HomeMy WebLinkAbout134 THE MASTERS CIR - Building Permits S.
CITY OF COSTA MESA
Ac^� "" BUILDING DIVISION
F;` ) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626
"°"° ° PERMIT NUMBER: B11-00008
PERMIT TYPE B_ROOF2 • STATUS: ISSUED
APN: 11939109 DATE ISSUED: 01/07/2011
ISSUED BY: KJB
JOB ADDRESS: 134 THE MASTERS CI CM Suite/Unit:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Squares: 1800 Valuation: $8,500.00
SCOPE OF WORK: TEAR OFF SHAKE ROOF.SOLID SHEATHING TO BE INSTALLED.COVER WITH 30 YEAR COMP SHINGLES.
APPROX 1800 SQUARES. INCLUDES ATTACHED GARAGE.
OWNER: MIRACLE,JOSEPH E Address: 134 THE MASTERS CIR Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: MIRACLE,JOSEPH E Address: 134 THE MASTERS CIR Unit: :
PHONE: 949-813-1720 City/State/Zip: COSTA MESA,CA
CONTRACTOR: OWNER-BUILDER License No. 000000
Address: Unit: PHONE:
City/State/Zip: CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $167.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $168.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays
New Years Day, Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day
•
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.
CODEX. INSPECTION TYPE DATE INTITIALS CODEX INSPECTION TYPE DATE INTIDALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final \ 208 Final Plumbing
200 Final Re-Roof Jn 2 /Ili9-45-k---
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 .
a eii
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes 0 No
I hereby affirm under penalty of perjurZy 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
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 0 I 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
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 sedan need not be completed if the demur is valued at one hundred dollars(5100)or less)
2,Art 2Sec.341,Title 8,California Administrative Code).
Policy Number: t V/1_�
❑ As owner-builder, will not employ anyone to do work which would
I edify that in the performance of the work for ich this permit is require a permit from the Division of Industrial Safety,as noted above,unless
ed, 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 worke ' compensation laws of California, and agree that if I should
becom- s •.'ct to the workers'compensation provisions f Section 3700 of
Applicant's signature Date
the •• r.•e,I shall forthwith comply with these provisi s.
/ /,
I Division of Industrial Safety Permit Number:
if / Applreant's Signature? Da
(-- • - HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
ARNING: FAILURE TO 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 feet 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? ❑Yes 0 No
Lic.# Class# (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
Contractors Signature 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 LENDING 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)? ❑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? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia 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
I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
ENSED CONTRACTORS to construct the project(Sec.7044,Business and
Pr ssbns 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 contractor(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 M- to enter upon the above-described property for
inspeo • .sse- � n.rita to oc.ceucptyoonr. allow occup/ancy of/nIyI building uilding
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___ i ®�• amre• legal Owner(s). ,) Dale---
w% •P_S;gnaiOre` Dale—--
3057.4613/0
Ctmdlor Authorized Applicant Date
Prescriptive Certificate of Complia. • , Residential CF-1R-ALT
Residential Alterations (Page I of 5)
�'.rrojecitN me: d Climate Zone N 4 of Stories
.SO ktctA ..-e, ' ,
i General Information
Site Addressfly 72(.7E e/s2cAi at, Enforcement Agency: Date:/,_ 7....//
C _B_ui g T'ype$2(Single Family 0 Multi Family Circle the Front Orientation:N,E,S,W,or degrees
Conditioned Floor Area(CFA): Project Type: 0 Alterations 0 Envelope 0 FenestratioeXoafr0 HVAC
Replacement or Change Out 0 Duct Rep)acemeni 0 Water Heater _
NOTE: This form is not to be used jor Newly Constructed Buildings or Additions
• Insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
0 Opening of framed cavity alone—Alterations that involve the opening of the framed cavity of a wail, ceiling, or floor must install the
--
mandatory minimum insulation value per§150 for the altered assembly. Fill in Columns A—C and enter mandatory insulation value in Column H.
0 Replacement of entire assembly—Replacement of an entire wall,ceiling.or floor assembly requires the installation of Component
Package-D insulation values in Table 151-C. Fill in Columns A—J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A B C D E ' i ' F G ( ft - - -f H. J
•
Proposed Sfe No" Standard_ Values From JA4 Table
Framing Thickness, Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- 3A4 Table Cavity Insulation Assembly Assembly
ID' or Type' and Size2 or Other' factor" Numbers R-value R-Value Cell Values U-factory
Note:For.furred assemblies,accounting for Continuous Insulation R-value,see Page J44-3 and Equation 4-1. For calculating furred walls use the Mass and
' r Furring Construction table below.
1.For Tag/1D indicate the identification name that matches the building plans.
2.Indicate the Assembly Name or ,type:Roof/Ceiling, Walls,Floors,Slabs, Crawl Space,Doors and etc....Indicate the Frame type and Size:For
Wood, Metal, Metal Buildings,Mass, enter 2x4, 2x6,or etc... see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16"or 24"OC;or Other for all other assembly description
such as Concrete Sandwich Panel,Spandrel Panel,Logs, Straw Bale Panel and etc.... .
4. Based on the Climate Zone;enter the Standard U-factor from Table 151-B, C or D for each different assembly Name or type.
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-value that is being installed in the wall cavity or between the framing; otherwise, enter "0".
7. Enter the Continuous Insulation R-value for the proposed assembly;otherwise, enter "0".
8.Enter the row and column of the U-factor value based on Column F Table Number and enter the Assembly Ufactor in Column J
9.The Proposed Assembly U-fnctor, Column,l, nasi be equal to or less than the Standard U-factor in Colunm E to comply.
Furring Strips Construction Table for Mass Walls Only
A B C V E F G H I J K I, M
Proposed Properties of Masonry and Concrete Added Interim'or Exterior Insulation
Walls From Reference in Furring Space from Reference
Joint Appendix Table 4.3.5,4.3.6.4.3.7 Joint Appendix Table 4.3.13
_c v d =
U `. -j . 4 •- U
• r. ti ° 7- c•-• 3 ,n
Assembly z' j o _ rc u += c` d,"� Final
Mass Name or JA4 Table .r .t, v = c a. o 'E A v _ v F Assembly
Thickness' , Type' Number' < ;: 2 5 w ‘E c` it G , t C < ui r= U-factors'' Comment
r
•
.
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
•
Prescriptive Certificate of Coriiance: Residential IN CF-1R-ALT .
Residential Alterations ' (Page 3 of 5)
qt-ProjecrName: 3Climate Zone# ` #of Stories
4-__l0 E WI,LceAri-e
ROOFING PRODUCTS(COOL ROOFS)§151(1)12
Wizen the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 ft', whichever is
less,the new roofing area must meet the roofing product"Cool Roof'requirements of§152(b)1Hi, 152(b)IHii,or 152(b)1Hiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof'requirements.Note:If any
abne of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
v
,¢118(1)are not applicable.Do not_fi/(table below.
Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch.
DCool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
.than 51b/ft2.
/'Alternatives to§152(b)1Hi and§152(b)Hii,Steep-slope roof(pitch>2:12)
/ ❑ Insulation with a thermal resistance of at least 0.85 heft'.°F/Btu or at least a 3/4 inch air-space is added to the roof deck
over an attic;or •
' Existing ducts in the attic are insulated and sealed according to§151(1)10;or
.0 In climate zones 10, 12 and 13,with 1 fY.of free ventilation area of attic ventilation for every 150 ft2 of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or
'� ❑ Building has at least R-30 ceiling insulation;or
0 Building has radiant barrier in the attic meeting the requirements of§151(1)2;or
0 Building has no ducts in the attic;or
\❑ In climate zones 10, 11, 13 and 14,R-3 or greater roof deck insulation above vented attic.
Exception to§152(b)1Hiii,Low-slope roof(pitch<2:12) •
❑'Building has no ducts in the attic.
Other Exceptions
. 13 Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
',_[7 Roof constructions that have thermal mass over the roof membrane with at least 25 lb/fit is exempt from the below Cool Roof criteria.
- Note:If no CRRC-1 label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise,
Check the applicable box below if Exempt from the Roofing Products"Cool Roof"Requirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number <_ 2:12 >2:12 < 51b/ftz .> 51b/ft2 Type Reflectance'4 Emittance SRI5
❑ ❑ 0 0 ❑4
❑ ❑ ❑ 0 ❑4
O 0 ❑ ❑ 0
4 .
0 0 0 0 ❑4
O 0 ❑ 0 ❑4
1. The CRRC Product ID Number con be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofr.org/Products/search.pha
2.indicate the type of praducl is being used far the roof lop,i.e.single-ply roof asphalt roof metal roof etc.
3. Rine Aged Reflectance is not available lathe Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation(0.2+0.7(pi„i,is—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4.Check box,f the Aged Reflectance is a calculated value using the equation above.
5, Calculate the SRI value by using the SRI- Worksheet at Ivto://wrvw.energy.ca.zov/ude24/and enter the resulting value in the SRI Column above and attach ucopy of
the SRI-Worksheet to the CF-IR.
To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other
•
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms • August 2009
Prescriptive Certificate of Compliance: Residential - CF-I R-ALT
Ifl Residential Alterations (Page 5 of 5)
Project Name: •
Climate'Lone /' 11-1 of Stories
•
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention10 the HERS Measures specified in this
checklist below. A completed and signed CF-4R Form tor all the measures specified shall be submitted to the building inspector befmr final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
❑YES 0 NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space,the ducts are to be sealed per§152(b)IDii and the newly installed ducts ore to be insulated pet §151(1)10.
O EXCEPTION: Existing duct systems that are extended, which are constructed,insulated or sealed with asbestos.
❑ YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the
ducts are to be sealed per§I 52(6)1Di. •
❑YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced(including the replacement of the air handler,
outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be
sealed per§152(b)IE.
❑ EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION:Duct systems with less than 40 linear feet in unconditioned space.
❑ EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verification is required for this measure.
❑YES ❑ NO YES:In Climate Zones 2 and g-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat
exchanger)a refrigerant charge measurement shall be verified per§I52(b11F.
_
Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw
The ventilation requirements of§I50(o)do not apply to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required fir this measure.
❑YES ❑NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is
replaced.the airflow and fan watt draw shall be verified ger§152(b)1 Ci to meet the reouirements of§I51(f)7B.
•
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and c.•• • •te.
$1,141;61--•& gnatu 5
Company: Dater
•
d• %��7y� If Applicable 0 CEA or 0 CEPE
/� S/E C (Certification II):
rty/StaterLin!— ? P '-
`YIik.S: 44f ret --7 • 813172o
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance,
• 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance arc consistent with the information provided to document this
building design on the other applicable compliance Imus,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval with this building permit application.,
Name: Signature:
Company: Date:
Address: License:
City/State/Zip: I ('hone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-S00-772-33(10.
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
OWNER MONROE, C.E. DATE 7-21-71
JOB ADDRESS 134 The Masters Circle BUILDING PERMIT NO. 33346
GENERAL CONTRACTOR Blue Haven Pools DESCRIPTION of WORK Pvt.Swim Pool
AP No. 119-391-09 LOT TRACT FIRE ZONE VALUE $ 2,400.00
•, INSPECTIONS� /���� Signature Date GROUP J TYPE III ZONE Rl
G SOIL (�/ ��.� y`T`�.. ��SQ�LZ w SUBCONTRACTOR PERMITS ISSUED
YY� GAS Date Number Signature
, WATER 4 ,P,fg & .7/ I PI mbinq /y�
ROUGH PLUMBING s9-23'7/ .� AAA }/ �-4�.�P�/,<B-^'� 7�i+�I�7�.'TS-/73
PROP. SWR. LINE ❑ HOUSE CON. El
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY /k-F j
U ND ERG ROU N❑ WJELptii7l �- `-' n
ROUGH WIRING , p Heating and Vent.
TRENCHES FORMS ❑ STEEL REINF. ' Aye7,26_7(
FLOOR SY EM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT in
PLASTER, BROWN COAT
STRUCTURAL, FINA �� I / 6/ e- -w ws'
HEATING IG. AND A.C.,FINAL .W t 77W i
gra
PLUMBING, FINAL AND F>c d.p�,g Y} N/
ELECTRIC, FINAL _ _. ,.4 C/o-c
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33346 PAIR
Jill 71-71cn<r<r 001933" ****31:.5C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
ADDRESS�3y7Z i Mir a. RECEI Bid DA fi3CCIVED� DATE ISSUED
BUILDING // O-/ 7 7-.2.1-7/
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OWNER C. C. . �O.ci,,eO PI A.P.NO.11q..."5/_4 �[J/J
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in CZ LIC.NO. /92.2,37 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
7 0SIZE NO.OF' /�7 J (FROM C/L STREET) / !�
OF LOT iiV X WO IS NOW ON LOT _FRONT FT. ,3---FT
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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
N the State of California.
W
Z I hereby certify that I am properly licensed as a contractor under SO. 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 a.. :ffect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
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am exempt fr. $''a provisions of the State of C: . . a Business
✓�.TVALUATION m
and Professi. title, Division 3, Chapter 9. PERMIT FEE $ 23 e—
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Signature�� (-,/�/ ��-f` m
Permitter _ , ``� $ �i� PLAN CHECK $ // Sb
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TOTAL FEE $
PAID 159.75
3 419 FEB 20-70a-00,00 611* ***
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
REC I E^D DATE RECEIV D DA ISSUED
ADlDRESSSG
134 The Masters Circle I " _2 JO"12b >d4-20
PERMIT I1T . 1 n
OWNER United Savings 8 Loan Assoc. �?.�1�:7
MAIL BUILDING Jam' / -Quad
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ADDRESS 9800 S. Sepulveda Blvd. ADDRES J �(/�
a 0 CITY Los Angeles, Calif. NOL. 670-7550 TRACT G/ Co 9 LOT L/7 BLOCK
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—I to OWNER r 24/1•ite ✓✓��
m J _11.1 ADDRESS t kil VALUE t / a C{
m ARCHITECT TEL. USE /'/Y"'1 ^.s�' H�7i/
J Q OR ENGINEER R.J. Mary ick No. 839-3840 U
U If) FIRE q+
W ADDRESS 1538 N. Century, Santa Ana ZONE TYPE GRO„UR�V
W Z CONTRACTOR Ryness—Smith Co. APPROVED c lyjDATE 2 h1_ Q/ ,
J O MVV -,�I�/('/1' C(f�A.'
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Jcc ADDRESS 140 E. Industry Ave, tL T
W W TEL. ZONE NO.OF USE OF N
F CITY La Habra, Cal if. NO. 879-3111 Ca 4 A 1 PLANS BUILDING �rut--
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W O STATE CITY YARDS APPROVED YARDS APPROV
to CC LIC. NO. 167538 LIC. NO. 1964 MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SIZENO.OF BLDGS.
OF LOT 40 x 110 I NOW ON LOT — FRONT (U
3 FT. FT.
USE OF (( 3
EXISTING BLDG. R.SIDE FT. FT.
I— SIZE OF NO.OF
Z NEW BLDG. 2100 ROOMS 8 STORIES 2 L.SIDE --3,,,T ,TFT.
Q EXTERIOR WALL ROOF ^
V_ COVERING Stucco COVERING Wood Shake REAR c;" FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 MAIN BLDGS. ACCESS. BLDGS. (.
Q VAR.# L� t/l�U -, DATE `r`..G C ,
p Single family dwelling d two car c.U.P.# iE JS"c0 I APPROVED J —( ( -69
Nattached garageAPPROVEO `� A .1ADATE z I /77.7
2 Lot 41 Plan 5-C l l /UyV1o
I
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
F any person in violation of the workman's compensation laws of
V) the State of California. to
zI hereby certify that I am properly licensed as a contractor under �/ SO. FT. ��� O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UND ALUATION IS FOR
m
Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
cr
am exempt from the provisions of the State of California Business VALUATION t �7t
and Professions Codtd, vision 3,Chapter 9.Or / PERMIT FEE $ /V�i v' N
Signature of 3 S~ in
Permittee Ltd te —/��/� - $ fl PLAN CHECK $ E
I �3D� , p
Authorized Agent y 2 ,,, 2J . :7‘S u
�- �"�r� `� TOTAL FEE $ i SI'