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117 THE MASTERS CIR - Building Permits
Applicant to fill in all spaces except those Within heavy border lines and sign all appropriate declarations. ` CITY bF eOSTA MESA CONSTRUCTION PERMIT PE MIT NO. TRACT NO LOTTNNO. UNIT NO. • Protect Address 1/7 Pie 4145-rtes C/RC.Lc '' �8S r T _ 3o8 6_ -tr�� CIWf) TYPEOF CONSTRUCTI • ON NEW ADD IJ ALTERATION 0896 8/06/86 q 1X75 TIS Applicant's .jtn Address U REPAIR y� Owner's Name `.ioHni Con.ILE/ PhoneS4° /,cqc ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# //q 37/- 4S Zone /C , DESCRIPTION OF WORK/USE OF BLDG. Address / '7 'Mt'E 'y 7tra C1'RCA_C — A e1 glis J, S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF PE-MIT I♦ GRADING ❑ FOUNDATION STRUCTURAL T Front 47T, N Address Al ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear /� Contractor's Name ICM AY..D M IT�'fpCP Phon44' 0001 III OTHER A /- 'i PROJECT DESCRIPTION SQ. FT OCCUPANCY �' / C Right 3 N Address(mailin I 086 «,'LaI+J �'014� `eL K / G g 3.y ,.L93 CONSTRUCTION TYPE VALUATION$ �IOT S Left 6 R City License NO. 77 1 - ZONE • GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: (flim imhe M with section 7000) of Division 3 of the Business and Professions Code,Aand v V T my license is in full for and effect. 72.o 866 . Licens- Class ce. e Not/ !7 S ` ^ Date ( g� Signature \.-. A . .r. PLUMBING FEES `I WORKERS'COMPENSATION DECLARATION 1. Bar Sink Showers -- - ELECTRICAL FEES tereby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified:copy thereof (Section Backflow Preventer Service Sink - Automatic Washer Transformer 0 15.50 KW .400, Lab. C. 55036 /=gi 'LNtoMT 7NS✓npM-. Co. 0 50+KW Policy No. !� company Backflow Irrigation Sewer Cap • _ Construction Pole Sub. r Certified copy is hereby furnished. Ceyyttifie-Q copy ii,filed with the city-�rBuilding Dij'Isiu Bathtubs . Sewer Connection Cooking Unit Meter ❑up to 100 amps N Dated "IP— Applicant "(•i-14 /H�L/'r��5 /� I EXEMPTION FROM WORKERS'COMPENSATION DECLAIATAON Clarifiers Solar Collectors Dishwasher Meter ❑Ov¢r 100 amps sr, (This section need not be completed if the permit is for one hundred ($100)or less). r Dishwasher Solar Piping' Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinkinb Fountains Solar Tank - . Fan Motors ❑0-1 HP 01%-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ NOTICE: If,after making this declaration,you should become subject to the — - _ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal , Fixtures ' comply with such provisions or this permit shall be deemed revoked. - Microwave CONSTRUCTION LENDING AGENCY Gas Servide Outlets Water ClosetDevice Boxes I hereby affirm that there is a construction lending agency for the performance - Pole'Light of the work 'for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 1 f Outlets •Range ' Lender's Name p�/y Lender's Address /00A-)L - Kitchen Sink Water Service '- Switches Sign OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for the • Lavatories Auto-Wash Garbage Disposal l Standing Sections ' following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap • Laundry Trays ' Generator 00-5 KW 05-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of ROOF Drains sr the Contractor's License Law (Chapter 9 (commencing with Section 7000) of - :t 'ivision 3 of the Business and Professions Code) or that he/she is exempt - - - erefrom and the basis for the alleged exemption. Any violation of Section / 131.5 by any applicant for a permit subjects the applicant to ,a civil , ' . - - penalty of not more than five hundred dollars ($500).,w - I _ $ 3 .' /. O I; aas owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee. compensation, will do the work, and the structure is not intended or offered y Reinspection Fee I $15 Issue Fee , $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's - ' - MECHANICAL FEES ' r License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own - • Hood or Type I 0 .. DEVELOPMENT SERVICES �E/QUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler. Zoning Approved By L I f/'v-1 Date ���-6D • sale. If, however, the building or improvement is sold within one year of com- Canopy ' Type II 0 pe the owner will have the burden of proving he/she did not build or im- Duct- Under Ground _ Building Approved By - Dat prove t for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System . . Application Issued By Dat tractorsto construct the project (Section 7044,Business and Professions Code: The Contractor's License Law-does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES ©, builds or improves thereon, and who contracts for such projects with a con- . ZS • tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I BUILDING PERMIT $ 00 SMIP, $ proof of their Worker's Compensation insurance should be provided to me. 2� . PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B. & P. C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE • $ Date owner - Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTI. ELECTRICAL $ GRADING $ ' Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this.-yty to e ter •o t e •0 - •nlioned property for C: /� C.- inspection purpo ). - ,'` / i` '`1 CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • ' CONSTRUCTION AND PLANNING POOL ,PA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector • ,1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. .Electrical Conduit Utility-Undrgrnd. 54. Forms 4. 'Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel.Reinforcement 56. Rough Plumbing & Pressure Test E. Electrical UFER Grnd. J /��/ 57. APPROVAL TO COVER-GUNITE fit-/ 7. Footings l g ills 58. Electrical Conduit-Undrgrnd. 8. Foundation /�� 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 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 13. Roof Drains - 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16..Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.'Rough Factory-Fireplace APPROVALS Permit# ._ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24:'.Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro- - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27:Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31.1,Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: Nva-- Zoi,V A/eea/ coca w Yefr 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing.- 39. Water1Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer ' 43. Backflow Irrigation 44. •Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations // ` 47. FINAL STRUCTURE & BUILDING Sp/pq, 48. Special Requirements Completed /' �"'" 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date . r r _. _ _. tiwp00r _ • L• Z ZCCcrV Cl- RESIDENCE OF: .c O U w hi) 0 APPROVEDW a w 0 W U John S Gail Conley Ir = ul000 • En 117 The Masters Circle CITY OF COSTA MESA = w — p PLANNING DEPT. Costa Mesa , CA. 92627 Cy j F_ W Nw.Cr To IWO. DEPT. REG W O' a l p/ z wxc7z By ni{ Qft; DATE�.&O- Y./6 W u- tt M W o OBYCTOI OP PUNNING General Contractor : St . Lic.#g2- �OA`1 YO_ Z --I � Z q \ o 4 • Richard MithoFF Builders I Q Q m z z N 3086 Ceylon Road Q W 0 N O O w gj _ Vista Mesa, CA. 92626 0 ' =Y F- _ a. APPROVED 4 L� ~ 00NJ � 0UWO Plans Dated: 10 June 198 Y > ? N n W w J J .i City of`C Mesa Building �Dept. ' z o_ _, `I P L—' ¢ qLu ~ Lgcr ~ BT DAT 9 OK by Owner: U U i U N THESE PLANS MUST BE ON JOB AT ALL TIMES CC O "' cn .• . p MAKE NO CHANGES WITHOUT PRIOR APPROVAL` U 1 - . U W OF.DEPT. I III' J q Z 2 THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL II 51 - U 0 OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED Z X F4C — YI • '�' ,d,.can TO BE A PERI I(�F "ip0&TtWfu�3,1E +b�-OP, ANY VIOLATION An 1 M• RCB '► 4 D D q X6 N K/�' PR a<NY OF ' [ PROVISIONS CF THIS CODE. NO PERMIT PREe • Pot'D F >c YID". S U I .I rPl• V .TF n; . .2 4A-P P'T'IONS OF THIS CODE SHALL Or VALID. EXCEPT IN SO 1� ` d ''' .V' ~ .4}(I O lig-111N WORK UR i'cc I 11 ITuAN " ULA noT7rc it 1 ANP" aTI -s•m,,ps L. THE ISSUANCE OF k PERMIT BASED UPON PLANS '' D . APP VED e 3 O.G. S KI [CATIONS SHALL NOT PREVVrIT Thr!C BUILDING OR-ILIAL- 1 - M THEREAFTER REQUIIQ:G HC CD ? 3 .?=kZRO.IS _ META1- NANSEQ tiX4 . I SAD PLANS AND SPECIE ATION' y�il'FROM PREVENTI:11 - - •• . 8 ILO NG OPERATIONS DEIN RRIIS N TOT.@E�JDER WIi ;I post INV TION OF THIS CODE`OR OF ANY OTHER ORJ;,;',::LF apt'(-/ OITI CILL' IACI SiYAT - C EC S I UE 5o T'_ T1o57 -IEY.M `` .• Goun t< 1 3�FNUCTURAL APPROVAL ONLY i • ecI C� SEPARATE PERMITS ARE REDIJIREn S or 1. FOR ELECTRICAL PLUMBING, !- HEATING, VENTILATING AND C° Nct-• i 1• REFRIGERATION WORK (` i • a ,t In` , EXIrt' k RNs U S Post ?LAI i I190vE St-albI EYTEv- n. j ti . I ,IlloT :,'u „PAdY a ' 4 .r 0 44, a8 ! " , sP Fl REars c.. 1 Y - (-us) ��o7 a / _ AIM .� oFor ipections • Ir . , ZI,3";S ; .UBc EMPLOYE'. Ti: z.i't;SEST THAI TH4 1:ATE OF Call al N 1 F + I ¢� CAUTOHNLA Di IEIONE1/4?};SIij.D',L SrE Te L- - -' BE CONSUL- E0 r0¢ LUITIONAL REQUIREMENTS. 1 -` ,, II 541 1,... 4,5 ,227 r 51 De ELeVAtfopl TKrIv Sum 5;4 AVE la4,«/T,wb/4NT Root ..y —,. e - ___. ._ _— ._ ___ —._—__ .— .. __ — 1 ,:-.4„,56„,,,4,,,;,:„,,,,, �G. .x.�. '4Y,i�'a-5-ld_,...c....„...„ .S..a T..i'�:'sas.:'a+9`�. PRoPoS�D- Sow SHADE k=r • d� — 36, j31 - _ I ... - -- _ _ _- -' -- --- I - -- - - Residence of. — - _- _ I __. _ _ John & Ga - ___ il_ Conley " 117 The Masters Circle -- - -- ----- - -- - - -- - - - Costa Mesa ,- CA: 92627 General Contractor: '-- -- -- ----•-------- --- -- ---- -- - ` Richard- Mithofi- Builders-. ... -- - '---- 3086 _Ceylon Road 00 Costa Mesa, CA. 92626 St.Lic. # 220806 E — LOT #_ 5_ _ TRACT # 6508 1 I Plans Dated: f 10 June 1986 APPROVED CRY OF COSTA MESA PLANNING DEPT. _ BDBJECT*TO BLDG.. DEPT. UO. DR I V E W h1 6Y. hisaa/DATE 9 912 I DIlKfW OP PUNNING -' - - - -- - Is ' - - - I I ?. THE_ PIASTE&S CIRCLE - ato-r) • • L cw t STREET OWNER UNITED SAVINGS & LOAN DATE 4_27_70 JOB ADDRESS 117 The Masters Circle BUILDING PERMIT NO. 31737 GENERAL CONTRACTOR Ryness 6. Smith DESCRIPTION of WORK Resjdence W/Attached Garage AP No. - LOT 5 TRACT 6508 FIRE ZONE VALUE $ 27.460.00 Il ICTIONS Signature Date GROUP T A 1 TYPE ZONE R-1 TOIL /14.-S ,r9-7e, SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature WATER Lit 9tiiS3---y-'G Plumbin• ��// ROUGH PLUMBING /K C/'G-1''(//!7/Q / ' / 1L -yJ •e.79-70 � PROP. SWR. LINE HOUSE CON. btr-- lc�c / Pr, • I ,�jSjJJI'''--' / X-1/-7 ac.l_.- - SPRINKLING . - SPRINKLING SYSTEM I ((( ccc"'��� / N MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING MC 1. -'l-&x)23 TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER f p ROUGH WIRING C[G '7o Heafi n� n Venf. ,. TRENCHES FORMS LFII STEEL REINF. • ,�_/-r ,��v Hea p Q �f/ % ,/�J�e�p/— FLOOR SYSTEM "'( 1-'/-79" � !o'/Y O of7,— BOND BEAM n STEEL REINFORCE fl ,+ / O SHEATHING 0 • '� 6/y '{O FRAME AND FLASHING ' 74 ''p LATHING — IN ® OUT pi ./jq rt' 1ikkiro R PLASTER, BROWN COAT �� #-//'70 ST -T URAL, FINAL n Electric / _ / ti IG, VENT., REFRIG. AND A.C., FINAL j// S5 -12.• 17/ x.(i j 'v' -7.5•�7J ,±1,t7'— PLUMBING, FINAL AND GAS TEST fl AC,/�I]��?o F ELECTRIC, FINAL / /3 5V' 7( BUILDING, FINAL 1 _r'.7� 21737 PAID ".^"n 2G-7CcnsrOO1674* nee 144.75 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT RECW DA R VED g} uta,\ BUILDING 117 The Masters Circle e"_7 Dr4 ,,a ADDRESS PERMIT NO` / OWNER United Savings R. Loan Assoc. A.P.NO. ..-----. BUILDINMAIL ADDRESS 9800 S. Sepulveda Blvd. ADDRESS 117 The Masters Circle Lu ui a 0 CITY Los Angeles, Cal i f. NOL' 670-7550 TRAC6SO 8! LOT rS BLOCK ZZ Q CONSTRUCTION Owner NEW ADD ALTER REPAIR MOVING DEMO,ISH d m LENDER J r BRANCH JO) OWNER United Savings 6 Loan Assoc. mJ ADDRESS VALUE •03 ARCHITECTJ < OR ENGINEER R.J . Mary I ick TEL. 839-3840 USE_ $ V) w < FIRE CC ADDRESS 1538 N. Century, Santa Ana, Cali ZONE TYPE GROUP a W APPROVED W Z CONTRACTOR Ryness-Smith Co. BY DATE Jp CO ¢ ADDRESS 140 E. Industry Ave. sing' fam rec . Will TEL ZONE NO.OF USE OF NEW Z 1- CITY La Habra, Calif. NO. 879-31 1 1 R1 PLANS 2 BUILDING,// att 2 car gar. STATE CITY YARDS APPROVED YARDS APPROVED cm Ir LIC.NO. 167538 LIC.NO. 1964 MAIN BUILDING ACCESSORY BUILDING D SIZE NO.OF BLDGS. (FROM CIL ST5ET1 OF LOT X71CX14XXffi2X2R 45x91 NOW ON LOT FRONT 3,5 FT. FT. USE OF EXISTING BLDG. R.SIDE 3 FT. FT, I— SIZE OF 1824 NO.OF 6 I / 2 NEW BLDG. ROOMS STORIES L.SIDE 6 FT. FT. Ct EXTERIOR WALL ROOF U tu ( / COVERING S CCO COVERING Clay Ti le REAR O FT. FT. • 1 J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- MAIN BLDGS. ACCESS.BLDGS. Q _MAIN /IS— DATE —j`/7-6r Single family dwelling & two car c.u.PZt7/- ey APPROVED _A_by In ~ attached garage APPROVED 4-24-70 V) _RY W.L.D. DATE z O Lot 5 Plan I-AR at//A'L9 UI hereby acknowledge that I have read this application and state ✓ 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 N the State of California. / : Z I hereby certify that I am properly licensed as a contractor under Q aI SO. FT.,�7 m c 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 PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: R am exempt from the provisions of the State of California Business VALUATION �� 3-4) j U m and Professions Cotl:,�•ivision 3,Chapter 9. / PERMIT FEE $ N �r O Signature of �/ to Permittee / / t $ r7 �vD PLAN CHECK $ %� E ,,i-dri p Authorized Agent /�r / LL ` I TOTAL FEE $/