HomeMy WebLinkAbout284 CABRILLO ST - Building Permits�
PNOJECT p00NESS: 2 S S CABR IL LO ST
OWNEN'SNAME: LEE, RONALD '
aoosess: I�EE, JEANETTE
P O BOX 171
LA HAHRA CA 90631
213-888—�1070
UNIT:
APCHIENGINEEfl: NEG.NO.:
RDONESS: UNIT:
' PENMITTEE: FRASSICA SERVICES (714)721-6753
" aoonEss: 1220 PARR NEWPORT
N.R. CA 92660
LICENSEU LONTflFCTOP OECLNflATION: I �ere�y allirm t�al I am li se9-u�Ger Dmvisions o� Chapier 91�ammencinp wilh Section
7000) ai Oivision 3 1 �he usiness ana Pmleuions CoOe. antl ¢en5e is in NI lorce antl efiect.
CITY LIC.: � 5 9� J STATE UC.: S S 9 O S � C 3 9
�ale: � � Signature: _
WOflKEN' OMPENpTIONDECLAPATION: IhertGyatfm acenificateofconsenuoseu-insurearacenitiwteaiWarkers'
Compensalion Insurance. or a cerlifieU copY �hereo� (Seciion 3800, Lab. C�.
- POLICY NO.: E%P. DATE:
COMPFNY:
❑ Cetlified copy is hereby fumisAed. ❑ CeN�ieG copy is IileA vnt� Ihe ciry Building OiNsion.
Date: _
E%EMPIIO
I cenity ih
subiect Io
Applicant:
Laws oi
De mmpktetl i� the permit is for one huMreA (5700) or tess�.
not employ any person in any manner so as to became
c'
Daie: � Sipnam .
NO I E: II, ait r making this declaration. you s eaeme"sublect Io [he Workers' Compensation pmvisions of Ih¢ Labo�
Code. you mus� toMwii� comply wilA such p visions or I�is Oermii s�all be OremeO revokeE.
LONSTXUCTION LENOING RGENCY: I �er¢�y a�tirm I�at lhere is a constmtlion len�ing aAency far t�e petlormance o� the work lor
whic� ihis permil is issuetl (Section 3097. Gv. C).
LENOEN:
ADOflESS:
OWNEfl BUILOEfl OECIABATION: I �ereby aflirm Ihat I am exempl �mm IOe CONractors' S�ate License Law lor �he following reason
�Sec�ion 7031.5 Business an0 Professional COde: /lny city al coun�y whith requires a permit to consiNCC aller, improve. Demolish, or
repair any slmt�ure. prior �o ils is5uanre, also repuir¢5 Ihe appliwni lor 5uth pefmii to lile a SipneG Slalemeni Na� he/She i5 litensetl
pursuant lo Ihe pmvisions o� I�e Coniratlor5' Siate License Law (C�apier 9(commencine w��h Sec�ion 7000) ol Division 3 0� Ihe Business
anU Pmlessions Code) or IAat he/she is e�empt i�erefmm anE itle 6a9s lar ihe alleped exemption. Any violation ol Section 7031.5 Dy
any aDPlicam for a permit suUjecis t�e appliwnt ta a civil penaliy of not rtwre ttun five hunEreA tlollars (5500).
I, as owner ol ihe D�openy or my employees witA waAes as t�eir sole compensation, will Ao lha woM, an� ihe
� slmcm�e is nol inlentled or oflere0 �ar sale (Seclion 70aa, Buuness anA Pmfeuianal Cotle: The Contracmrs' State License Law
Ooes nol aODly Io an owner of a pmperty w�o Ouiltls or impmves ihereon, an0 w�o Ooes such work himsel�/hersell or I�mugh
his or Aer awn employees. pmviGeE ItWI such improvemenls are not intenEeA or alleretl for sale. 11, �owever I�e �uilAinA or
improvemenl is solE vn�hin one year ot compleiion, I�e owner will �ave Ihe �ur0en ol O�oving �e/she tlie no� 6uild or imD�ove
lor Ine purpose ol sale).
I. as owner ol t�e O�operiy. am e�clusively fAnlracting wi�� litensed coniraclors to consimct ihe pmlect {Seclion 7044, Business
I❑ and Pmiessions CaAe: The Conlraclors State License Law Aces nol apON to an owner ol properry who 6wI0s or impraves ��¢reon
anA w�o conirac�s lar sucA projec�s vrit� a mmractor(5) license Durswm to Ihe Contratlor5' S�ate License Law). I am aware
Ihat pmoi ol 1�eir Worker'S Compen5ation insuran[e s�ou1G Ge provitle0 io me.
� I am exempl un0er Section: B. 8 P. C.
lar �his reason�.
Daie: O�+iec
1 do hereDy cemly �hat I am aware ol ana unEersianA the requirements oi California Heallh antl Salery Cotle Sections 25505, 25539, anA
2553d antl Ihat I or any �Wure building occupant wilVwill noi �circle one) neetl to comply wi�h saiA s�a�e co0es antl lhe requiremenls for a
permil lor consimction or motlificalion Imm Ihe Ait Oualiry Management Usinct. Resiaential tonsimction apD�ications are exemD� �mm
I�eSe provisions.
Date: ADDlicani:
I h¢reby Cetlity I�a� I have rea4 i�is applita�ion antl S�ale Ihai lhe abav ' 1 �5�ret�. 1 agree ta Camply with all city and county
orainancesantlsta�el � srela�i o�uil4mgcansimclionan0�ere0 ttro i repr labveso��hiscirymenterupon��ea6ove�mentionetl
pmpeny lor in50ac n pur es.
� �a�e'. � 7 � � Slgnawre:
Driver's Li nse or onarSecunty x:
1641�E6 WM1ite—BuilEmp: Green—COtle EnlorcemenC Canary—AODlicanC Pink—Revenue: GolUenrod—Assassnr
CITY Or' COSTA MESA — BUILDING PERMIT rtxM Nv; i� J714b
PERMI'f NO: P 059146 PLAN CHECK NO; N c,uvi; rv 5urr; rv
CONSTRUCTTON TYPE: PERMIT TYPE; PLU PURPOSE; OTH
JOH DESCRIPTION ; REPLACE UNDERGROUND GAS LINE SQ FT;
CLAIM VALUE; CALC—VALUE; GROUP OCC: /
COMMENTS: NO STRUCTURAL WORK AlJTHORIZED
9E if di if �� iE % if 9(-�7f iE i(� iF i( iC� iE iF iC-1f iE i(� 1f !F i(-if �)f �%if �%�lE-%iF 1f �lf 9E 3F�1F �M iE iE iE �1Eif # iF �K �E �%iG x-jE 1E iFif K)F�%��lE if i('1F iF �lE �I(�dE 9F �lE i(-1(� #�% 7f K�� 7Eif k# if
Z O N T N G R E Q[7 I R E M E N'C S
S E T H A C K S
------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR• FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT ZN RGHT: FT IN
PARKING REQ• PROV; PARCEL; 92546208 ZNE: REF NO;
PLANNING NtSTES">
i s
�N- i(� iE # if iE 3E 3(� 3E-%� 3F �E iE 3E iE 3F iE iF iE%�E 3E if i(� 3E �1E �)f -1E !f #�1E 1F �1F �)f 3f 9E !F iE �If �!f iE if IE 3E il� iE �lf �F i6lf iE 1t iE # if iE iF iE iE if iE �)f !f if iF iE iE jh ic±F i6 if iE�E if k fE # 3k
L� E V n L O P M E N T S E R V I C E 5 R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
BUILDING APPROVED BY ; • DATE:
APPLICATION ISSUED BY• �� ' DATE; � IG� �j2
1EltiliEifl(�iElEIF�EiElE)(�iElEitlFititfEiElE3F+T��iF�F%�iFiFiFtefriF�iFiFiF3F3FiFiFTr3FiFit�lF3FiF�F�F�3f'%�-n�ii9hK�K�iE1ElE1fiE1FlE 4tYt �K�i�-
if� if itlf iE %� i( 9(� IFiE iE iE k j(� if iE iE iE�F 1E �f iF iF iF iE iF iE iE iE iF iE iE iE iE 3f iE iE 3t N� �K• if iF if iE if ik k iF if� iE 1�E 9(� IE ih fF1f !E if 3E K� iF if iF �E * iF If if 4i- IE if 3F iE iF if iP iF ik 3e
LEGALIZATIUN;N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIPIRES GRADING
PERMIT ��SY SMIP/NON—RES
PLAN
ISSUE FEE 20,00
BUILi)ING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7.00 20,00 0,00 ?.7,U0 27,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 2'7,00 OVER/SHOR7'; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/T'OT GRADING PLAN—CHECK
27.OU
?E i(� iE iE �F 3F if �lF k iF k 1E 1FiE 1f if iE iFlE if iF iE �lk iE if iE ih i(� iF iE iE �lE 3!� ih i(- 3F ih 3F iE iE iF ii� fh �)f 3f if �lf !f ik?f IF i!� �1!!k �E iE !f if �1F �E iF df ik iF iFlE 1k jt iF #F!E iE if iE if iE iF iE if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 GAS SERVICE 7,00 7.00
END Ofi FEES
CONSTRUCTION AND PLANNING F .& SPA
APPROVALS Permit �F Date Inspector AppROVALS Permit # Date Inspector
i. Temporery Electricat Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgmd. � � 53. Steel Reinforcement �
3. Eiectrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrqrnd. • 55. Electricai Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Efectrical UFEF Grnd. 57. APPROVAL TO COVER�GUiVITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property 5ewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent•Final
13. Roof Drains 64. Plumbing System - Final
14. Rou9h Pl�mbing 65. Electrical�Final
15. flough EfectricabCond�ic 66. Solar System-Finai
16. Rough Electric Wiring 67. Fencing & Access ApProvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOLISPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducis, Ventilating 71. Product Piping O Gas ❑Oil
23. Gas Pipe•Fough & Test 72. Underground Fiush
24. Roof Fram�ng 73. Undergrnd,Stor2geTank OGas ❑Oil
25. Roof She�thing 74. Overhead Hydro
26. T�Bar Ceiling (S[ructurall & Monocoat 75. Dry Chemical -
27. Frame and Flashing 76. Dry Standpipe " �
28. Lathing & Siding . � 77. FIXED SYSTEM FINAL
29. �nsulation j � � 76. FIRE PREV. FINAL
30. Drywall Nailing � i HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � � 79. FINAL INSPECTION
32. Electrical Power MeterFinal � ' 80. FOOD CERTIFICATE ISSUED
33. final Electric � � Notes:
34. Final Heating & Air Conditioning � �
35. Finai Gas P�pe�Test ' ,
36. Hood or Canopy �
37. Final Faciory Firepface ,
38. Final Plum6ing
39. Water Service�Final
40. Gas ServiGe-Final - � - � �
41. Solar pomestic-Final �
42. Backflow Preventei � �
43. Backflow Irrigation
44. Landscape Irrlpation System
45. Sound Attenuation
46. Handlcap Aegulatlons �
47. FINALSTRUCTURE&BUILDING
46. FINAL PLANNING
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY
No. Date
PHOJECT ROOBESS: � 8(f CA3 R I ��.LO S �
OWNEN'SNAME: S1NE�l'TE L6G
ADOflE55: SAN�.
qpCH/ENGINEEfl:
a nooecss:
HEG.NO.:
uNir: A
UNIT:
���, PEPMITTEF: � RA$$! �•A SERviC�s ( 7 i 4) 721 � 6753
� aooness: � z i 0 PARK NEWPOR i
ti B CA 92660
� LICENSED CONTPqLTOfl DECIANRTION: I �ereby affirm ��at I am licens un0er pmv�aiws ol CAaD�e� 9lcommencing wit� Section
7000� ol Uivision 9 0l ��e Business an0 Pmlessi s CoEe, anE my I' se i full ie ana 011ect.
' ciTruc.: 053985 s.qn,euc.: �19059 C39
� Date: <<� z- � ` � Signa�ure: �
I WOflKENS' COMPENSATION DELUflAiION: I �ereby a- Iha� I have a[ertitiwie ot cOnsenl to 5e14in5ure Or a[enilicat¢ o� WOrkers'
Compensalion Insurance, or a ceriilie� copy �hereo� eclian 3800, La�. C).
POLICY NO.: E%P. DATE:
COMPANY:
❑ Cenilietl coDY is hereby Iumishe0. ❑ Cetlifie0 copy is filed with ihe city BuilOinA Division.
oa�e: �� ^ 2/ Applican�.
E%EMPTION FflOM WOBKEflS' COMPENSpTION CLAPATIOK Qhis S 1 n¢ oi �¢ tompl¢le� il t�e Oermit i51or one huntlr¢d ($100) or less�.
I[etlily I�al in Ine pedorman[2 0l �he work or which Ihis Oermi Shall nol employ any perwn in any manner so as �a Cecome
Su01ec� �o i�e� /Wy rkers' Compen5aii La 5 ol Cali�omi
�aie: ` ! Z � Signamre: �
NOTICE: If, alier making Ihis Aeclaralion. you shoula'becm�e suhlec� lo Ihe Warkers' Compensalion provisians o� the �aEor
Cotle. you must fart�wiih compty wi�� suc0 O�ovisions onhis permit sAall De deemeG revokea.
CONSTflUCTION LENDINC PGENCY: I hereby al�irm tha� t�ere is a conSVuction lenainq agency for Ihe petlormance ol Ihe work lor
which Nis Oermii is issue0 (Sec�ion 3097. Civ. C�.
LENDEP:
aoosess:
OWNEfl BUIL�EB OECNNFTION: I �er¢Oy aflirm t�at I am exempi �mm I�e Contractors' S�ale License Law lor ��e lollovring reason
(Section 703t.5 Business antl Professional Code: pny city of county which reQuires a permit io consiruc�, alter, im0�ove, Eemolish, or
repair any sirutture. o��o� to ils issuance. alio repuires ihe apvlicant lor such permil to lile a signee statement ihat he/she is licensed
OurSuamtolhe Dmvisions ol Ihe Coniractors' $ta�e License Law�Chapier9�commencing wilh Sec�ion 7000�o10ivision 3 olihe Business
an0 Proles9ons Cotle) or Ihal lre/s�e is evem0� �herelmm anU Ille 6asis lor the allegea exemptio2 Alry violation ol Secibn 7031.5 by
any applitani for a permil SUOjetis I�e aOD�iCani lo a tivil penalfy ot no� mor¢ lhan five �UnAfetl O011ars (5500).
I, as owner of the propeny ar my employees vnth wages as iheir Sale comDensalion, vnll �o Ihe wark, an0 ihe
❑ sirucmre is nol intendetl or otlered lor sale (Section 70a4, Business and Pmtessional Cade: The Conlracmrs' Stale License Law
Uoes nol aDPty lo an owner al a pmperly who builtls or improves lhereon, ana wT0 EOes Sut� wOrk �im5ell/her5ell or IAmugh
his or �er own employees, pmvitletl �hal such improvemenls are not in�entlea or ofleretl for sale. It, �owever I�e building or
impmvemen� is sold wilhin one year o� com0�e�ion. the owner will �ave Ihe bureen ol O�oving �e/s�e Oitl no� Uuiltl or improve
lo� the Durpose ol sale�.
I. as owner ol Ine pmpeny, am exclusi conVacting wilh Iicense0 cantrac�ors to constmct the D�olect (Seclion 7044, Business
❑ ana Professions Cotle: The Contractors' 2te License Law does no� ap01y lo an owner ol proDehY who UuilOs or impmves Ihereon
antl who conlracis lor such pmlecls with a ci�hlractor�s) license pursuan� Io �he Contraclofs' Sta�e License Law�. I am aware
�hal pmoi ol Ineir Worker'S Compensatiort insurance s�ould Oe pmvi0e0 lo me.
� I am e�empt unJer Section: . 9. 8'P�C.
�Or IhiS reason: �
Dale: Owner. '�
I ea nere0y cenify inat I am aware ol ana wUerstand Ihe requiremems oi Calilorpia Healin an0 Safety Cotle Sections 25505, 25533. A
25534 ana I�a� I or any �uWr¢ building occupam will/wiil nm (ci¢le one) 5e¢4 lo cOmply vni� 5aid Slaie coGeS antl Ihe reQuiremenis f r a
permil for conslmclion or mo0iliralion Imm Ihe Ai� Ouaiily Managemenf Distrit�. Puidential consimclian applications are exem0� om
these piovisions. �
Dale: N licant:_
Ih¢reUy Cerlilylhal I have reatl I�iS a0�litalio and Slaie Ih
ar0inance5antslalelawsrelalingmCuilding ns�mctiana�M
pmperiy lor in5pectinn pur0ase5.
Date: z / P Signatur.:
oriver's �icense ar Sociai Security x: �
turreCl. I agr¢¢ IO tom0ly vnl� allti�y
iUes ol INS tiiy Io enter upOn Ine aE0v1
l6aba6 WNIe—Builtling; Green—Cotle Enfortemen�: Canary—Ap0licanC Pink—Revenoo; GWEenroe—Assassor
CI i Y Gr' COS"� A McSA — HUlLDTnG PERM3'�'
�' �RMZT tiU: P 053501 Ni,AN C3fiCK NO; tv
CC�NSTRJrT1UN '.'YFE: FERM"ii TYFE: PLU
PERM Nc;: P J:�'l. ;:.
GOVT: i\ Si.,�;': .�;
PilRFOSB; �i. r:
JOB Dr:SCR::Pi�ON : REROliTE ANU REPAIR r,AS LIN� SQ rT:
CLASN. VALUE; CALC—VALGE: GROUP OCC: I
COMMENTS: NO S RUCTUP,AL WORK AtJ10RI7,Ell
N�?E if �� #:i if %�YF if %-k iF i! K�fi lf 1' K IE i Y. -1f % If iE #' lE fE # 7E if Ic k�X k�� # ii� !E i:� lE lE �1F #' )c iE iF ih % 1# i(�±i 3f ?6 %�-% #�1F Y k if iE if tE dE �]E �E 9f #' 1f �IE # af iE dF �Y #
Z O N I N G R t Q U I R E M E N T S
S E T B A C K S �
------------ N.AI:] BUILD.ING ---------- --------- ACCESSORY 3Uli.Dit�G --------
FRNT: FT IN REAR: FT • I�' FRT'T: FT TN Rr:Ar�: FT SN
LEFT: t�T 1A RGiST: FT IN LEFT: FT ZN RGHT; eT II�'
PARKZNG REU� PROV; PARCEL: A254620& ZNE; REF NO:
PiA,1�N1?dG NGTES>
i
# if i6 #- R�li� ii-# 1F If ?f� �e i( ih iE �)k iE iF # 1!� iE �i� ii�f? ic ii� if if ii�-%3f 3i ?%iFiE iEiE ie.±fi 1i��F?f• �f fi ie �S-iE 3E � fE if tF i(• 1! �i iE N'r 3i i� �E fe?F 3F ie � je ie �E i(� #+: 3F �N� �i.+F iE dr
U E V E L O F M E� T S i R V"i C E i' R E � U I R E M E N t' S
7.ONING APPROVED 3Y ' t7ATE:
HJILDING APPROVED HY : �) ^ �_� _ DATE: _,_,_
APPLICATION ISSUED BY: u1l �T DAT�: ��G��„�
le#f-i�1Fi�i'�3f##iciflflEifie�lF#i�+Fi��fif. . xric�e . ,r ..r.�t �etei:icY-ifif�T:iEFi(-ki(��r.ti�i: i t -Y
1F�4 jE;: �f� %� # if ie ih?F i't iE 1ElE 1E ik R iE if if if 1F if� ## iF �li� iE #?f iF ii� iE!'r 3h 3i iE iE i( 3E it i� if i(� #�E ie it iE iEi! # i( k if� fi� If # iE IF #� i�- k k 1%ii R}: #>� � H� k i% Y N� 1'r k
LEGALSZAT�OiV:N : E E S U N. M A R Y ST3UCTGRA:, �:G9:ENT:N
BLDG PM'P PLUN3SNG ELECTRIC MECHANIC rIRE SN!=P/RES GRADiNG
PE�M�T 2.OU
25& SM.IP/tiON—��S
PI,AN
�55UE r'EE �,00
BiiZI�DING—DIV—> PERMIT 1SSi]E PLAN—CH�CK TOTAL PAID DUE
TOTALS----> 2.OU 3,00 0,00 S,UO 5.00 .UO
REVENUE DlVISION T'UTALS--> COLLECTED; 5.00 OVEk/S3URT: .QO
BLDG PMT PLUN.BING ELEC"RIC MECAAAZC rIRE SN.IP/TOT GRr'u7:tiG PLAN—CHc.CK
5.OU
if # it?i. i6 # i4 k N� IF df i�• 3c iF iE ti• N iE iF #' k# if i} u!k # fF ## 3c if �lc iE ?F 3F iF iF iE lE #F �f(� 3t i� M 1E # k idiF # iP i'r iE �! N� ;%?F±:'i?i iE ie # le3e 3f �3[� i% ie iF ff k 3F 4 3F # ii� #�
I N D = V:T D U A L F E E B R E A K D O 7rT h'
TYPE QTY n E S C R I P T 2 U N liNZT COST TOTAL COST
PL"J 1 GAS PZPING SYS Or 1 TO 4 OUTLETS 2,00 ?..00
EtiD GF �EzS
8
_ � "�:'.f'_ ��'_-' ;-nr's':1 '� _�l Lr
;1TE: U3%_'=;9C ?S?E: 7e:,.;
� '
�
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
.
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. 53. Steel ReinforcemenT
3. Electrical Conduit Utility-Updrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVEfi�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor S4stem ' 61. APPROVALTO DECK �
71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final .
74. 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. Rouqh Electrical�7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Produc[ Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush �
24. � Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25.�Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & 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 S0. FOOD CERTIFICATE ISSUED
33. Final Electric • Notes:
34. Final Heating & R.ir Conditioning �
35. Final Gas Pipe�Test f/ fj �� �
36. Hood or Canopy
37. Final Factory Fireplace �
38. FinalPlumbing �f'j�i (�p �
39. Water Service�Final . �
40. Gas Service-Final
41. Solar pomestic-Final
42. Backfbw Preventer
43. Backflow Irrigation
44. Landscape Irrigation System .
45. Sound Attenuatio�
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING .
48. FINAL PLANNING -'
' 49. Electric Release to Edison _
� 50. Gas Release to Southern California Gas Co �
51. CERT{FICATE OF OCCUPANCY ^
No. Date '
-�WNER, K. W. KOIS. �CONST. C0. DATE 10-7-58
JOB ADDRESS 28�F CabT'i110 Street A BUILDING PERMIT NO. 7%52
GENBRALCONTRACTOR SeL12 VALUES 2%�AG1.00
AP. No. LOT 8 TRACT 3202 FIRE ZONE DESCRIPTION OF WORR Tri lex w/att Aara� •
GROUP $& J TYPE V ZONE R PLAN NO. .
INSPECTIONS I DATE I SUBCONTRACTOR I DATE ` VNUMBER
. t
coat
!�
OWNER, K. W. KOLL C
]OB ADDRESS 281F CSb
GENERAL CONTRACTOR
AP. No. LOT S . TR7
GROUP H & J Typg
INSPECTIONS
Final
ONST,_ C0.
rillo Street B
Same
na�c�e l0-7-58
BUILDING PERMIT NO.
VAL[IE $ . 27��1.00
'[RE ZONE ' DESCRIPTION OF WORK
ZONE R PLAN NO.
DATE SUBCONTRACTOR
, DATE
wyu ..,y i .+ i�.�./L�YY -
Fixtures, Finnl . b V �
=OCCUPANCY /qj {y-
F°�"' 2`°—sM—'i'10LD �OF SPEC?AL REQUtRFMLNTS �,�J':�!i ..�-� �"� + �CGI�. — 8'
NUMBER
K. W. KOIS, CONST. C0.
)OB ADDRESS 2S4 Cabrillo
GENERAL CONTRAC'1'OR Same
AP. No. LOT $ TRACT
GROUP H & J TYPE
INSP�CTIONS
Final Gas Test
C
VAUiE
FIRE ZONE • DESCRIPTION OF WORK
ZONE R�+ PLAN T
DATE SUBCONTRACTOR ___
10-7-
�f
w/att garage
ISSUED
NUMBEI
'� � � " � �r��;�
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
AooRes"s 281, CABRILLO STREET a��
GOSTA MESA. CALIFORNIA
OWNER K.W• KOLL CONST CO
MAIL
nooaess �R�(� RFiJP11RT AT.Vn_
arv NEGIPORT BEACH
ARCHITECT
OR ENGINEER Q
ADDRE55 � .
teGnL LOT
DESCNIpTION N�.
A.P. NO.
SIZE
oF �or Sn i
B
n
TEL. OR. 3�0
NO.
IIC.
NO.
CITY LIC.
NO.
TEL.
NO.
TRACT
NO.OF BLO45.
.,ow o� �o, n
SETB4CK LINE FPOM
c[NT[n ov sraEcr I REAR VARO 1
�
SIDE YARD / IGHT I EFT
DESCRIPTION OF WORK
NEW ' ALTERATION AODITION
REPAiR � MOVING DEMOLISH
NO. OF
ROOMS STORIES
WALL StuCCO COVERING Hot Mop
��(� �i�C�f�E�
10-7-S �'
Fli�A�CE OEPT.
�]TY �F �.,STA l�SA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
flECEIPT NO. PERMIT NO
FIRE
ZONE
BV
COSTA MESA. CALIFORNIA
CORRECTIONS
H
V
F
�
i_
�
ui
C:
�
a
�i.e
C
J
C
U
w
C_
N
�
0
�
�
J
ri
r
STPTE TM4T THE r1BO�E IS COflPECT �rvO PGREE TO COMPLV WITN 1LL
CITV ONOINANCES AND $TA L�W$ XEGUL�TING BUI�OING CONSTRUC�
TiOrv. yq�UATION
SIGNATURE OF PERMIT FEE $ � � �a
PERMITTEE I1
s �� /� // PLAN CHECK s a 3,��
�� �a,
Al1THORtZFO Af,FNT A .
TOTAL FEE 5 �O. S O y��