HomeMy WebLinkAbout145 THE MASTERS CIR - Building Permits • _ �+/ y� CITY OF COSTA MESA
4;j-! ►,i BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4PERMIT
IB99-01066
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 145 THE MASTERS CI Status: ISSUED
Suite: Applied: 07/12/1999
• Vicinity: PITCHED AREA OF HOUSE&GAR. Issued: 07/12/1999
Parcel Nunmber: 11939138 Zoning:
Applicant: REES, GARY ISSUED BY:
Address: 19744 BEACH BLVD.#347 -
CA Phone: (714)969-8794
HUNTINGTON BEACH Zip: 92648
Owner CRANK, ORMA 0 SR ,
Address' :• - -
COSTA MESA,CA - Phone:
' 145 MASTERS CR Zip: 92627
Contractor: -
':.Address:
Phone:
' Zip: ,' • License:
Arch : • ' Eng: •
' Address: , - Address:
. Phone: Phone:
' Zip - License: Zip: License:
SCOPE OF PERMIT
TEAR OFF EXISTING WOOD SHAKE ROOF&APPLY THERMO SHEATHING(ICBO#4488), MONIER TILE ROOFING(ICBO#
2656)&BATTEN SYSTEM-20 SQ.
FEE SUMMARY
Plan Check: . $0.00 Calc Valuation: $4,000.00
Permit: $87.25 Claim Valuation: $4,000.00
SMIP Res: $0.50 .
SMIP Com: $0.00 `
Other $0.00
Inspection: $0.00
Total:' $87.75
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 Existinq: 0 Required: 0 Proposed: 0
NOTES: •
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
DECLARATIONS I '•
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O 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.
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 permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit/s valued at one hundred dollars($100)or less.)
O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lice k Class a
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 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: Lenders 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 toe civil penalty of not more than five hundred dollars($500).):
I,as owner of the properly,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 Code: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.).
O 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 contractor(s)
license pursuant to the Contractors License Laws.).
O I am exempt u�p fr sec. Business and Professions Code for this reason:
Signature: .F/jJ!Cy 9(.t'- Date: 7- 12- 9 Q
Owner ID verified b\ river' (cense. 0 Yes 0 No Driver's License No. Expires: a z 2 ma t
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 B,California Administrative Code).
❑ As owner-builder,1 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
material? 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 feel 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? ❑Yes ❑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).
oprepare --- Management
....Pe. rogam..foreac materials)?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 ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and tiling with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
Health
4 If an RMPP is presently required,has Section 25534 of the California Handd 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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑Yes ❑No
(Section 65850.2 of the California Govemment 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 Califomia Health and Safety Code).
7 If a permit Iron 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
8 (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 s ate laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for i tion purpose . agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection.
pn, 2 -(2- te
nature Le al Owner(s) Date
•nd/Or Aluthorized Applicant Date
CODE r WSPECTION TYPE PATH INTITIAL£ CODE It INSPECTION TYPE DATE 1NTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final Q Q 208 Final Plumbing
200 Final Re-Roof 8 LL G 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
2446-46
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PLANNING DEPT.
$rX:CT TOBLDG. DEPT. REG.
866 & X/f DATJ/-7/o/
DIRECTOR OF PLANNING
•
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Baty of .:oJ)st Me,o Building Dept.
THESE PLAT J dL Or , ../N JOB ALL TIMES
MAKE NO CHANGES WITHOUT PRIOR APPROVAL
OF DEFT.
THE ISSUANCEGRANTING A PERMIT OR APPROVAL STRUCTURAL APPROVAL ONLY.
OF PLApI$ ANDAND SPECIFICATIONS SHALL NOT BE CONSTRUED
TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION
OF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE SEPARATE PERMITS ARE REQUIRED.
SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO FOR ELECTRICAL, PLUMBING,
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL HEATING VEi4TILATING AND
THE ISSUANCE OF A PERMIT BASED UPON PLANS AND . REFRIGERATION WORK
SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL _
FROM THEREAFTER REQUIRING THE CORRECTION OF.ERRORS -- -- - T...
IN SAID PLANS AND SPECIFICATIONS OR FROM. PREVENTING Pv j-,T tt # V _�
BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN TUiS OW ;I :R Ji A{,CpMPAN
r IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE
IOFTHE Cm. 'IALL INSPECTION REQUESTS
l
flLU... 3
IESONS ARE TO
LOYED, ctE SJ :ST THAT THE
OF CALIFORI`JIA DIVISION OF
IAL SAFETY BE CONNSULTED FOR
NAL REQUIREMENTS.
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 6003 9/25/87 5
�. STpMESA CONSTRUCTION PERMIT PERjNO. TRACT NO. LOT NO. UNIT NO. I p�'U TL
OTY n o- 145 The Masters Cr. •O 30 S'a.. -
ct Adair..
rr I ,JI----,,
• Applicpnt' Mailing Address 126 Commercial, C.M. 92627 TYPE OF CONSTRUCTION IE NEW u ADD .Lsl ALTERATION ❑ REPAIR
Willys T. Lenon Phone 557-0545 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone
Ow'ner's NameDESCRIPTION OF WORK/USE OF BLDG. Remove existing flat roof
Address 145 The Masters Cr , C.M. 92627 apo -. �- _ pro 1v/h or a halt R, gravel S Main Building: Accessory Building: Z
Arch/Eng. License NO. TYPE OF PERMIT GRADING U FOUNDATION LJ STRUCTURAL T Front o
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name Crank Bros. Roofing Phone 548-5569 ❑ OTHER A I
Address(mailing) 126 Commercial, C.M. 92627 PROJECT DESCRIPTION SQ. FT. 898 OCCUPANCY_Sl n 'le K Right G
.95593 559 3 CONSTRUCTION TYPTe.sidnetia,l VALUATION$_ 14.3 )0 s Left R
City License No. / ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9(commencing/ Remarks: Planning Notes: M
with section 7000) of Division 3 of he Business and Profession ode,an•
AAA my license is In fuller ..and effect. T
Lice la "-�- icense :,( ?867 - - S
Date / Sr_, ignature t_,a �Sti T PLUMBING f FEES
WOR ERS' 0•MPN a c D' ARATION Bar Sink Showers
I hereby affirm that I have a c to of consent to self-insure or a certificate ELECTRICAL FEES
1 of Workers' Compensation I nce, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. z85/224-87 State Fund • Automatic Washer Transformer 0 15.50 KW
Policy No. Company Backflow Irrigation 0 50+ KW
9 Sewer Cap Construction Pole Sub.
Certified copy is f by ith the cit
Ce ed f the cityIldin D I I Bathtubs - Sewer Connection Cooking Unit Meter ❑Up to 100 amps
Date r Applicant drank h i i6%. Rofing Co. _
EXE PTION F OM W RKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors, , Dishwasher - Meter ❑over 100 amps
(This section need not be completed if the permit is for one hundred ($100) or '
less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person In any manner so as to become subject to the Drinking-Fountains Solar Tank Fan Motors❑0-1 HP 0%-8
Workers' Compensation Laws of California. -
—
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016.15+
NOTICE:Wafter making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there Is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.)
Interceptors Water Heater Outlets Range
Lender's Name
Lender's Address Kitchen Sink - Water Service Switches Sign
OWNER BUILDER DECLARATION -
I hereby affirm that.) am exempt from the Contractor's License Law for the Lavatories ' Auto-Wash Garbage Disposal Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0.5 KW 05-15 KW
any structure, prior to its issuance, also requires the applicant for such permitTrash 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
• 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 Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure is not Intended or offered -- Reinspection Fee ' $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 ZoningApproved
sale. If, however, the building or Improvement is sold within one year of tom- - - -- - - - Canopy Type II 0 pV 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
prove for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractors to construct the project (Section 7044,Business and Professions Code: - -
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUM Y O FEES
builds or improves thereon, and who contracts for such projects with a con- - %1
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ ' DU SMIP $ 'S
proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ PERMIT
❑ 1 am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ PERMIT
ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this applic. '•n ay: state that the above ❑O-100,000 BTU ❑100,0006T ELECTRICAL S GRADING $
information is correct. I agree to co ply w SII ci and county ordinances
and state la toting to build • oply w�•n, a • hereby authorize repre-
sentatives of . city to en • pen mss,- abo •J- toned operty for /J �]t
inspection pure- es ` / /. TOTAL FEE $ (L JJ
Signature �a.�/ • Date MECHANICAL $
Drivers' Li• se or SS# — Reinspection Fee $15 Issue Fee $ 3 - PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1.!Temporary Electrical Service or Pole 52. Pool & Equipment Location • s
2. Soil Pipe-Undrgrnd.. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation { •'; 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 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 OOil
23. Gas Pipe-Rough & Test •
72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank O 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 e
31. Plaster Brown Coat 79. FINAL INSPECTION ..
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED t:
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. Backf low Preventer
43. Backflow Irrigation
•
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING Pith
/G_�
48. Special Requirements Completed i •
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
t �
UWNtK L uAlt 5-1-79
JOB ADDRESS 145 The Ma-Stare Circ1P BUILDING PERMIT NO. 47969
GENERAL CONTRACTOR g g G &irksPcker DESCRIPTION of WORK Patio_Cover
AP No. 119-391 -S8 LOT 12 TRACT 5508 FIRE ZONE VALUE $ 400 00
INSPECTIONS Signature Date TYPE v GROUP T ZONE R1
SOIL SUBCONTRACTOR PEpHITS ISSI4ED
GAS Dote I Number I Signature
WATER Plumbing
ROUGH PLUMBING I
PROP. SWR. LINE El HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING •
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER
ROUGH WIRING Heating and Vent. •
TRENCHES . FORMS STEEL REINF. jf'isT/N(r SC4B
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHINGS,012 s-2-7 7
LATHING — IN n OUT
PLASTER, BROWN COAT """��, y�9
STRUCTURAL. F IN AL.4�/l,1/Ll� IJ '�s.Pe s-7-7 9 Electric
HEATING, VENT., REFRIG. AND A. FI
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL //A
BUILDING, FINAL (((���j
7766 5/01/79 MO TL
COSTA MESA BUILDING-SAFETY DEPARTMENT AP LICATIO. FOR STRUCTURAL PERMIT . • . -
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 /
REC IV BV PERMIT : 1N / !!c-2
For Applicant to Fill in Completely — Use Ink Only
BUILDING �/r �yJ r A.P.NO. 9 q�'j}/�/�Jy��'
ADDRESS ,7s %/A.S�EQ.J �I�• ( '" _
�I,� BUILDING
TTENANTOR Ate° IAl�l- ZEfYj/YJ ADDRESS /c75---VA /`Sore-/r
UNIT OR x"N.
MAI LING AODRE S SPACE NO.
/� '7�y�����j� // / T ,pl�� LOT �BLK. N
CITY C. - X! $ /V NOLJ.�7OSS {/FJ/
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION �•
LENDER
BRANCH /
OWNER L
ADDRESS //�Y� VA E
ARCHITECT TEL, USE NVQ U EL.0
OR ENGINEER NO. ////J//(/TYPE/
Qv �/,/� �f
ADDRESS /�� ZONE /L/ _ PE��GROUP �./
CONTRACTOR �a6 µ,GAS6GeFQ cNs7 APPROVED C DATES/—
ADDRESS /192? Mc', 1e:ocxe /
��JJ
TE L.q
CITY "Cy sea riF/M NO. / 7���.J0
i-. 17 APPROVED SETBACKS
LIC.NO. _, ce �'y LIC.NO.//O Y3
GI SIZE NO.OF BLOCS (FROM C/L ST'E /
A. OF LOT NOW ON LOT FRONT . r /9
Q USE OFIJ T. /r
fa EXISTING BLDG R S DE_JC/ Ftic 'CO S/k
F /—et' O.S Separate permits are required for L.SIDE FT./o
e
C electric,plumbing and heating work. REAR �FT.C/ 0
I.W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
'C O ^
/
fipEAS �N�A /. Ct //JJ� DATE
APPROVED v//y
//� / x /a- / RAP;Ark,
DAT '/`7 /
z / UR ` x- /3 / - Aoc7- ) (�jr /
la
O.
I hereby acknowledge that I have read this application and state• I-
g„ that the above information Is correct and agree to comply with
R. all lows regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of
S the State of California. /D m
41
I hereby certify that I am properly licensed as a contractor under SO' FT' N
D
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR B
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —
am exempt from the provisions of the State of California Business �/ Y
and Professions Code, Division 3,Chapter 9. VALUATION PERMIT FEE $ >_� n
Signature of /1 r."------
= PLAN CHECK $ et
�j>— /J 0
Permittee �.LJ^'Gf � Gl t $ �`
or .1Y/ TAx Earof
p Authorizotl Agent Oate f7/ TOTAL PAID $
OWNER UNITED SAVINGS S LOAN DATE 4-27-70
JOB ADDRESS 145 The Masters Circle BUILDING PERMIT NO. 31744
GENERAL CONTRACTOR R ess & Smith DESCRIPTION of WORK Residence W Attached Carte
AP No. - LOT 12 TRACT 6508 FIRE ZONE VALUE $ 26,600.00
INSPECTIONS Signature Date GROUP I & J TYPE y ZONE R-1
SOIL Al.SCS -,c t-2SUBCONTRACTOR PERMITS ISSUED
GAS ysrY_ Date Number Signature
�9
wnTER / y 70 .'��,/ Plum�bin�•��
ROUGH PLUMBING ��Sp . •rinDt .ai -J1I�-:,a -
PROP. SWR. LINE I. HOUSE CON. 'WW' , inAVAGTZS !„I//!4471Mia TL
SPRINKLING SYSTEM ,
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING 9-4/r 71-7-7'°'
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER 0
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STRUCTURAL, FINALE n_
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•COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEI % DAIS Di/C D �sSy
I (F;
BUILDING G -2 R77 -E-//// 6)
ADDRESS 145 The Masters Circle
__
PERMIT-N.0 AA
OWNER United Savings S. Loan Assoc. A.P.NO. •-. I /�F4
MAIL BUILDING
ADDRESS 9800 S. Sepulveda Blvd. ADDRESS I/(fj
255 The asters rjrr le
Z
CL U CITY Los Angeles, Calif. NO.O 670-7550 TRAC SO LOT/2- BLOCK
I- Z
Z Q CONSTRUCTION NEW ADD ALTER RFPAIR MOVING DEMOLISH
O N LENDER Owner
am
J 7 BRANCH
...1(n owNERUnited Savings & Loan Assoc.
CO J ADDRESS VALUE
-CO ARCHITECT TEL. S $
J N OR ENGINEER R.J . Ma ry i ck No. 839-3840
U Q FIRE
w CC ADDRESS 1538 N. Century, Santa Ana ZONE TYPE GROUP
aw
APPROVED
-1 O CONTRACTOR Ryness-Smith Co. BY DATE
rn Single fam. res. w/
UJ w ADDRESS 140 E. Industry Ave. q
W TEL. ZONE NO.OF USE OF NEW
ZI-z CITY La Habra, Calif. No.879-3I I I RI PLANS 2 BUILDING at 2 rar car.
W O STATE CITY YARDS APPROVED YARDS APPROVED
(n CC LIC.NO. 167538 LIC.NO. 1964 MAIN BUILDING ACCESSORY BUILDING
0O (FROM CSTREET)
SIZE NO.OF BL
OF LOT 40 x 106 I NOW ON LOT FRONT ..` n FT. FT.
USE OF
3
EXISTING BLDG. R.SIOF FT. FT,
I SIZE OF NO.OF
1781 ROOMS 6 STORIES 1 L.SIDE 3 FT. FT.
Z NEW BLDG.
U
EXTERIOR WALL ROOF
_ COVERING Stucco ICOVERING Wood Shakes REAR /9 FT.,�//
, FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1
a GSMAIN BLD . ACCESS. BLDGS.
QVAR S
/ - 6 9' DATE —/7-
Single family dwelling & #"o car - C.U.P?.earq/_ 69 APPROVED-To -4 .- �
y , attached garage APPROVED W. L. D. ATE 4-24-70
Z Lot 12 Plan 3-BR A/4 /W
0
VI 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
C/3 the State of California. /T7 m
�/ '9
I hereby certify that I am properly licensed as a contractor under / SO.F�j -
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s
Chapter 9, and that such licenses are in full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: a
fC
am exempt from the provisions of the State of California Business VALUATION ��/ 177m
and Professions Cod Division 3,Chapter 9. I�`
/ PERMIT FEE $ D
Signature of g7" co
Permittee �� / 4111 $ PLAN CHECK $ d'� E
t
\ � /57 LL
Authorized Agent . ` e• ....11,,,s.--1....11,,,s.--1- ` TOTAL FEE $