HomeMy WebLinkAbout118 THE MASTERS CIR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO. G < f' 1
.° C NSTR TI'�%1'e_ PERMIT 52_ 8382_ 7410 /�_/C7 195g I T_
'CITY OF COSTA MESA
Project Address 1 v ] L`�p Inas l•`^Z� Cr-.Lpr 0
-9,�,•f�'ll isjnt's Mailing Address 1�'<Ml TAs7ory si at„TI./reagQ6a,TYPE OR CONSTRUCTION IJ NEW ADD H ALTERATION H REPAIR
N yjpGry�1` . n�� 1r ❑ CONVERSION ❑ DEMOLISH ❑ OTHER �L ose•.r` p,p # Zone ,
OOOgAAvr er sTIrrime Phone C7-7/`O(Zl7
sf��y� � -�•� DESCRIPTION OF WORK/U OF B DG.
Address `ti!'� R- 0 TY-"(1C/1/2 •AT -c, i YCIG t DA. S Main Building: Accessory Building:
E Z
Arch/Eng. License No. TYPE OF'PERMIT 111 GRADING illFOUNDATION 6.4 STRUCTURAL T Front O
Address - T �r - `• ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name Q• Cs A p(Qlnsel'(p7 r' 1111 OTHER A I
(- r - PROJECT DESCRIPTION SQ. FT. OCCUPANCY N-' C Right G
Address(mailing) •G .'(- a �_ 1 - K
City License No. 4 L 4 q I - CONSTRUCTION TYPE ��1 U VALUATION$�Q� OOO S Left A
ZONE GRADING CU.YO5. ACRES Ping. Ref.# Parking Req./Provided E
'\ LICENSED CONTRACTOR DECLARATION �-s .a. Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: I r� v- a/¢GQKS� `� Planning Notes: N1
Vito with section 7000) of Division 3 of the Business and Professions Code,and F• 0.t'`-� w 1� YUC� T
1 my license is inill f rce and effect.:
c 'r
,� License Class fS- ' " License No- �&Coatia-r •� S
I Date Signature - la • PLUMBING FEES
WORKERS'COMPENSATION DECLARATION Bar Sink ShowersELECTRICAL FEES
Q `ereby affirm that I have a certificate th'consent to self-insure or a certificate ../
\ workers' Compensation 9nsurance,.or a certified copy thereof (Section :ackflow Preventer Service Sink /
J0, Lab. C.) ••723� • /� Automatic Washer Transformer 0 15-50 KW
Policy No.INC O29 / Company l'✓i1i?c1.t t-4 •
Ba low Irrigation / 0 50+ KW
® Certified copy is hereby fUmished. g Sewer Cap / CO trggtlOn Pole Sub.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection / Cookin nit Meter ❑up to 100 amps /
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors / Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or -
less). , 1- • Dishwasher Solar Piping / Dryers ❑Gas lectric 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 • Drinking Fountains Solar Tank 1.____ Fan Motors❑0.1 'P ❑1`%-8
Workers' Compensation,Lehi a California. -
Date _Signature Floor Drains Swimmin ool w/Spa F.A.U. Inc.Sol. 119-15 HP 01615+
NOTICE:If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urin 1� Fixtures
comply with such provisions or this permit shall be deemed revoked. Mi 'wave
CONSTRUCTION LENDING AGENCY Gas Service Outletsj4M1lat• loset Device Boxes
I hereby affirm that there is a construction lending agency for the performance 'ole Light
of the work for which this permit Is Issued (Section 3097 Civ. C.) Interceptors / Water Hea . Outlets
Lender's Name - / _ , Ra
Lender's Address 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
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sec •ns
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap LaundryTrays
any structure, prior to its Issuance, also requires the applicant for such permit re V Generator ❑0-5 ❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of r
•ision 3 of the Business and Professions Code) or that he/she is exempt
'from and the basis for the alleged exemption. Any violation of Section
. 5 by any applicant for a permit subjects the applicant to a civil
salty of not more than five hundred dollars($500).
LiI, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ -
compensation, will do the work,and the structure Is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES
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 - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 ZoningApproved
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type 11 0 pP By Date
peApproved n, the owner will have the burden of proving he/she did not build or im- DUc oder Ground Building By
,z.... --A
. Date S76/87
prove for the purpose of sale). '1A /
0 I,as owner of the property, am exclusively contracting with licensed con- Duct-Strut I Refrigeration System • Application Issued By Date
tractors to 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 \ ❑0.100,000 BTU DI 00,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- lo
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple System •'.air/Alteration BUILDING PERMIT $ 193 . o D SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# - re Dampers PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Regis - PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above Do-loo,000 BTU 010t :110 BTL 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 city to enter upon the above-mentioned property for
inspection purposes. MECHANICAL $ TOTAL FEE $
Diver Signature Date •-inspection Fee I $15 Issue Fee PLAN CHECK 25% $ 195 ' /d
Drivers' License or SS$7 - _
CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
_ CONSTRUCTION AND PLANNING POOL& SPA
• 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
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 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 t 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 d 72. Underground Flush
24. Roof Framing / '73. Undergrnd.Storage Tank U Gas 0 Oil
1
25. Roof Sheathing . • A/V 7 `�'Y'`�' 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical .
27. Frame and Flashing /'4/C � 76. Dry Standpipe _
28. Lathing& Siding GAJ G� 77. FIXED SYSTEM FINAL . ,
29. Insulation $ r ' 78. FIRE PREV. FINAL •
30. Drywall Nailing Sp.. Lon_ 6,in, tt l7�'" / HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 6/139 2/610-1 79. FINAL INSPECTION • ; ,
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: 0;47 az .?Qyt..4I/ icy. sept
34. Final Heating & Air Conditioning Rgre, �+ O`
35. Final Gas Pipe-Test
trodc is �J _
�l'36. Hood or Canopy ,!
37. Final Factory Fireplace
38. Final Plumbing. • -
39. Water Service-Final
40. Gas Service-Final .
41. Solar Domestic-Final • .
42. Backflow Preventer .
43. Backflow Irrigation EXPIRED ,t
44. Landscape Irrigation System Incomplete Inspections - •
45. Sound Attenuation 1)Ata ---5412443.04 `'+
,
46. Handicap Regulations __`_-"-
47. FINAL STRUCTURE & BUILDING U:
48. Special Requirements Completed j . . i
49. Electric Release to Edison •'t
50. Gas Release to Southern California Gas Co 1.
51. CERTIFICATE OF OCCUPANCY . (
No. i - - _ Date T, y
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
- PERMIT NO. TRACT NO. LOT NO. UNIT NO.
� CITY OF COSTA MJS� NSTRUCCTION PRMIT. M 2— �58 7 7
Project Address
/id �/�E ✓1 .cj �tcLe
�Q TYPE OF CONSTRUCTION U NEW U ADD LI ALTERATION U REPAIR r
OwApner's Na Maiiinq/q�ddt m� El CONVERSION ❑ DEMOLISH El OTHER A.P.# Zone
Owner's Name �(%tfln en'Mrs Phone DESCRIPTION OF WORK/USE OF BLDG.
p /J '
Address if/F. �r)i2✓���-j LCIuP• S Main Building: Accessory Building:
Z
Arch/Eng. License No. TYPE OF PERMIT U GRADING El FOUNDATION U STRUCTURAL T Front 0
El TENANT El ELECTRICAL El PLUMBING El MECHANICAL g N
Address �/ n Rear
�tEAn't �En74r9 Phone7?2 -��Y ❑ OTHER A g
Contractor's Name 9 C Ri ht - N
p PROJECT DESCRIPTION SQ. FT. OCCUPANCY
Address(mailing} "�.z�A:r eet glial lar K Left G
l� 00�5' (, CONSTRUCTION TYPE VALUATION $ $
1 ` City License No. R
' ZONE GRADING CU.YDS. ACRES - E
% LICENSED CONTRACTOR DECLARATION Ping. Ref.4 Parking Req./Provided
I I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: M
i with section 7000) of Division 3 of the Business and Professions Code, and (1
my license is in full orce and effect. 63 8/) S
License Cie s
20 Licen` .'"2 6 9-� .3 z �n PLUMBING FEES
1 Date 5lgnatu I a__ -4 - ,
• WORKERS'COMPENSATION D CLARATION Bar Sink Showers i ELECTRICAL FEES
hereby affirm that I have a certificate of consent to self-Insure or a certificate • - .
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink /
3800, Lab„+�)n /zyI Automatic Washer Transformer 0 15.50 KW
Policy NC.7-07775/Vcf-i- Company// £ut� Backflow Irrigation Sewer Capit, 0 50+ KW
Certified copy is hereby furnished Construction Pole Sub.
Cert ' otil filed with the c ildi Ivision Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps
Date_'I Applica r'� /`4 �/1 «1--
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION . Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps
(Thissection need not be completed if the permit is for one hundred ($100) or '
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric 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 Drinking Fountains Solar Tank Fan
Motors 00- P ❑1'/h-8
Workers' Compensation Laws of California. _
Date Signature Floor Drains Swimmi Pool w/Spa F.A.U. Inc.So . ■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 Ur' I Fixtures rowave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device 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 Outlets Range
Lender's Name
"Lender's Address 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
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑O- 'W 05-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drain
'le Contractor's License Law(Chapter 9(commencing with Section 7000) of
ivision 3 of the Business and Professions Code) or that he/she is exempt
lerefrom 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
mnailty of not more than five hundretl dollars($500).
LJ I, as owner of the property or my employees with wages as their solo • Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- --- ----- Canopy Type II 0 Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By 2 y b[Date c/a/ /Q 7
prove for the purpose of sale). /yam` / O
❑ I, as owner of the property, am exclusively contracting with licensed con• Duct-Structural Refrigeration System Application Issued By Date
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who ,� Duel-Ventilating ❑o-100,000 BTU ❑100,000 BTU Ir• SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- _
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT- $ SMIPI $
proof o/ their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMT
❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBO 4 Fire Dampers PLUMBING $ ERMISSUANCE $
Date Ownera ting System& Ducting Registers CC PLAN CHECK 25% $ ENERGY'P.C. $
I hereby certify that I have read this application and state that the above I 40.100,000 BTU 0100,000 BT 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 repro- PLAN CHECK 50% $ MICROFILM $
sentatives of thl city to enter on the above-mentioned property or
inspection p s. c/1 /j MECHANICAL $ 7• O TOTAL FEE $ 7 dt7
Drivers' ( s or
‘ ''--- Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865.46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
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
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation • 59. Gas Pipe, 0 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
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. RoughElectrical-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 D 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. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED •
33. Final Electric Notes/Af/
34. Final Heating & Air Conditioning • / -
35. Final Gas Pipe-Test -
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-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
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
1
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
•
PE IT NO. TRACT NO. LOT NO. UNIT NO. •
.. CITY OF COSTA MESA CO T UCTION PERMIT 7862 5/14/87 9p50 TL
}Nj'�� PeaR4$-
Project Address / /?1? �n4}"! �G'%Y��I/;1 /1( ./ Ct-�j
Applicant's Mailing `•.fess 7-cs 27 \6-/Z/K/�.l i7 5.4 TYPE OF CONSTRUCTION H NEW U ADD U ALTERATION REPAIR r . -
Owner'SNa e ' - / Pho ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # • I Zone
�i Tif2. /Yk is 9g, ( ' ,.114 DESCRIPTION OF WORK/USE OF BLDG. 4(G
Address t / G� E Main Building: Accessory Building: Z
Arch/Eng. License No. TYPE OF PERMIT LIGRADING FOUNDATION ❑ STRUCTURAL T Front O
LI TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B N
Address ����� /�/� Rear
Contractor's Name rn IZEIl�7�1--r , e i 11 C ❑ OTHER .0 Right - N
Address(mailing) 'Zr' 33 J• J •. PROJECT DESCRIPTION SQ. FT. OCCUPANCYK G
CON ST RUCTION TYPE VALUATION$ S Left R
City License No. S � ZONE GRADING CU.YDS. ACRES •
LICENSED CONTRACTOR DECLARATION s� Ping. Ref.# I Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �, f. G��14/� Planning Notes: M
with section 7000) of Division 3 of the Business and Profes�)-99$9 ions✓] Code, and 7 ` / T
my license is in full fpraand f.c�. ! I � 4� S
License C C . s License s o -(
rtDate _ Yea: Signature 41 PLUMBING FEES •
"ORKER ' C• $ NSATION DECLA-A' 10 of Bar Sink Showers
:reby affirm that I have a certificate of consent to self-insure or a ertificate ELECTRICAL FEES
Workers' Compensation Insu ante, Q a Certifie co y,thereof (Se do Backflow Preventer Service Sink '
l0 3800, Lab, 'p j(�/� eack s —Jf�' • Automatic Washer Transformer 0 15-50 KW
Policy No./�)IJ/��nr��� company /.l./ ,64+L'L Backflow Irrigation Sewer Cap0 50+ KW
Construction Pole Sub.
Certifie copy ' hereby furnished.
Cert're with the city dui Di io Bathtubs Sewer Connection Cooking Unit . Meter Cup to 100 amps
Da Applicant — i
EXEMPT! N�RKERS'COM SATION DECLARATION Clarifiers ' Solar Collectors Dishwasher Meter ❑over 100 amps
(This section need not be completed if the ermit is for one hundred ( 00) or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric 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 Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1 h-8
Workers' Compensation Laws of California. -
Date Signature - Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE: If,after making this declaration, you should become subject to the _ - InC.Solar 0915 HP 016-15+
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 Service Outlets 5 Water Closet oZ w Device Boxes Pole Light •
I hereby affirm that there is a construction lending agency for the performance f 9
of the work for which this permit is issued (Section 3097 Civ. C.) .
Interceptors / Water Heater a• Outlets
Lender's Name - Range
Lender's Address 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 a, Garbo e Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair • P--Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
contractor's License Law(Chapter 9 (commencing with Section 7000) of •
'slon 3 of the Business and Professions Code) or that he/she-is exempt -
efrom and the basis for the alleged exemption. Any violation of Section .
.,,31.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars ($500). I 3 .
D I, as owner of the property or my employees with wages as their sole' Reinspection Fee I $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
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 DEVELOPMENT SERVICES REQUIREMENTS: •
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II D Zoning Approved By Date
pre the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By /,�,\ Date
prove for the purpose of sale). ( /SLI J\
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractors to 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-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof .of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ i am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $
Date owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify tha read this application and state that the above El 0-100,000 BTU 0100,000 BTL)♦ GRADING $
information is torr agree to comply with all city and county ordinanc s ELECTRICAL $
and state laws re to buildin• co struction, . d hereby authorize re e- PLAN CHECK 50% $ MICROFILM $
sentatives • t ty.to anter •.n the ab' --mentioned r rt o
inspection •u .....•-s. / ` TOTAL FEE $
Signature a — Jar
Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL & SPA •
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
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 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
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 61/c/�T (.ria 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 D,Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro y
26. T-Bar Ceiling (Structural) &.Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe 'p
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning •
35. Final Gas Pipe-Test Vista cad.
36.`Hood or Canopy
37: Final Factory Fireplace . •
38. Final Plumbing
39.*Water Service-Final '-) , •
40. Gas Service-Final •
`
Solar Domestic-Final •
-
.42. Backflow Preventer
43. Backflow Irrigation .. '
44. Landscape Irrigation System
45: Sound Attenuation '
46.'Handicap Regulations
. ..�
47: FINAL STRUCTURE & BUILDING '
-48. Special Requirements Completed
49. Electric Release to Edison -
50.•Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT 2-N ( � TRACT NO. LOT NO. UNIT NO. 8063 / E/ _] 15,e0 Ti_
'CITY of COSTA naEsn CONSTRUCTION PERMITc
Project Address 118 The Masters Circle ft -
TYPE OF CONSTRUCTION ❑ NEW ❑ ADD LI ALTERATIO ►A REPAIR.
• Applicant's Mailing Addre 5 103E{� C Atlanifr A-vn CI CONVERSION DI DEMOLISH CI OTHER rule ., ,v/ J
Owner's Name OK • Phone y A.P.# (Zone
Slily� DESCRIPTION OF WORK/USE OF BLDG.
AddressS Main Building: Accessory Building:
Arch/Eng. • License No. TYPE OF PERMIT GRADING 1111GRADING ❑ FOUNDATION CI STRUCTURAL T Front 0
Address ❑ TENANT E1 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name Masco. Electric, Inc. Phone(213) 564-3348 ❑ OTHER /
C Right N
Address(mailing) 10340 S. Atlantic Ave. , Se. Gate 90280 PROJECT DESCRIPTION SQ. FT. OCCUPANCY K ' G
5 ID CONSTRUCTION TYPE VALUATION$ S Left , R
City License No. L ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Z Planning Notes: • M
with section 7000) of Division 3 of the Business and Professions Code, and �7
6.0 my license is in full force and effect. y-sEC ,� �. �3 8 Z.r S
Oci License Class 1 ice, No. 0 . 1 RPF
{ Date 5-18-87 Signature aftri - - PLUMBING FEES ,
'ORKERS' COMPENSATION ••E LARATION Bar Sink Showers
•••.., treby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
Workers' Compensation Insurance. or a certified copy thereof (Section Backflow Preventer Service Sink
IN 3800, Lab. C
_ Automatic Washer Transformer 0 15-50 KW
Policy No. 92451 Company State Fund Backflow Irrigation Sewer Cap0 50+KW
h
Certified copy is hereby furnished, - Construction Pole Sub.
_ Certified copy is filed with the city ggt�ilding DiIv�i5ion. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date 5- 18-87 Applicant Masco Electrlr, Inc •
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher ' - Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Pipin• , Dryers ❑Gas SElectric 1 Sub Panel s^ C O
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 _ Drinking Fountains Solar ank • Fan Motors❑0-1 HP ❑1%-8
Workers' Compensation Laws of California. _
Date Signature Floor Drains : imming 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 IL Fixtures Microwave 3 CO
comply with such provisions or this permit shall be deemed revoked. I.J
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet �O Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light 2 CO
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater -d
8 Outlets y Range Lender's Name
60
Lender's Address Kitchen Sink Water Service 6 Switches 6 Sign /
OWNER BUILDER DECLARATION 2-0
-
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays .. Generator ❑0-5 KW ❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit P
to file a signed statement that he/she is licensed pursuant to the provisions of Roo gains —
`^Contractor's License Law(Chapter 9(commencing with Section 7000)of -
'sion 3 of the Business and Professions Code) or that he/she is exempt
efrom and the basis for the alleged exemption. Any violation of Section
.31.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500).
0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered Reinspection Fee ! $15 Issue Fee $ 3
for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES
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 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of com- — Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or in- Duct-Under Ground -7(/�t,�7,�'t—�/
prove for the purpose of sale). _ Building Approved By
25)111x: Date-?;' ` . 2 /
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System 'Application Issued By
Date
tractors to 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 • ❑0-100,000 : • ■100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- ,.
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 Syst•• •epair/Alteration BUILDING PERMIT $ • • SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers
PLUMBING $ ISSUANCE $
Date Owner Heating System& Ductin 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 0,000 BTL 1.5-400 GRADING $
information is correct. I agree to omply with all city and county ordinances ELECTRICAL $
•
and state laws relating to buil. 'g construction,and hereby authorize repre- MICROFILM $
sentatives of hi city a $up• the above-m-• •ned property for PLAN CHECK 50%
inspection s. 11--I
, MECHANICAL $ TOTAL FEE $ /.5.-- •:9-0Signature a�. /leas A�
Pink -Accounting: Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL & SPA
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
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation i 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, D 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 Wirirn)_. 51647 ,p//i 67. Fencing & Access Approval
17. Rough Wiring Sign LLXX i[�.c 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 D Gas D Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank.0 Gas D 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. Plaster Brown Coat 79. FINAL INSPECTION • •
•
•
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •
33. Final Electric X7/6-$7 „rc, Notes:e /� �got.7e �,w
34. Final Heating & Air Conditioning `
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System •
45, Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49.-Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill In all spaces except those wit.. •724 3/U1/84 I i aUu T1
ern(OF COSTA MESA, PE MIT NO. TRACT F--
CONSTRUCTION PERMIT /3 — ��'.4'6 7 ' 50 r' _-
Project Addre55 . a_ • w k n TYPE OF CONSTRUCTION _J NEW IJ ADD ALTERATION U REPAIR '
Applicant's Mailing Address '/ (( `` ❑ CONVERSION ❑ DEMOILISH'❑ OTHER —;!J/ A.P.# / ,y I Zone
Owner's Name +�A J r /lr*'!u/sAphona'J V �' 7� DESCRIPTION OF WORK �s.��+.-�� '/ SD-`/1// / �-
el' C n{ /s J S Main Building: Accessory Building: e1/4:1-4 wad Z
Address �/ ��y et ��'•j'a' ( "Jin ii‘e / TYPE OF PERMIT ❑ GRADING LI FOUNDATION
O ❑ STRUCTURAL T Front 20 N
Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL C PLUMBING ❑ MECHANICAL BD — I
Address CI OTHER A Rear N
Contractor's Name /"\1 �j'1 Phone PROJECT DESCRIPTION SQ. FT. OCCUPANCY CK Right G
Address(mailing) I I'pIV/ CONSTRUCTION TYPE VALUATION$ S�d/ $ Left -J E
City License No. `J ZONE GRADING CU.V05. ACRES Ping. Ref.# Park.Fees $ O
U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I
I hereby affirm that I am licensed under provisions of Charter 9 (commencing R
with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E
my license is in full force and effect. �l Q -ilirv/ i /� Ni
License Class License rvo. PLUMBING Planning Notes: � 1.0`CyL -e?ffA
'e Signature `�^_'„�'// E
RKERS'COMPENSATION DECLARATION Bar Sink Showers N
,..ereby affirm that I have a certificate of consent to self-Insure or a certificate ' , T
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink S
3800, Lab. C.) Backflow Irrigation Sewer Cap ELECTRICAL ' FEES
Policy No. Company
BCertified copy is hereby furnished. Bathtubs Sewer Connection. Automatic Washer Transformer 0 15-50 KW
Certified copy is filed with the city Building Division. - 0 50+KW
Date Applicant Clarifiers Solar Collectors Construction Pole Sub. •
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping CookingUnit Meter Oup to 100 amps
(This section need not be completed If the permit is for one hundred ($100) or -
less).
I certify that In the performance of the work for which this permit Is Issued ISolar Tank Dishwasher Meter Dover 100 amps
shall not employ any person In any manner so as to become subject to theDrinking Fountains
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa • Dryers ❑Gas ❑Electric Sub Panel. '
Date Signature -
NOTICE:If,iafter making this declaration,you should become subject to the Floor Sinks Urinal - • Fan • Motors 00.1 HP ❑1'A-8
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet ' F.A.U. Inc.Solar 09-15 HP'❑16-15+
CONSTRUCTION LENDING AGENCY
•
I hereby affirm that there Is a construction lending agency for the performance Interceptors Water Heater ' Fixtures Microwave
of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's Name Kitchen Sink • Water Service - Device Boxes Pole Light , . .•
Lender's Address .
OWNER BUILDER DECLARATION Outlets Range --
I hereby affirm that I am exempt from the Contractor's License Law for the p-Tre
following reason (Section 7031.5 Business and Professional Code: Any city or P • _ Switches Sign • r
county which requires a permit to construct,alter,improve,demolish or repair
rrly structure, prior to Its issuance, also requires the applicant for such permit Roof Drains ' - Garbage Disposal Standing Sections
.);, Vile a signed statement that he/she Is licensed pursuant to the provisions of -
_;99"' Contractor's License Law(Chapter 9(commencing with Section 7000) of Generator ❑O-5 KW ❑5-15 KW Trash Compactor
'�grision 3 of the Business and Professions Code) or that he/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). Reinspection Fee I $25 Issue Fee $ 3'
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $25 Issue Fee 'l $ 3
compensation, will do the work,and the structure Is not intended or offered . MECHANICAL FEES •
-
for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REMENT
License Law does not apply to an owner of a property who builds or Improves Hood or Type I ❑ ' / O0-.C:51ry�
thereon, and who does such work himself/herself or through his Or her own Zoning Approved By _/� Date _� �•/
employees, provided that such Improvements are not Intended or offered for Canopy Type II ❑ -
sale. If, however,the building or Improvement is sold within one year of com- I_UI
• Building Approved By - Date
pletion, the owner will have the burden of proving he/she did not build or im-
rove for the purpose of sale). • • Refrigeration System • Application Issued By ..L-./ Dat
�,I, as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU - "f
tractorsto construct the project (Section 7044,Business and Professions Code: • SUMMARY OF FEES . /
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con- ■ SystemRepair/Alteration • BUILDING PERMIT $ l0/�� SMIP• - f: $ / ��
tractor(s) license pursuant to th ), rac License Law): PLAN CHECK $ rs0
PERMIT-4am ex-• ptu •- -action - & P ,forthisreason • - ISSUANCE $
•iA/ / _ _ PLUMBING $
Date .. mini Owner arts- Heating System&Ducting PLAN CHECK 25% $ ENERGY P.C. $
I heresy certi that I have read his ap•Iication and state that the above ❑0.100,000 BTU 0100,000BTU ELECTRICAL $ GRADING $
Information Is correct. I agree to comply with all city and county ordinances
and state laws relating to building c• struction,and hereby authorize repro- MICROFILM $
sentatives of thi city to enter do the above-mentioned pro•erty . or., PLAN CHECK 50% $ _
In •• f f• '� •9R- MECHANICAL $ TOTAL FEE $ '1 /%Q
Signature "'
Accounting;Goldenrod-Assessor
,
P0 'r SPA
? CONSTRUCTION AND PLANNING - -
• APPROVALS Permit# Date Inspector APPROVALS Permit.# - . Date Inspector
w ,
H. 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 Tea I -
6. Electrical UFER Grnd. 57. APPROVAL TO.COVER-GUNITE
7. Footings - 58. Electrical Conduit-Undrgrnd. -
8. Foundation 59. Gas Pipe, O-Undrgrnd.,Test- - - . •
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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.E Ducts, Ventilating 71. Product Piping O Gas OOil
23. Gas Pipe-Rough &Test 72.•Underground Flush ' • '
1. Roof Framing . 73- Undergrnd.Storage Tank'O Gas 'OOil •
. Roof Sheathing 74. Overhead Hydro ' •
. I I
;,T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • ••
li Frame and Flashing 76. Dry Standpipe r - _ ,
•
Lathing& Siding 77. FIXED SYSTEM FINAL i i
Insulation 78. FIRE PREY. FINAL
.
Drywall Nailing HEALTH DEPT. REQUIREMENT i ' .
Plaster Brown Coat 79. FINAL INSPECTION. ' -
'Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
Final Electric Notes: 1 / _Ga-Pr---ant emscrge F
incl Heating & Air Conditioning
• RS-Ara764/4-4(4)Az.r /G U,30/i/ AOMiTTAW!-
nal Gas Pipe-Test - _
i nd or Canopy • -
I ' Factory Fireplace •
Plumbing
iervice=Final-" ' -``' • - '---- ->• , '
vice-Final _ _ '
i omestic-Final -- . ..
.ilow'Preventer ' _ , .. '
dackf low Irrigation - - .
44. Landscape Irrigation System
45. Sound Attenuation �/// • I -
46. Handicap Regulations glib 2�� � .. • • -
47. FINAL STRUCTURE & BUILDING !3D 3 �jc. 7) y_
�Y
48. Special Requirements Completed '
49. Electric Release to Edison - - I '
50. Gas Release to Southern California Gas Co - -
51. CERTIFICATE OF OCCUPANCY • - - - --
'No. Date .,, - •
31 423
FEB 20-70u-E700 615* ***159.75
cns
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVED B DATE RECEIVED DAT ISSUED
BUILDING 118 The Masters Circle Okid/7,Z, o2-19-740 .,9-,..20-7a
ADDRESS
PERMITPc93
OWNER United Savines 8 Loan Assoc. A.P. No. //JJ
MAIL
BUILDING //, ' Z?44W!/,/
lefts
ADDRESS 9800 S. Sepulveda Blvd. ADDRESS a /7,/
ZLP LCI SiaU CITY LosAngeles, Calif. NO`'670-7550 TRACT 6r0 SLOTu S BLOCK
Z2
Q CONSTRUCTION NEW I ADD I ALTER I REPAIR MOVING DFMf11 ISH
O I- LENDER Owner //
cn
am
J 7Li, BRANCH '
-I� OWNE .i 4,-, Qin,,
mJ ADDRESS x✓II 7�,/z)• .�n'�I��.y,/t,.VV� VALUE �) pO, I`s
-CO ARCHITECT TEL. USE r�/,L�/r, r' S. /, J
J Q OR ENGINEER R.J . Mary i ck NO. 839-3840 J
Utn FIRE
w Q ADDRESS 1538 N. Century, Santa Ana ZONE TYPE GR U��
iL w APPROVED .Z/.)
J Z CONTRACTOR Ryness-Smith .. BY S . p DATE / n .
CO u 0, tr-
L¢ ADDRESS 140 E. Industry Ave. ' {y r�
w W TEL. ZONE NO. USE OF N tN
Z I- CITY La Habra, Calif. NO. 879-3111 Ca, J-/d( PLANS Z/ BUILDING P
STATE CITY YARDS APPROVED YARDS APPROV, D
UWn CC LIC. NO. 167538 LIC.NO. 1964 MAIN BUILDING ACCESSORY BUILDING
7O (FROM C/L TREET)
SIZE NO.OF BLDGS. ll
OF LOT 40 x III NOW ON LOT - FRONT r)-FT. FT.
USE OF
EXISTING BLDG. R.SIDE 2 FT. FT.
H SIZE OF NO.OF /]
ZZ NEW BLDG. 2100 ROOMS 8 STORIES 2 L.SIDE 3 FT. FT.
CIC EXTERIOR WALL ROOF
V //''
_ COVERING Stucco COVERING Clay Ti le REAR ab FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a MAIN BL ry 4-.? ACCESS. BLDGS. L [ r
Q VAR.* L: L-4 /L9Q1 DATE /0 tl _is
/
O Single family dwelling 8 two car C.U.P.tIT C-/S -fa / APPROVED 3 (7 -69
F APPROVED (a //]
/t / 5
fn attached garage —BY
/�`"/
ZO Lot 45 Plan 5-B 0iI 1
DATE �}�/
U I 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
r any person In violation of the workman's compensation laws of
the State of California. .< �/ m
ZI hereby certify that I am properly licensed as a contractor under �� SO. FT. S 7�
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDBA VALUATION IS FOR .•
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONNL�LY}}:
CC
am exempt from the provisions of the State of California Business VALUATION �mlr JvV
and Professions Code, islon 3.Chapter 9. PERMIT FEE $ �'VU m
N
Signature of
Permitter, C 4Kl, \ PLAN CHECK $ /��3%^'S/ BE
Authorized Agent "' /97,,,11,40//4. V/J ba� u.
TOTAL FEE $ 57