. 0 /� 4-�-7P 4 Ota igete ,,, . 4f 3.-24- e e97 •f-
FLOOR SYSTEM "`- }"70 /,rJ I ) f/ �'6-/9Q o, 9 /—
BOND BEAM n STEEL REINFORCE n !!!
SHEATHING T, % c/p/c;
FRAME AND FLASHING 1t �7/
LATHING — IN nl OUT ® ` 7!�Lz /O
PLP'-ER, BROWN COAT 4c '5 cr'/b76
S1 URAL, FINAL f� " "�"Eleecct is .rte/
HEATING, VENT., REFRIG. AND A.C., FINAL / ,/az(i1 ie -/. �. 1J-Fi)� .-4/4.4e5(''......-
PLUMBING,
//L "�
PLUMBING, FINAL AND GAS TEST n jir?tU- ':;O ELECTRIC, FINAL •.2417/
BUILDING, FINAL 6Z'rJ/
i / .e .., .-r.
3 ! 723APR 29.7ncMsr001670* *t" ''1,.9.75
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEI DyyE SgF.F{VED DA ISSUED ,�
ADIDLDING RESS 101 The Masters Circle Y--;-( /-7� ���77pp 7U
OWNER United Savings 8 Loan Assoc. A.P.ND. -%/.33
MAIL BUILDINGI �,g� (Lick,
ADDRESS 9800 S. Sepulveda Blvd. ADDRESS �Q �/�r! LClV
z . p
0 0 CITY Los Angeles, Calif. NOL' 670-7550 TRAC2/ SOU I LOT / BLOCK
ZZ CONSTRUCTION NEW A D ALTER REPAIR MOVING DiMOLISH
O N LENDER Owner
[1 m
J D BRANCH ��y ��
JN OWNER r�.�, A ^ _ � �, I
m -I ADDRESS V LUE LSV
•CO ARCHITECT USE $J Q R.J. MarvickL -
OR ENGINEER
U N
FIRE
WCL ADDRESS 1538 N. Century, Santa Ana ZONE TYPE GROUP
[LW
W ZAPPROVED
J O CONTRACTOR Ryness-Smith Co. BY DATE
CO
.71m ADDRESS 140 E. Industry Ave. >P
W W �.C✓ ZON • NO.OF USE OF N
Zi CITY La Habra, Calif. /No. 879-31 1 /\�j I (PLANS BUILDING _La.,a/ ,
W O STATE CIT YARDS APPROVED SAROS A V d
j O LIC. NO. 167538 LIC. NO. 64 MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLOCS. (FROM C/L ST EET)
OF LOT 50 x 132.29 NOW ON LOT FRONT FT. FT.
USE OF .�,.Qj. (/n� '
EXISTING BLDG. R,SIDE /0 FT. Pii, "1-ilv �-"FT.
I- SIZE OF 2100 NO.OF 8 21
Z NEW BLDG. ROOMS STORIES L.SIDE 3 FT. FT.
VEXTERIOR WALL ROOF /
COVERING STUCCO COVERING Wood Shake REAR 36 FT. FT.
CL USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CL MAIN BLOCS. ACCESS. BLOCS.
Q Single familydwelling8 two car VAR ' /5 -6"/ DATE . 3- /7'-6
O 9 C.U.P 9/- to/ APPROVED / - (n-Go
y attached garage ROVED �Lp 7TE Y J,7/// 61
Z
5-C Lot I Plan ((( '
UI hereby acknowledge that I have read this application and state - I
that the above information is correct and agree to comply with
cc all laws regulating building construction, and I shall not employ
H any person in violation of the workman's compensation laws of
y the State of California. !� to
Z �/d�]I hereby certify that I am properly licensed as a contractor under SO. FT>J �y o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR g
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 ,
am exempt from the provisions of the State of California Business
CC
and Professions C e, Division 3,Chapter VALUATION //,`�f� m
!� PERMIT FEE $ /d V D
Signature of � / f / --).`� m
Perm Ittee / / �!�/Jr $ ��(j„�� PLAN CHECK $ , �--7 E
/L 5� o
✓/,J�/C j 7 LL
Authorized Agent ,�- TOTAL FEE $ 7/
OWNER HOA&LINDt D. DATE 10-77_T1
'..10B ADDRESS 101 Masters Circle BUILDING PERMIT NO. X4724
a" =RAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Patio Cover & Deck
' '' Ar No. 119-391-4+9 LOT TRACT FIRE ZONE VALUE $600.00
INSPECTIONS Signature Date GROUP I TYPE —1
V—N ZONE R
SOIL
GAS SUBCONTRACTOR PERMITS ISSUED
WATER Dote I Number I Signature
,s Plumbing
�ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS .
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES 0 FORMS 0 STEEL REINF. 0
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
Le 'G - IN n OUT in
PL :R, BROWN COAT
STRUCTURAL. FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL ,4 i I J
33724 OCT 1 19(t
' COSTA MESA BUILDING-SAFETY DEPARTMENT
111-
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 [1) /� 0 f
APPLICATION-FOR.BU II L\DING`•PEJRMITJ
For Applicantliicto Fill
lll in�Completely
/,�'/,J 91 DyT, /�9 /yT
/D/ /�!�2+�%CGC.�/l.O (./ 'L RECEIy��/ ✓ D/ R�/ // D/ f. I-/A-7/
ED
BUILDING �!/�� U
ADDRESS 1c Jp/ /�Cf
OWNER O, (-4oA- C I Ni.) A.P. NO..79--'39/ �]q�r/' PERMIT•t� 72
MAIL 2 C..0 3R0A-D 1✓�-f BADIDRESS/ L!/ /n'O J &
ADDRESSLB Lij
lt,J '/ h (�
CL 0 CITY Cr 65-A NOL5e./fro // TRACT 5-0 8 I LOT t BLOCK
ZZ
< CONSTRUCTION St/zt NEW ADD ALTER REPAIR MOVING DFMOI ISH
acn
m LENDER J
J D BRANCH
—I N OWNER r�i�/�T��
B] J ADDRESS //2A/E /,
-CO ARCHITECT ,t A�/��/�+ /pa NEL. USE !i' 6/C��C/vt' ' $ OD `
J OR ENGINEER '✓r /'� 7l 7
ZC FIRE
32 ADDRESS / �/�� ZONE 5 TYPE GROUP/}
LU Z CONTRACTOR 0 /( eAt APPROVED DATE /V //7j
Jp
CID �t
J cc ADDRESS. 4
LU ill Z / NO.OF USE OF NEW trie
O = CITY NOL.r, % PLANS. BUILDING` �.
21.— r
STATE CITY YARDS APPROVED YARDS APPROVED
jO LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
SIZE L (J /0 x 1 J )/2 p i f I NO OF NOW O N LOTS / IRO F T.
OF LOT J 1r10 JitL.�
USE OF �f /
EXISTING BLDG. e"S, R.SIDE . 'a^ FT. FT.
I— SIZE OF NO.OF r'
QNEW BLDG. ROOMS STORIES L.SIDE 3FT. J 2a-(SFk9-A
V EXTERIOR WALL ROOF �s VV
_ COVERING I COVERING REAR �cSFT. FT.
—I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
1
a MAIN BLDGS. ACCESS.BLDGS.
n
Q ig>a G a vit-A litatC ' VAR.# DATE
0
/ /` '--/� C.U.P.# .../// }}}--- /J�/ APPROVED
V) APPROVEA_/J DATE /D—1/-7/
0 YYY"' �U((4i}
UI hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
V) the State of California. m
zI hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
Cr
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code, Division 3, Chapter 9. 1 -----m
N
co
PERMIT FEE $ D,..-----
Signatureof 0,,,--41
Permittee $ �e9 O PLAN CHECK $ _r,
Authorized Agent (((��� J
TOTAL FEE $ 1/7 �� \
OWNER UNITED SAVINGS & LOAN ASSOC.'t DATE 2-24-70
JOB ADDRESS 101 TNe Masters Circle BUILDING PERMIT NO. 31436
GFNERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Non-Elec. Pole Sign
No. - LOT I. TRACT 6508 FIRE ZONE . VALUE $ 1.000.00
INSPECTIONS Signature Date GROUP 3 TYPE IV ZONE C-2,A-1
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING ,,�/I Heating and Vent.
TRENCHES FORMS ❑ STEEL REINF. ❑r (/,6J 3_4-70
FLOOR SYSTEM YY
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT
P 'ER, BROWN COAT
S .TURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n ��77
ELECTRIC, FINAL .r h tit/Ll f
CITY OF COSTA MESA Tag No. + 3�°j '
3 /
1436 Building Safety Department Type of Sign 4� --" ''' " AID � �*
FEBF ?.1-1-70 .00,;. 682 r� 10.00
❑ Elec. Ng h,on-EIsc.
Application for permit for the fabrication and erection of classified signs. FOR OFFICE USE ONLY
�j Sea"
c -.�,/ 7o 7
/'^'/ c7 S� �6 , .. . 'Date Issued '71 Permit No.
Building Site Address LL(�� � i '-�" � -x t '�• .
yy�� UH/f� SA-vi�S .. •• j •''`• Lc' -Fire Zone ig Type // ' Group
Name of Leasee(eWN nneSs' S/h rile t! } Lo,Wi 41S5oCS . Phone i
Contractor 11 e`-"'a a e ry S e f `r ( Cy. ' -, ., Approved by /r/� Date 2`/ "
-1N. ` ` /J n L•., State License No.
n�Xd--...O City C o of L1C. No. ci�4' PLANNING DEPARTM T
Address 31 f _ '
/ itect or - : Z... A. P./No. -• ) .}--g _
p `i i;:: L.0 1 1 w 6
_ngineer �'m Y State License No.
Bldg•Site Address i _I._ i.-od - •
Address City Phone 'g" (A-4.4e '(
� J
al Owner � ( ^ ' I
Leg
Description: XTract Sign ' •I I Roof:Sign l 97 C--..-....-0 6 � ,� �
'
Address
❑ Appurtenant and Incidental Advertising Sign ' ❑ Gas Tube, Elec. Sign - e- A
❑ Off-site Advertising Copy Sign Sec. 1.37, 1.44'' City
kti
Area of Sign: ft. in. X ft. in. = 0
`�
Required Bldg. Setback to
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on plan Center line of Street
sheets proposed location of sign and locations of all other signs at site. Minimum size sheets SHALL be 18" x
24'' and non-erasable. Location of Sign: '
Behind Bldg. Setback Line ils\......... .........;:yri•
iiii If between property line a`stablished setbac line, o ',- i 1., si.n written agreement with the City.
Between Property Line and
'wture of Property Owner /v ---....r....----LS- � - Date --Zri-7n Bldg. Setback Line
AV Illir Front Feet
The undersigned hereby agrees to fabricate and erect the advertising structure within the intent and meaning and t
in strict accordance with the provisions of Ordinance 63-13, Ordinance 344, the Electrical Ordinance of the City Right -I7 p "L/ Feet
of Costa Mesa, and all amendments thereto. Left % '3 Feet
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING, ELECTRICAL Projection Feet
AND FINAL INSPECTIONS SHALL BE CALLED.
Ground Clearance Feet
Signature of C. U. P. C. Date Approved
Permit The amount shown under Valuation is for the purpose of
�' - Clearance Chap. VIII, Art. 5. Section 8504 (b)
bstablishing a permit fee only I � I l ^
Authorized Agent VALUATION Permit Fee Wern ti-0.
e/ IVIIfAl�/
Signature (Plajr$iStaff)
'Q $� OflD Plan Check$ --8 Signature (Dept. of
P blic W rks)
Recd. by &e` Date 0 r / i 1
Total Fee $�Q Date: + )-t/ C/
FORM BU-30 111