HomeMy WebLinkAbout126 THE MASTERS CIR - Building Permits CITY OF COSTA MESA
BUILDING DIVISION
i y ... 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
nFOR INSPECTIONS CALL: (714)754.5626
PERMIT NUMBER: 1308-00155
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 11939107 DATE ISSUED: 05/15/2008
ISSUED BY: RMD
JOB ADDRESS: 126 THE MASTERS CI CM Suite/Unit:
Vicinity: PARTIAL HOUSE AND GARAGE
Squares: 1200 Valuation: - $7,000.00
SCOPE OF WORK: PARTIALREROOF OF HOUSE AND ATTACHED GARAGE.TEAR OFF(E)ROOF MATERIALS, INSTALL 2 LAYERS OF
15#FELT AND REROOF WITH BEL AIR TILE(7.2 PPSF)ESR 1900,APPROX 12 SQUARES. REPAIR AND
REPLACE SHEATHING AS NEEDED.'
OWNER: TAYLOR, DANIEL M Address: 126 MASTERS CIR _ Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: MOWERY,DON - Address: 5791 SANTA CATALINA Unit: :
PHONE: 714-423-9228 City/State/Zip: GARDEN GROVE,CA
•
CONTRACTOR: TILL ROOFING License No. 833820
Address: 5791 SANTACATALINAUnit: PHONE: 714-423.9228
City/State/Zip: GARDEN GROVE,CA 92845 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. • PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $139.25
Reinspection Fee: $0.00
•
TOTAL FEES $139.25 •
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE r. INSPECTION TPR DATE INTRIALS CODES INSPECTION TYPE Q&IL IN1111AL
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof Z ZT �'•� 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
r/
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's lic%❑Yes ❑No ,
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
O 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy IDI hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
t'/.11/� ('OcJ7%ctC 7o,CS by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completed/the permit is valued at one hundred dollars(3100)0I less)
2,Ane Sec.341,Title 8,California Administrative Code).
Policy Number: 1€9oZJL-100
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become e •r . ' compens-tion provisions of Section 3700 of Applicant's Signature Date
the ort •lh co • 111 these provisions.
• `/ '1,5—/De. Division of Industrial Safety Permit Number:
Dale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILU'E 0 SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feel of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑ No
Lice#i✓L$S•�1ir' lass# C —39 (Section 25533 of the California Health and Safety Code, with some
— . /Sr08 exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
Contractor's- • . ' ,.— Date 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
CONSTRUCTION ' 'DI'G AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees;provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
• property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
❑ I. as owner of the
UCENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a c0ntractor(s)license pursuant to the Contractors License Laws.), certify under penalty of perjury that I have read this application and state that
❑ am exempt under sec. •
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesato enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
•
authorized it until final'•:. tion.
'—
• re or •al� s) Date
Signature Date Cr�' .�� � 0g
3057-46(3I07)
And/or Authorized Appli / ,.Date
JOB #10434 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. 43.31 12/19/84 1 x•00 TL
` (i(„0-1
1 Project Address _19E THF MASTERS CIRCLE
Applicant's Mailing Address 141 Sn ANAHEIM RI VD_ANAHFIM 2 ByPE OF CONSTRUCTION QJ NEW 1A ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name- CHARLES FnRKNER 51507e.1 101 92 05 DESCRIPTION OF WORK/USE OF BLDG. INSTALL AIR CONDITIONING; A.P.P'# Zone
Address - ••£ - . ' A MESA REPLACE EXISTING FAU -- RESIDFNTIAI /HOMF S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT-� D GRADING El FOUNDATION� El STRUCTURAL T Front • o
Address ElTENANTTENANT ELECTRICAL ElIW�
PLUMBING IA(MECHANICAL Rear N
B
Contractor's Name KINNEY AIR CONDITIONINPhone772-4'X 1441 Ell OTHER C Right N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY G
Address(mailing)1/I/I1 SO. ANAHEIM BLVD, ANAHEIM 92805 CONSTRUCTION TYPE VALUATION$ 4318.00 S Left R
I� City License No. 006218 ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E
CO LICENSED CONTRACTOR DECLARATION Q
I I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and T
my license is in full force and effec
• I S.
License Class 20 Lice? o. 41 8
Date 12 13 81l Signature'Ka sII/ nT `t _ PLUMBING I FEES
WORKERS'COMPENSATION D:#45' I5 C•NDI 0 I G Bar Sink ShowersELECTfl ELECTRICAL FEES
hereby affirm that I have a certificate of consent to self-insure or a certificate
f Workers' Compensation .Insurance, or a certified copy thereof (Section Backflow Preventer • Service Sink • -
800, Lab. C.
Automatic Washer Transformer D 15-50 KW
Policy No. .1-9770425 Company INA Backflow Irrigation Sewer Cap - ' Construction Pole Sub. D 50+ KW
Certified copy is hereby furnished _ —
7(Certified copyis filed with the ' uil ng Divisio Bathtubs Sewer Connection - Cooking Unit Meter Cup to 100 amps
Date 19-13-R4 Applicant- TD
EXEMPTION FROM WORKERS'CO �TIs71Y'�E caQ,IrjdIQNING 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 Piping Dryers ❑Gas ❑Electric Sub Panel 1.1J
I certify that in the performance of the work for which this permit is issued, I — - 1 ®p�qs-C IP
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�-�ytlt 2•00
Workers' Compensation Laws of California. _
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 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 Microwave -
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCYGas 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 I
Lender's Name - p Outlets 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
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
„
any structure, prior to its issuance, also requires the applicant for such permit - Generator ❑D.5 KW ❑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
Division 3 of the Business and Professions Code) or that he/she is exempt
herefrom and the basis for the alleged exemption. Any violation of Section '
031.5 by any applicant for a permit subjects the applicant to a civil • _ -
�aenalty of not more than five hundred dollars($500). 3
U I, as 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 Reinspection Fee f $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 ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II El 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 Date
drove for the purpose of sale). /�
LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By . �f-a Date 1 7i 19
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 1 0.100,000 BTU 0100,000 BTU l}•00 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 ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT --C•00
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ ISSUANCE $
Date owner Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $,rye ,,,,
I hereby certify that I have read this application and state that the above 1 R' 0-100,000 BTU 0100,000 BT 4.00 ELECTRICAL $ J�•""-Y:40—' GRADING $
information is correct. I agree to comply with all city and county ordinances
and state ws relating to build' 9 construction, and hereby authorize repre- I, PLAN CHECK 50% $ MICROFILM $
sentatives f thi city embover entionea property for
inspectio ur o s. KtUM r �) 12-13-84 MECHANICAL $ ILCL'8-•00 TOTAL FEE $ 16.00
Signatur —Lf`Date
Drivers' License or SS t Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
\
CMF 0865-46,rev.4/84 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. I 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 dOVER-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 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-I 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. Plaster Brown Coat • 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric *Astir UfA Notes:
34. Final Heating & Air Conditioning Weer CLO
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. Backf low 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
OWNER > nuxnl>.rt n. H. DATE g_28 76
JOB ADDRESS 176 The Master ;irrla LDING PERMIT NO. 42047
GENERAL CONTRACTOR Harlow Pools DESCRIPTION of WOk.. Pvt. Swim Pool
AP No. 119-391-07 LOT TRACT FIRE ZONE VALUE $6,000.00
INSPECTIONSs4
Signature Dared GROUP J TYPE III ZONE R-1
Pool Location R....1...- I IV SUBCONTRACTOR PERMITS ISSUED
Date Number Signature
Forms
Main Drain •
(-)
Steel Reinforce
•
Elec. Bond Electric n �,�7
Approval to Cover R-v �'�l( 11 1p ri"ca ate-. stet-7` f x15-28
Underground Electric R LL 7-13'90
Gas Piping Test DNC/ 6,14344 ��Pll--umbing`` �/ �/ / O �y
Filtering System Lines 5 4 J`f`CttleLl1 i%h_6 ,t'a6•?6 6! �S 40 .e."--
Backwash
Backwash Lines and Recep. A"'t' 644149
Electrical Final iQ..C_ "-1146/
Heater and Vent Final
Filter System Final
Backwash and Recep. Final
canrinn ;nal
Y
S'
.- 4204 7 PA+-u
• y9P-7h-,.7;00f779 $. *'r*^-5115
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
/4;24:7 , ,//)p� ///��/���r,,,/'eC /�'r �/ RECE . % DATE RECEIVED ._-E I
ADDRESS T! ///ff•'J/�GJ 4//r ell
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L7 / ��CAJ� c) -35t '-07 PERMIT NO.
OWNER 7zl/.. A.P. NO.
MAIL BUILDING / �b
ADDRESS Smir e. �/ ADORES-fle,-4/7 \%e G'J�r5 (tet r.
CITY £2 S'777'-, /Yh5N NO`�57-//C/TETRAC-45798 LO BLOCK
CONSTRUCTIONy'�N� NEW ADD ALTER REPAIR MOVING DFMOLISH
LENDER N
BRANCH
ICIER
Roans-7--
ADDRESS
VALUE /
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ARCHITECT ct- ices NOLL!Z tili3 $
OR EHs - FIRE
ADDRESS C n -e % / - IL AI ZONE TYPE GROUP or.
APPROVED
v DATE.J ��L-G
CONTRACTOR ��• LW SCS BY
ADDRESS /n6; ZZ //.U•p t•
TEL. ZONE NO.OF USE OF NEW
CITY 7475' NO., -2/c PLANS 2.....
BUILDINGC.41ARx.
f^' STATECITY YARDS APPROVED YARDS APPROVED
LIC.NO. abn7 LIC. NO. 757
MAIN BUILDING ACCESSORY BUILDING
raj SIZE NO.OF BLDGS. (FROM C/C/ �I
Pe OF LOT NOW ON LOT FRONT FT. 4 FT. \a/'
N.• USE OF /--� �j 11f1
Q EXISTING BLDG. 2=S ' R.SIDE Ct FL a cm FT. 0 r
r/1 /i
FSeparate permits are required for L.SIDE • FT. FT.
C./FT.
I FT. D !
2.. electric,plumbing and heating work. REAR -1r FIC) 17/FT. /'1
tE,pF BUILDINGAND WrypK TO BE PERFORMED N C/
Q � ` , , DISTANCE BLO BET. ACT.MAIN&
'C ..�-W/��]/NG l�{L5fC- MAIN Bar.M BLDGS.
VAR.4( DATE
', C.U.P.yls APPROVED
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a.o I hereby acknowledge that I have read this application and state n
CP that the above information is correct and agree to comply with ro
a all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of o
WZ
" the State of California. m
3 I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Busi - and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such lice ses re in full for and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provl •ns of.•- State of alifornla Business t:
VALUATION PERMIT FEE $
and Professions Code,Div on , •r ap •r 9. �O ro
Signature of
. PLAN CHECK $ yf-OD "I
r r' `Q
Permittee S aQOO !`
TAX $ , a LL
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Authorized Agent TOTAL PAID $ 5 So
I . 31 42 I
FEB 20-7GPA1BO0 613* ***159.75
COSTA MESA BUILDING-SAFETY DEPARTMENT cwsL
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely r
RECEhV,EDA. DATE RECEIVED DA E ISSUED
BUILDINGDRE126 The Masters Circle �"�`�$O a ��' 9° „�-r—
ADDRESS -----------
- PE,JJJ -- PE, I Ir�I
OWNER United Savings & Loan Assoc. A.P. NO. 3.'�
MAIL BUILDING/oma maaz4 1 `J. _i _
Z ADDRESS 9800 S. Sepulveda Blvd. ADDRESS ,( moi/' c(./t•(.e.(�
LB w TEL. //
F Z CITY Los Ange I es, Ca I i f. NO. 670-7550, TRACT k� T `�' BLOCK
Z C CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI KH
–1-LENDER Owner
am ‘
_i 7 BRANCH
–1 N OWNER V`./ •
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✓6 $c
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J N OR ENGINEER R.J R.J . Mary i ck NO 839-3840 / [r
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WCL ADDRESS 1538 N. Century, Santa Ana ZONE TVP GROUP
a W APPROVED _ .{
UJ Z CONTRACTOR Ryness-Smith Co. BY ATp�a "–i4.- 0
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CC ADDRESS 140 E. Industry Ave. a
w w ZONE NO.OF USE OF NEW)
Z k. CITY La Habra, Ca I i f. NO. 879-3111 C a d-A-� PLANS 2.,---- BUILDINGNO.OF
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w O STATE CITY YARDS APPROVED YARD APPROV
N K LIC.NO. 167538 LIC.NO. 1964 MAIN BUILDING ACCESSORY BUILIOING
7 0 – (FROM C/LST T)
SIZE NO.OF BL
LOT 40 x III NOW ON LOOTS
OF – FRONT ( FT. FT.
USE OF
EXISTING BLDG. R.SIDF 3 FL FT,
I– SIZE OF NO.OF 9
ZZ NEW BLDG. 2J00 ROOMS 7 STORIES 2 L.SIDE FT. FT.
EXTERIOR WALL ROOF
t_.1 COVERING Stucco COVERING Clay Tile _REAR �/- FT. FT. A
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE B BET.MAIN E.
a MAIN BLDGS. ..- --_1_1 ` ACCESS.SLUGS.
f� /
Q Sin le famil dweI1in & two ear cullet h. /15 - 6� DATE p_i car
O 9 y 9APPROVED _�y '6�
1- APPROVED r� /J
N attached garage —ELY
MpATE d– /7 //7d
ZZ Lot 43 Plan 6–DR0
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C.1 I hereby acknowledge that I have read this application and state
D that the above information is correct end 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 ,✓tet
co
to the State Of California. `"IIS -SO.FT. o
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNSitR VALUATION IS FOR s
Chapter 9, and that such licenses are In full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 2
am exempt from the provisions of the State of California Business VALUATION iO / S O
and Professions Code, D' islon 3, Chapter 9. Fv / so
PERMIT FEE $ t"
Signature of . //�J/ O
Permittee sC�'%/Y`�+�!//Li�' $ __CU PLAN CHECK $ (��/y/ �� E
Authorized Agent `d„�' 4 e. a_ - if ,31, S.EOi TOTAL FEE $ 5 , / 2� u
IL /