HomeMy WebLinkAbout141 THE MASTERS CIR - Building Permits I J 1
4`50I if 4. •' CITY OF COSTA MESA
BUILDING DIVISION
> %j i ` DEVELOPMENT SERVICES DEPARTMENT ERMIT NUMBER
t• t t p
u
OQ PERMIT
, ; 1B02-01727
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 141 THE MASTERS CI Status: ISSUED
Suite: Applied: 10/21/2002
Vicinity: ROOF Issued: 10/21/2002
Parcel Number 11939139 Zoning:
Applicant: ISFELD, JOEL ISSUED BY:iicSSil
Address: 8941 MINT AVENUE
Phone: (714)847-7663
WESTMINSTER,CA Zip: 92683
Owner: HOAGLAND, NANCY MARGARET
Address 300 E COAST HWY
NEWPORT BEACH, CA Phone:
SPACE 31 Zip: 92660-6106
Contractor: CALIFORNIA ROOF LIFE
Address: 8941 MINT AVENUE
CA Phone: (714)847-7663
WESTMINSTER
Zip: 92683 License: 509623
Arch : Eng:
Address: _ Address:
Phone: Phone:
•
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL NEW SHEATHING, 1/2"OSB,30 YEAR,CLASS A, DIMENSIONAL COMPOSITION SHINGLES OVER 15#
FELT UNDERLAYMENT.2,600 S.F.INCLUDES ATTACHED GARAGE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $4,525.00
•
Permit: $111.25 Claim Valuation: $4,525.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
•
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 ' Required: 0 Proposed: 0
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(WOO)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
( have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
y workers'compensation Insurance carrier and policy number are:
artier` ' STi`/'(f FL-et) eslic Number:, /700$9,/ -O 2
Is'sectlon need not be completed If the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance oft :4;7% : filch tt;-ifferrnills Issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Celifomi: J d a. ee that it 13hould becomefsubject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
/
comply with these provision
'F RFSignatiue:- _tat
...44, �Oti -e: t /0- 02/-U?--
WARNING:FAILURE TO SEC - W'I ERS "• - r• %GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARS($1.•,u.),I •DDITION TO " COST• COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRAC ORS DECLARATION:
Iffrnjthatlam.licensed under provision of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
- an` eHecCCic-a-- S09• gr Iassra . a 3 9
rContractors Signature: _ ��N_ Date:— /O- 41-D 7---
.. : .1
i
CONSTRUCTION LE •I . •GENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044,Business and Professions Cafe:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contrector(s)
license pursuant to the Contractors License Laws.). ,
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes ❑NO Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: •
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-SIX(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
materiel? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0 N
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 if an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application akermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes Li No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 if a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
6 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is
correct. I agree to comply with all state laws end city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Legal Owner(s) Date
A'utfiorized nt ] rFy:Date- 7-2
goDE I •' PSIS 1Nim1.1L$ CODEC INSPECTIONTYPE WI EMMA
1616 'ed System Final Fire Prevention 206 Final Mechanical
1268 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Roof - 4.)-oZ' 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
PROJECT ADDRESS: 141 MASTERS CI UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: BE 049511
OWNER'S NAME: DICK HOGLAND
ADDRESS: SAME PERMIT NO: BE 049511 PLAN CHECK NO: 06266-90 S GOVT: N SUPP : N
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE STR PURPOSE: ALT
556-5564
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : U ' STAIR CLOSET, FR DOORS & WINDOWS SQ FT: 12, 000
ADDRESS: UNIT:
CLAIM VALUE: 12,000 . 00 CALC-VALUE: 12, 000 . 00 GROUP OCC: R-3 /
PERMITTEE: EUGINE J LIPPNIK ( 714 ) 833-0446
ADDRESS: 1820 E GARRY ST 219 COMMENTS: CLOSET U/ STAIRS, FR DOORS, & WINDOWS
SANTA ANA CA 92705 *******�H*� *************�E*�E*** *+��r�6�E�E* • ****>tM**********>E*********+L>E>E*>E>E********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
70001 of Division 3 0l the Business and Professions Code. and my license is in full force and effect, SETBACKS
CITYLIC.:026764 STATE LIC.:384 094 CLASS: B
Dale:/0' /�—�10 signature:_L -4-- -- — MAIN BUILDING ACCESSORY BUILDING
.WORKERS'COMPENSATION DECLARATION: I hereby affirm that rave a certificate of nsent to sellinsure or a cenilicate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
;ompensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT • IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
'OLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 11939139 ZNE: RI REF NO:
❑ Certified copy is hereby furnished, 0 Cenified copy is filed with the city Building Division. PLANNING NOTES> INSTALLATION OF 5 FRENCH DOORS .
Date: Applicant: ************************************************************************ ***
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E L O P M E N T SERVICES REQUIREMENT'S
I Lenity 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 be owe ,
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE
•
Dale/0.-i7—Co0 Signature:.
NOTICE:II.after making this declaration,you should become jest to the Wor 'Compensation prov Sion of the Labor BUILDING APPROVED BY . . D E
Code.you must fonhwlth comply with such provisions or this permit shall be deemed revoked. /-
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: —_aril. D TE• / V
which this permit is issued(Section 3097.Civ.C) **********************' -'- ' - ' 't r'"•'-'- -' .---tt.�.3.3 **** ******** * 3t**
LENDER: ********************************* . . ****** ****************** *****X***********
ADDRESS: LEGALIZATION:N F E E S U ' M A R Y ST UCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 3 5 . 0 0 1 . 5. •. . 84
repair any structure.prior to its issuance,also requires the applicant for such permit to hie a signed statement that he/she is licensed 50 't SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 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 PLAN 87 . 75
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
,❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 137 . 34 15 .0 0 87 .75 240 . 09 240 :09 . 00
' does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his roher mnt is sop)within providedyear thatsuch improvements are note offeredintended for shIid not r ild or iimprvr REVENUE DIVISION TOTALS---> COLLECTED: 240 . 09 OVER/SHORT: . 00
improvement
rptheepurpooff salei)hin one year of completion.the owner will have the burden of proving he/she did not build or improve). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN-CHECK
I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 135 . 00 16 . 5 0 . 84 . 87 . 75
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDO W. NI
Et am exempt under Section: B.&P.C. fi
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: r
SFR 12000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 ' 12, 000 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 FIXTURES, LIGHTING 1 ST 20 EA. . 75 ' . 75
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 1 RECEPT/SWITCH 1 S T 2 0 EA. . 75 , 7 5
permit for construction or modification from the Air Orality Management District.Residential construction applications are exempt from
these provisions. END OF FEES�s
Dare: Applicant:
EXPIRE X Q I R C D
I hereby certily that I have read this application and state that the above information is correct.I agree Ir comply with all city and county F� LeCt)OnS
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned fete
Inspections
properly for inspection purposes. Incomp
•
•"^' Date:/0—/7-917 Signature:( � = ,510 —��'��
Driver's License or Social Security
Date .a=-�--��
01 00072260-00072263 TOT O T 2+L:.Or
1641.46 Wbhe—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor DATE: 10,17/90 I lirC: 12:53
CONSTRUCTION AND PLANNING . uOL & SPA
APPROVALS Permit# Date ..Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.,, f 53. Steel Reinforcement .
•3.:Electrical Conduit Utility-Undrgrnd. 1 54. Forms . i
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 r n 7. 59. Gas Pipe, 0 Undrgrnd., Test c'
9. Water Pipe-Undrgrnd. -• ; 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System61. APPROVAL TO DECK . i
11. Property Sewer Line:& Houle Connection 62. Backwash & Receptor-Final '
12. Sewer Cap f•` './ 63. Heater & Vent-Final
13. Roof Drains I 2 64. Plumbing System - Final
14. Rough Plumbing. 65. Electrical-Final
i
15. Rough Electrical-Conduit ti! i 66. Solar System-Final
16. Rough Electric:Wiring ' - 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
,. , /11
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Facto jy Fireplace •,..1 ,r: - - , APPROVALS Permit #
21. Ducts,in Structure • .. -• -70. Underground,Hydro
22. Ducts, Ventilating : - 4 _271. Product.Piping 0 Gas 0 Oil
23. Gas Pipe:Rough& Test • - - - 1 •-72. Underground Flush. -
24. Roof Framing • ' - '� ' 73. .Undergrnd:Storage.Tank 0 Gas 0 Oil
25. Roof,Sheathing ; , ; •- i + • .1 74. Overhead Hydro
26.'T-Bar Ceiling (Structural) & Mohocoat ' ' - : , 75. Dry Chemical .
•
27. Frame and Flashing, 31'- w Q,-I- ' 76. Dry Standpipe
X28. Lathing'& Siding - •' -1' i 77:-;FIXED SYSTEM FINAL. ,-:
29. Insulation , 1. f-rq•-go 642-M 78: FIRE PREY. FINAL
-30. Drywall Nailing '; , %/ ,u
-fie fri ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat , 1 444; - 79.: FINAL INSPECTION ,
32.-Electrical'Power Meter-Final - - ; 80. FOOD CERTIFICATE ISSUED
33.1Fine i Electric` i, Notes: _
^34..Final Heating & AirConditioning' - - - -
i ,
.35. 'Final Gas Pipe;Test: - ' . . '. I - t.
•36. Hood or Canopy 1 -
I , .
•. 37. Final Factory Fireplace , , 1 ,#.1" � ,
38. Final Plumbing -.
•39. Water Service-Final ' •
. u• 'i .
40. Gas Service-Final . • •
41.-Solar Domestic-Final .. : -
A
442. Backflow Preventer• • *:. '
43. Backflow Irrigation;: ';' • r . I E X P IR E D. -
44. Landscape Irrigation System -' 1 ' p�
Income�Ippte mstttions
45. Sound Attenuation! - q Y^
., . • Date �y `L Sig -------
.i
-- av
46. Handicap.Regulations _
47..FINAL STRUCTURE & BUILDING • , • i - t 1
'48. FINAL PLANNING I •
49. Electric Release to Edison ' t
50.-Gas Release to Southern California Gas Co i / . ; •
51. CERTIFICATE OF,OCCUPANCY ,
No. Date
PROJECT ADDRESS: 141 THE MASTERS CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05126S
OWNER'S NAME: RYNESS GEORGE A JR
ADDRESS: 141 THE MASTERS CIR PERMIT NO: B 051269 PLAN CHECK NO: 00853-91 S GOVT: N SUPP: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD
833-0446
ARCH/ENGINEER: GLENN ALMOUIST REG.NO.: 52lA3 JOB DESCRIPTION : 311SF PATIO COVER WITH 160SF DECK OVER I SQ FT: 471
ADDRESS: 408 ACACIA AV
EECORONA DEL MAR CA 92625 CLAIM VALUE: 3, 000. 00 CALC—VALUE: 6, 499 . 80 GROUP OCC: R-3 /
PERMITTEE: EUGINE J LIPPNIK ( 714 ) 833-0446
ADDRESS:EE
1820 E SANTA ANA92705ARRY ST CA 219 COMMENTS: X
!k*KaElk###4##'f:1E#N1f#IF If*#IP#1f 1f#3E######f#IfaE iE 1I##If 1E#Y*#aF'1.##*#1F##aF TF KaL 1F 3E####aF 1E fF#TE#+k IF If YiE if if#
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N I N G R EQUIR EMEN TS
70001 of Division 3 0l the Business and Professions Code.and my ir 4nse is in lull force and effect.I. SETBACKS
CITY LIC.: 026764 STATE UC,r384094 LASS B
ii:le:—ani_t _I _ signature:— _ __ _ i� MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that ave a cenihca of consem to self•Insure or a certificate of Workers rRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereat(Section 380 .lab.C). LEFT: 8 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 11939139 ZNE: R1 REF NO: PA-91-03
o Certified copy is hereby furnished. El Certified copy is filed with the city Building Division. PLANNING NOTES> PROPOSED 150 SQ, FT. DECK AND 311 SQ. FT. PATIO COVER.
>
Date: Applicant:_ 1k#ik#36##)43E4444IE?E##34###M'#4##Ik4444####{43k14###)k###!k####1F##Ik#IEiE##IE1k3E#1E#u*##Ik##IE#iE lk########
EXEMPTION FROM WORKERS'COMPENSATION DE LARATION: (This section need not be complo'ed it the permit is for one h red($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work I which this permit yyy000'ue I shall note y any person in en�m er so as to become y, /
subject to the workers'Compensation Law of California. p?
/ZONING APPROVED BY rr� TJ 1 DATE: 3i(if(14_r
Dale:_ _Ip—`Z l Signature:_ LL
NOTICE:II.after making this declaration,you should become jets to the Worke 'C npensation provisions of the Labor BUILDING APPROVED BY DATE:
Code.you must forthwith comply with such provisions or I permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perlormance of the work for APPLICATION ISSUED BY; �p 4 1
DATE �J K ¢ • Sk
which this permit i5 issued/Section 3097,Civ.CI. #####iE####iEkik#3k####1F 3E#3f#34 i4#iF#1f iF fkik 7E iE iF##7(lE SP##F�!E)f iE iE iF 3E#E1E#iE 3f iF 14*****4444 16*4*#!(. µ 7E.iF Ylk#
LENDER: iE##36#14#3434*#######i4 k 36#344434##3E3E)43k*if1E#34#34##eE3k K-##aEIE#iE##Ik#1(-14#IE44#1644#.IE)E#?6#1k####!81%441x,44443E#
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby allirm that I am exempt from the Contractors'Stale License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC F IRE •
SNIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 9 0 , 0 0
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0
pursuant to the provisions ol the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMI P/NON—RES
'd Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 58 , 50
r applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE
.1 I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DI V—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 90 . 50 0 , 00 58 , 50 149 , 00 149•,00. , 00
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 employees,provided that such improvements are not intended or offered for sate.If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 149 . 00 OVER/SHORT . 00
far the purposeol sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
has owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 90 . 00 . 50 • . 58 . 50
❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or improves thereon .
andwhoconttactsfor such projects with a contractor(s)license pursuant CO the Contractors'State License Law).I am aware 3(-##ik{(.f(.##i4.Y.iEY..i4#Y..i4 i4 i(.i4i{.y.ik i6y,.{4#i6 i6##if i4ifi4#i(.3:.N.Y...N.Y.i4 i4#M.#i6 if i(..V..#iE yf.##3fif*If#N.iEV..if*Y..,IE,M,.N.M,ie 14,14 x.,Y W.16141E
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.8 P.C. INDIVIDUAL F E E BREAKDOWN •
for this reason: TYPE QTY D E S C R I P T I -Q N UNIT COST TOTAL COST
Date: o«iter. SFR 160 RES—BALCONY EXTERIOR STAIRWAY 13 . 80 ' 2 208 , 00
I do hereby certify that I am aware of and understand the requirements of California,Health and Safety Code Sections 25505.25533,andw
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a SFR 311 RES—PATIO COVER—POST tr6 TRELLIS 13 , S U 4 , 291 . 80
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from 1 END OF FEES
these provisions. I
Date: Applicant: / CSS EXPIRED
I hereby certify that I have read this application id state that the ye information is c act.I agree to comply w'th all city and count \ - Incomplete Inspections •
ordinances and slate laws relating to building o struclian and he' aut roe represe ,of this city to enter u the above-mention
property for inspection purposes. . �� ,
Date: 3—L^R I Signature. _ — -- — pee _...-- ---- SIB • F.i r'3052 i36—.:ICV12 33 I.
Driver's License or Social
791 on'E-fy c;,b"-
.1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor — \ J� - i
CONSTRUCTION AND PLANIWNG 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 • -t 1 /s 59. Gas Pipe, O Undrgrnd.,Test 2 f
•
9. Water Pipe-Undrgrnd. • _ ._ice 60. Backwash Lines, P-Trap, O Undrgrnd. ,i'-.
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection62. Backwash & Receptor-Final .1 /
12. Sewer Cap 63. Heater & Vent-Final 7
13. Roof Drains _ : ._r 64. Plumbing System - Final •
14. Rough Plumbing65. Electrical-Final r
15. Rough Electrical-Conduit '''" v 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 O'Gas 0 Oil
23. Gas Pipe-Rough 81 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: 0/L7/y1 ca --
34. Final Heating& Air Conditioning , ( t
35. Final Gas Pipe-Test • - ,
36. Hood or Canopy - - - •
37. Final Factory Fireplace '
38. Final Plumbing , . .
m \ . ‘
39. Water Service-Final •
40. Gas Service-Final -
41. Solar Domestic-Final - _
42. Backf low Preventer' 1• '
43. Backflow Irrigation - ID _
44. Landscape Irrigation System . - E X • i R E tions :
cooplo 7.:' W
45. Sound Attenuation - - In /
46. Handicap Regulations •' ' �'a 61311-7----e--
ta 4
Oat? jf N
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING, .`
t
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -. _
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 141 MASTERS CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05158'i
OWNER'S NAME: DICK HOGLAND
ADDRESS: SAME PERMIT NO: E 051587 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH
299-4499
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : MISC ELECTRIC SQFT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
PERMITTEE: BOB ELECTRIC ( 714 ) 650-3337
ADDRESS: 1539 MONROVIA 7 COMMENTS: MISC, ELECTRIC
N.B . CA 92663 �E>t>EaEk#+E>Eif-***K*kxtE *16kE**+c>E*>EXEa *** ** EIRE;E,E****N>E*N*>E*x+c***k****x***** *****>E>Ex**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIR EMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full Ir ce and effect. S E T B A C K 5
CITY LIC.: 3 12 STATE LIC.:455700 / LAS ' if '
Date: E Signature:— _•_ _ _ • MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION D CLARATION: I hereby affirm that I have a cenificale of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab. C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICYNO.: WC8131981 EXP.DATE: 05/31 /91
' 'COMPANY: STATEnn PARKING REQ PROV; PARCEL: 00000000 ZNE: REF NO:
41
❑ Certified copy is hereby furnished. Certified copy is f d with the city Solidi ivision. PLANNING NOTES> •
Date: A— 9 ' APPlicanl: *i5***1Fi:***********#)F**i!I ***Y1F*1r*****1F1E****Hifi*)F*)F*1EIF*********3f)f!it)IEIr3eir. 1F*#!i.}ii****1ci6
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(51W)or less). D EVELOPMENT SERVICES REQUIR EMENTS
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 Workers'Compensation Laws of California, ZONING APPROVED BY
•
DATE;
Date: Signature:
NOTICE:II,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. —
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• �� DATE: • d Gf'I'�S'
which this permit is issued(Section 3097,Civ.C). ************2**********- " .kr r;itx. ' -----.nr'e'n''' w ' ******3(.*****W.**** ****
LENDER: ************************************)/ )4'****************i(*****i:***i::**1:***Y,''l,'*****
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELE'.TRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 6 . 30
repair any structure,prior to its issuance,also requires the applicant for such permit to lite a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 go: SNIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(55W). ISSUE FEE 1 5. 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV- > PERMIT ISSUE PLAN—CHECK TOTAL PAID--' DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 6 . 30 15 . 0 0 0 . 00 21 . 3 0 21 ,.30 . . 00
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 employees.provided that such improvements are not intended or offered for sale. If,however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 21 . 30 OVER/SHORT: • 00
tort the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING:' PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 21 . 30❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to theContractors'Slate License law).I am aware ******)E.**)(.*****i(.jc****1(.*#!r***.isy:iF***.*******.**1f**..)c*****; r:.N.};;.*.1(.}****i:j(.y.*.#*****a(ai***
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
fur this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: •
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 3 FIXTURES, . LIGHTING 1 ST 20 EA. . 75 2 . 25
25534 and that 1 or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a uELE 4 FFIXTURES LIGHTING ADDITIONAL EA, , 45 1 , 80
permit for construction or modification from the Air atily Management District.Residential construction applications are exempt from ELE 3 RECEPT/OUTL E T 1 ST 20 EA. . 75 2 . 25
these provisions. END O(i FES
I her: n Applicant'
�'
hereby certify that l cos ttl this inguon srtltion the above azeinformationrepresentatives ist correct. agree to comply with all city and county EXPIRED
ordinances and stale laws relating to building construction and here. Iharize represenlativesr iiscity to enter upon the abovementioned
property for i peer purses. ' Incomplete Inspections —
Date:_ Signature'.
O1 00004317-O.1O3* 7 ,'c .
Driver's License or Social Security
Pink—Revenue;Goldenrod—Assessor
£ I
CONSTRUCTION AND PLANNING PL'` & 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 I 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical .. ,
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL•
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION w
32. Electrical Power Meter-Final ' 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
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 4
EXPIRED
45. Sound Attenuation Incnmpl to Incpertinns
46. Handicap Regulations - / (J-,q,�/-
47. FINAL STRUCTURE & BUILDING Late 1_ 1 4/ Sig r 7
48. FINAL PLANNING •; a .,
49. Electric Release to Edison 2
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERMIT O. / TRACT NO. LOT NO. •BLDG.NO. - I o I'
.CONSTRUCTION PERMIT Il417� R(0 - JO# 9792 ''`'tI ' I. •
Project Address 141 THE MASTERS CI RC1 E TYPE OF CONSTRUCTION •
,
'Owner GEORGE A. RYNESS Phone 5 5 7_7 3 07 ❑ NEW ❑ ADD ❑ ALTERATION '
Address 141 THE MASTERS CR. . COSTA MFSA, 99697 ❑ REPAIR 0 CONVERSION ❑DEMOLISH ZONING REGULATIONS
Arch/Eng. . License No. 0 OTHER
DESCRIPTION OF WORK INSTAI I HFATI NG AND A.P.Br
Address . AIR CONDITIONING '
20NE PLNG. REF.'"?
Contractor.K INNEY AIR CONDIT 19NI NGPhone772_1441 TYPE OF PERMIT - BUILDING Tp gtJl Incl
Addrt55 • SETBACK C/L ST PROPERTY NE -
• 1441 S. ANAHEIM BLVD ANAHEIM 49805 ❑GRADING 0 FOUNDATION - ❑STRUCTURAL rIIFEj'YARD
•
LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING XNECHANICA SIL p� _
I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT
mencing with section 7000) of Division 3 of the Business and 0 OTHER - - -
Professions Code, and my license Is in full force and effect. • REAR YARD(TO P/L)
License Class C-20 •
Litems Not 1)75$ • PROJECT DESCRIPTION
17p i�T .J��T� PKG.SPACE REQ. PROVIDED
Date —1—u' Signature af�LL1i' nAIQ s 50•."- ' ' .
WORKERS'COMPENSATION DECLARATION OCCUPANCY—CONSTRUCTION TYPE 'STREET WIDTH PARK FEE E'- .�
I hereby affirm that I have a certificate of consent to self-Ins re or a ZONING APPROVED BY I GATE
VALV ATION ZONE
certificate of Workers'�CCtompensation Insurance, or a certified COPY
Ptt I (Sct"` f" ' 'Company INA GRADING CU.YDS. ACRES SPECIAL CONDITIONS:
o.
❑ .-ertified copy Is hereby furnished. REMARKS: . -
❑Certified copy is filed with the city Building Division. - -
EXEMPTION-FROM WORKERS' COMPENSATION DECLARATION • -
(This section need not be completed if the permit is for one hundred • . '
($100) or less). - ., . -
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 PLUMBING ' PLAN CHECK ELECTRICAL PLAN CHECK - • -
subject to the Workers Compensation Laws of California. •
BATHTUBS SHOWERS UW tLLINt. GAHAbt -
Date Signature - _ 50 FT GO FT
•
NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW -
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER • -
forthwith comply with such provisions or this permit shall be deemed LAVATORIES •DOUBLE LAVS • • APPLIANCE 10-50 KW 50+ KW •
revoked. -
,
CONSTRUCTION LENDING AGENCY KIT.SINKS ' DISHWASHERS - MOTORS 0-1 HP 1-10 HP - -
I hereby affirm that there is a construction lending agency for the per. SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50+ HP
formance of the work for which this permit is issued (Section 3097
Civ. C.). FLOOR SINKS FLOOR' DRAINS FIXTURES OUTLETS SWITCHES -
Lender's Name -
-
Lender's Address S DRINKING FOUNTAINGAS TUBE SIGNS - '
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS ' POLE LIGHTS -
I hereby-affirm that I am exempt from the Contractor's License Law for •
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNSIRUtnuN -
Any city or county which requires a permit to construct, alter, POLES 'METERED SUB
improve,demolish or repair any structure. prior to its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB
quires the applicant for such permit to file a signed statement that he .,
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE - • AMP •
(Chapter 9 (commencing with Section 7000) of Division 3 of the
f ess and Professions Code) or that he Is exempt therefrom•and the WATER HEATERS BTU OUTPUT •
for the alleged exemption. Any violation of Section 7031.5 by
a applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS • - - -
of not more than five hundred dollars (5500)- -
❑ I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS - '
sole compensation,will do the work,and the structure is not Intended -
or offered for sale. (Section 7044, Business-and Professions Code: The SOLAR PIPING SYS. ISSUE FEE -
Contractor's License Law does not apply to an owner of a property •
who builds or improves thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY DATE-
through his own employees, provided that Such improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
Is sold within one year of completion, the owner will have the burden -
of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU 10 OM BUILDING
CII, as owner of the property, am exclusively contracting with PERMIT E SMTP E
AND DUCTING •
and
contractors Code: nthe sr Licet (Section 7044, lness 100,000 +BTU 4. 00 PLAN CHECK E - PERMIT
and Prwn r ThebuildsorContractor's LicensereveLaw does a not apply to ISSUANCE $"� �
an os rr of chproperty who c Improves thereon, and rsuocon- REFRIGERATION 0-100,000 BTU PLUMBING $
tracts from such projects with a <ontractor(s) Iiceznod pursuant to SYSTEMGRADING E
the Contractor's License Law). 100,000+BTU 7.5-0 PLAN CHECK E
CII am exempt under Section B.'B, P.C.for this E
BOILERS BTU ELECTRICAL E
reason MICROFILM E
Date - Owner SYSTEM REPAIR,ALTERATION • PLAN CHECK E1 ,TOTAL FEE 514•50
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL E+4.50
LESS
AD-
information is carred. I agree to comply with all city and county PLAN CHECK $ VANCEPC $
representatives
and state citytlng tp to construction,eronand hereby authorize
'
representatives of this city t nter upon the above mentioned •
property for sp Sian pur 1_83 14.50
Signature
Date - _ FINAL FEE E
Drivers' License or SS � ISSUE FEE 3. 00 _ - .
\ CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor —
CONSTRUCTION AND PLANNING//�� J V • -- - POOL&SPA .
r1j.4 �D `
APPROVALS permit Date Inspector APPROVALS Permit Date Inspector
.....1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - 4
-.2. .Soil Pipe-Undrgrn . - _ . - 44. Steel Reinforcement. - -
3. Electrical Conduit Utility-Undrgrn _ . _. - 45. Forms - -
. 4. Electrical Conduit-Undrgrn_ -46. . Electrical Bonding ., - - -
5. _ Steel Reinforce .. _- - 47. Rough Plumbing&Pressure Test -
6. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE '
7. Footings . _ _ - -_ .. 49. Electrical Conduit•Undrgrn -
8. - Foundation-- 50... Gas Pipe, O Undrgrn,Test
9. Water Pipe-Undrgrn . . 51. Backwash Lines.P-Trap:❑Undrgrn --
10. Structural.Floor System . 52. APPROVAL TO DECK - - - - - -
• 11. Property Sewer Line& House Connection - _ 1. 53. Backwash& Receptor-Final • '
12. - Street-Sewer Connection _ - - - 54. Heater & Vent-Final • - '
13. - Rough Plumbing _.. 55. Plumping Svstpm -Final
. 14. Rough Electric-Conduit - - - - --56. Electrical-Final -
15. Rough Electric-Wiring - - - - 57. Solar System-Final • - ' . '
16. Rough Heating&Air Conditioning - , - - b8. Fencing&Access Approval ,
17. Ducts,in Structure --- - - - 59. APPROVED FOR PLASTERING -
18. - Ducts,Ventilating - - _ - -_. _ a
19. Gas Pipe-Rough &Test • - - .60. . POOL/SPA SYSTEMS FINAL
20.'- Roof-Framing - - _ - - - - - - , - ' - i
21. Roof Sheathing - , - . - - - - - - . - - ' ' ' 3i.
22. -Frame and Flashing - - - NOTES:
23.' Insulation --2745-="e3 /l iliet�art -----.4.14-4e.,
24. Lathing&Siding - ) - -• - -- - - - -
25. Drywall Nailing - - . . - - _/%n-F.3 - 7zJata- m.-s,-- 11a_c .. �/t A.
26. Plaster Brown Coat - - ' - - - -- - - �•+"-e.12�p -' cii - • .
27. Electrical Power Meter-Final- - - - - - • - - -- -- yam" _. _ ra - i2
• 28.' -Final Electric ' - -- - -- - - - - - - _ - . - - - - - ; a
29., Final-Heating& Air Conditioning- - 2/"rt3 sae - - - _ - - •
30.. Final Gas Pipe-Test - - - - _ _
31. - Final-Plumbing - - __ - - - . - - I
32. Water Service-Final . - -- - - - - - . -
33. - Gas Service-Final - - - - - - it
34. Solar Domestic-Final • . - '
35. Landscape Sprinkling System _ ••
36. Sound Attenuation • '
•
37. Handicap Regulations - . - - -
38. FINAL STRUCTURE& BUILDING -
39. Special Requirements Completed - .. •'
40. Electric-Release to Edison -
41. Gas Release to Southern California Gas Co. -
42. CERTIFICATE OF OCCUPANCY •
-
No Date ,
- - -. _. ,
OWNER UNITED SAVINGS & LOAN DATE 4-27-70
JOB ADDRESS 141 The Masters Circle BUILDING PERMIT NO. 31743
GENERAL CONTRACTOR Ryness & Smith DESCRIPTION of WORK Residence W/Attached Garage
AP No. - LOT 11 TRACT 6508 FIRE ZONE VALUES 31.633.00
INSPECTIONS Signature Date GROUP I & .L TYPE (q ZONE R-I '
SOIL 44,53" j— 2° SUBCONTRACTOR I PERMITS ISSUED
GAS Dote Number I Signature
WATER UQ4151.4---/n 0 I- Plu binq /
ROUGH PLUMBING �-y/ / �� ' Ad .e ��(% U-fl7 s
PROP. SWR. LINE HOUSE CON. LJ / 'y(`J/ //L ,.I� -' C�, (� pyyyl((1/
SPRINKLING SYSTEM L
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING 9�/I_ 77/7
TEMPORARY SERVICE OR POLE /,
UNDERGROUND 0 POWER ❑
ROUGH WIRING 5--1-` ? -7e 1Q��1l�lH'(�ee sting nd Ve�n�����f ��/'//J'' n p
TRENCHES FORMS STEEL REINF. 7. J/ gyms• �2/(..* � J�//n7O `/'�/'O�
FLOOR SYSTEM �`-15-7O 4.�`�� Q� �9 7n �Jtj73 -
BOND BEAM n STEEL REINFORCE n // / l C/
SHEATHING 444/TO
FRAME AND FLASHING �7 t 7/t/'7f
LATHING - IN ® OUT r , idr/Z9
//gy 7
PLASTER, BROWN COAT kG
STRUCTURAL, FINAL 2.0 EI`Ccr/I� J /.�!
HEATING, VENT., REFRIG. AND A.C., FINAL / /Q/-�/ 70 g [/i{/�(�,CB. /�ii1 /�/i�.>!�
PLUMBING, FINAL AND GAS TEST n �(■y�q( G4 /-V..`jf
ELECTRIC, FINAL /I /6-1944-
BUILDING,
FINAL A -^^ '6II
2 i i 3s,°fl 29-7CP f.001680- ***159.75
CMS
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECE�/� q9 r DAT,,¢¢RF.CEIVED DA E ISSUED
BUILDING 141 The Masters Circle ' // a
ADDRESS .2y7-
OWNER United Savings & Loan Assoc. A.P. NO. 1' P5Tilit�l1 The Masters Circle
BUILDING
MAIL ADDRESS 14
ADDRESS 9800 S. Sepulveda Bld. / Q
ZTRAC6SOU I LOT �I BLOCK
0-v CITY Los Angeles, Calif. NO.N670-7550
Zz
Q CONSTRUCTION NEW App ALTER REPAIRMOVING DFMOI ISH
O N LENDER Owner
a CO '
I D BRANCH
JV) OWNERUnited Savings & Loan Assoc.
COa DJ J ADDRESS VALUE
=1a ORENGINE ARCHITECT R.J. Marvick NOL839 -38190 USE $
UN FIRE
w CC ADDRESS 1538 N. Century, Santa Ana ZONE TYPE GROUP
LCL
APPROVED
J
Z CONTRACTOR Ryness-Smith Co. BY DATE
CZ
Z
ADDRESS 140 E. Industry Ave. ' Single fam res . w/
W W TEL. ZONE NO.OF USE OF NEW
zI- CITY La Habra. Calif. NO.879-3111 RI PLANs2 BUILDINGatt. 2 car gar.
0 STATE CITY YARDS APPROVED YARDS APPROVED
to Ir LIC. NO. 167538 LIC. NO. 1964 MAIN BUILDING ACCESSORY BUILDING
D O SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT 41 x 103 NOW ON LOT FRONT 39 FT. FT.
USE OF
EXISTING BLDG. R.SIDE 3- FT. FT. _
I— SIZE OF NO.OF ��//
ZNEW BLDG. 2100 ROOMS 8 STORIES 2 L.SIDE 'f- FT. FT.
Z
L) EXTERIOR WALL Stucco ROOF Wood Shake (7
_ COVERING COVERING REAR f /. FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 MAIN BLDGS. ACCESS.BLOCS.
Q Single family dwelling R. two car VAR.WT /S -(o9 DATE 3-t-2-I(0,
O 9 C.U.P q!_ A APPROVED /c-4 -65'
y attached garage APPROVED
_ L
AY W, . D. DATE 4-24-70
z0 Lot 11 Plan 5-D 4"-1 /fisl
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
i_ any person in violation of the workman's compensation laws of '/
SQ. FT��'- O
the State of California. m
/)!
Z 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 UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
CC
am exempt from the provisions of the State of California Business VALUATION 3-'
and Professions Cod ,Division 3.Chapter 9. r //1, co
[� PERMIT FEE $ ( D
Signature of r / r s �� co
Permittee / �r�%may/�/�j/v/,�_s ,� L�/CyJ�� $�/ �.-�� PLAN CHECK $ � E
^_ ..a 5j u.
or—
Authorized Agent '/r.v' TOTAL FEE $ /� /