HomeMy WebLinkAbout169 THE MASTERS CIR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERJ/(A T TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESA -CONSTRUCTION PERMIT 7 z"�j�-') ci A.P.# Zone
Project Address /69 l�P, /S • C�1 _ TCA F' S Main Building: Accessory Building:
AppliV hill ,♦ • atti TYPE OF CONSTRUCTION LI NEW U ADD U ALTERATION L/I REPAIR `
Owner's
anti MailingAddress _ El CONVERSION LI DEMOLISH 0 OTHER T Front O
Owners Name [� Phone - . DESCRIPTION OF WORK/USE OF BLDG. I B •Rear N
Address Aw!/21 nil �1
Arch/Eng. License No. TYPE OF PERMIT 0 GRADING c-FOUNDATION 0 STRUCTURAL K Right G
Address
El TENANT 0 ELECTRICAL PLUMBING 0 MECHANICAL S Left R
/y�� J� /� WS-941170
/� 0 OTHER Ping. Ref.# Parking•
Re /Provided E
Contractor's Name //i4L /" W Phone�7sgynn� g. Req
./Provided A ppp yI�// PROJECT DESCRIPTION SO. FT. OCCUPANCY PlanningNotes: 189
Address(mailing/ cf /fie �jdna Af (///(/ CONSTRUCTION TYPE VALUATIONS ��••��^^ ( M
City License No. �V✓ 3o�J ZONE GRADING CU.YDS. ACRES E.c�IVED SEP 1 T
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: --
with section 7000) of Division 3 of the Business and Professions Code,and
my license is in ful fo and effect. ELECTRICAL FEES •
License las - e se N. ata 'f•
Date Signature 4.".// . t PLUMBING FEES Automatic Washer I Transformer 0 15-50 KW
WORKERS' COMPENSATION DECLARATIONBar Sink Showers Construction Pole Sub. ❑ 50+ KW
I hereby affirm that I have a certificate of consent to self-Insure or a certificate
\ of Workers' Compensation Insurance, or a certified copy thereof (Section - Cooking Unit Meter ❑up to 100 amps
3800, Lab.$7170.51749
y ��� /- r-Y Backflow Preventer Service Sink
$7 Company ] fZ(/((f' Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
Policy No. —
��ertified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
�C CerY ie to N,s filed with the city i m o / Bathtubs Sewer Connection --T—
...Coate
��--`1 Applicant �!`�1 Fan Motors 00-1 HP 01%-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred ($100)or -.- F.A.U. Inc.Solar ❑9-15 HP❑16-15+
less). Dishwasher Solar Piping
I certify that in the performance of the work for which this permit is issued, I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/$pa Device Boxes Pole Light
NOTICE:If,after making this declaration, you should become subject to the - •
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range
comply with such provisions or this permit shall be deemed revoked. -- - --
CONSTRUCTION LENDING AGENCY Water Closet Switches Sign
I Gas Service Outlets 9
hereby affirm that there Is a construction lending agency for the performance
of the work fpr which this permit is issued (Section 3097 Civ. C.) Interceptors ' Water Heater _ Garbage Disposal Standing Sections
Lender's Name -
Lender's Address Kitchen Sink Water Service ' -:
Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auld-Wash '
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
any structure, prior to its issuance, also requires the applicant for such permit -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 Reinspection Fee $15 Issue Fee S 3
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
enalty of not more than five hundred dollars($500). - DEVELOPMENT SERVICES REQUIREMENTS:
1-1 I 1, as owner of the property or my employees with wages as their sole Reinspection Foe $15 Issue Fee $ 3
compensation, will do the work,and the structure is not Intended or offered :Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL i FEES • 'Building Approved By Date
License Law does not apply to an owner of a property who builds or Improves _ _. _
thereon, and who does such work hl herself or through his or her own • Application Issued By ti^) Date_
employees, provided that such Improvements are not Intended or offered for Boiler Hood Or Type I ❑
sale. If, however, the building or improvement is sold within one yearear ofof Com- Canopy Type II 0 .
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEES
•
prove for the purpose of sale). - BUILDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con• Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: - _ r PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ — 5 00 ISSUANCE $
builds or Improves thereon.and who contracts for such oroiects with a con- I $ ENERGY P.C. $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25%
proof of' their Worker's Compensation insurance should be provided to me. — •
ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLAN CHECK 50% $ MICROFILM $ 4D
Date Owner Heating System &Ducting Registers MECHANICAL $ TOTAL FEE $ SB
I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,0008
Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building cons ruction, and hereby authorize repre- .•
sentatives of t•' city to enter up• the above-mentioned property for
inspection Dur.d�/ /jt/! Pil
Signature +a/ / _
_ _ `. • Wit_ _
`\ 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor .IF �v s
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool &=Equipment Location
2. 'Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3.'Electrical
Conduit'Utility-Undrgrnd. 54. Forms
•
4-Electrical Conduit-Urid'rgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' •
6.:Electrical UFER'Grndt 57. APPROVAL TO COVER-GUNITE
7:.Footings - 58. Electrical Conduit-Undrgrnd. ,
8. Foundation 7 59. Gas Pipe, E Undrgrnd.,Test
9. Water Pipe-Undrgrnd.`": 60. Backwash Lines, P-Trap, E Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11.. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. S6wer 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
18i Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
z•
X18. 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 E 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. e 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 No : 3-400 0 PeavneP-- E►'-PY2.CP 44.5
34. Final Heating & Air Conditioning o S77 Ct L. Era
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 1.
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System ''
45. Sound Attenuation•• •T
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
z, t
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY .+
No, Date :�_
OWNER UNITED SAVINGS & LOAN DATE 4-27-70
JOB ADDRESS 169 The Masters Cr. BUILDING PERMIT NO. 31750
GENERAL CONTRACTOR RVness & Smith DESCRIPTION of WORK Residence wlAttached Garage
AP No. - LOT 18 TRACT 6508 FIRE ZONE VALUE $ 32.133.00
INSPECTIONS Signature Date GROUP I d J TYPE Y ZONE R-1
SOIL /1.-1 54--72, 'artPERMITS ISSUED
GAS SUBCONTRACTOR -
Date I Number Signature
WATER a 9 inns-7 Ct Plum inq
ROUGH PLUMBING �S D Il- 7- ry- -1*A lT•t-70, 5(,9 R- I//
PROP. SWR. LINE r HOUSE CON. //i t/,/ a 4 dr ata/10 ,3'&- -41-7 �/
SPRINKLING SYSTEM /<'`- v/ / "`���""''��{ [[
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING N}-15j-/5--7r
TEMPORARY SERVICE OR POLE
UNDERGROUND El POWER ❑
ROUGH WIRING �� 7•iJ�1�r Heatin d V n q� p
TRENCHES ® FORMS ® STEEL REINF. Q b f-7-7 u , , iL �i -17.
M 70 7J8
FLOOR SYSTEM e .11. -Y✓ r -7.-7r 7,18. -----
BOND BEAM n STEEL REINFORCE n /
SHEATHING Atiki 7/6/10
FRAME AND FLASHING F�I (17/'f2
LATHING - IN OUT W /OM /;'7O
PLASTER, BROWN COAT 1S e
STRUCTURAL. FINAL 7„....4_,:i, ///�/���},,� ��/��e� �J
HEATING, VENT., REFRIG. AND A.C., FINAL Ye 2/ j • r-
#r ��Q, 4�� J94?3/
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL �
BUILDING, FINAL , Aw S'G YOGA
,J ! I:"IG
PAID ,t
WR 2Q-7snrcn001687t- ***163.50
.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECE6D y DAT;REC,€IIVaD DAT ISSUED
BUILDINGADDRESS 169 The Masters Circle /`H L/{ o`er / �7"2 2,
PER
OWNER United Savings 8 Loan Assoc. A.P.NO. ` I
�• fl
MAIL BUILDING
Z
ADDRESS 9800 S. Sepulveda Blvd. ADDRESS 169 The asters Ci cle
W W TEL.
0_0 CITY Los Angeles, Calif. N0.670-7550 TR AC‘.—' O LOT irci BLOCK
ZZ
Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
- I-
LENDER Owner
am
J D BRANCH
J10 OWNERUnited Savings S Loan Assoc.
m J ADDRESS VALUE
JCO ARCHITECT TE USE S
Q OR ENGINEER R.J . Mary i ck NoL839-3840 •
0 N FIRE
W 2 ADDRESS 1538 N. Century, Santa Ana ZONE TYPE GROUP
EL 9;1 APPROVED
W Z CONTRACTOR Ryness-Smith Co. BY DATE
J 0
co
..71 g0 ADDRESS 140 E. Industry Ave. Ct m
w w TEL ZONE NO.OF USE OP NON1e fd . 1 e: . W!
ZF CITY La Habra, Calif. No.879-3111 RI (PLANS 2 BUILDINGatt. 2 car garage
STATE CITY YARDS APPROVED YARDS APPROVED
V K LIC.NO. 167538 LIC.NO. 1964 MAIN BUILDING ACCESSORY BUILDING
D 0 (FROM C/L SgT ET)
SIZE NO.OF SL .
OF LOT 44 x 92 NOW ON LOT FRONT �9.5FT. FT.
USE OF
EXISTING BLDG. R.SIDE 7 FT. /
b FT.
I- SIZE OF 2165 NO.OF
Z NEW7 2 BLPG. ROOMS STORIES L.SIDE 3 FT. FT.
UCOVERING J
EXTERIOR WALL-.STUCCO COVERING Wood Shake REAR / a FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CL 1 MAIN BLDGS. ACCESS. BL0006
ct VAR.# Lt-15-6y DATE 2-17-69-
Single family dwelling 8 two car C.U.P.#ZI_f]-69 APPROVED 10-6-69
to attached garage _PROVED g, L. D. -DATE 4-24-70
pID
Lot 18 Plan 4-0 Amp
UI hereby acknowledge that I have read this application and state
0 that the above information Is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I- any parson in violation of the workman's compensation laws of
fA the State of California. ' m
Z 02/`�/ 5-77 SQ. FT. y 9
I hereby certify that I am properly licensed as a contractor undero,-
the
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 hilt force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: rr
am exempt from the provisions of the State of California Business a:
and Professions Cod Division 3,Chapter 9. VALUATION / C Le m
to PERMIT FEE S f j
Signature of �eM,'.�... f/�f�' ��/�qqqq �,/( 3-1/
i SD m
Permittee � s2 � /rif t $ �') PLAN CHECK S /✓ � E
Authorised Agent
TOTAL FEE S