HomeMy WebLinkAbout268 CABRILLO ST - Building Permits"Do"�0FB1"L0°10i 268 CABRILLO ST
°"'"�rs""'E"'Q'°"":STONEMAN, JIM
monEss: STONEMAN JANET
400 ANGELZTA DR
�vv�. �,uuw �oo�ss:
CORONA DEL MAR,CA 92625
ARCXRECT OB ENtlNEEH:
/iflCN.OP ENO.'S ADDfIE55:
uc. xo.:
uxT: C
UNT:
coxrn�crarsruMe: STEVE GUYER ( 714 ) 537-2021
cartn�croxs��na�o 12091 DIANE ST .
����GARDEN GROVE CA �"� 704238 _
92640 uN*:
LICENSED COMN�CTORS DECLAfl�TON: I he�aby ellim uMs pero�y W pwjury Net I em liwised uMx po.inbm d Cheqs D
(commana�q wi�� Seclian ]000) b�+aian � d ihe Buaieba erd PMeaeiona Coda. vd mY licenea e in lull lace arM aHM.
�B "0 0�676248 "`'CA53t C 36 u0 �"0— 7/0�4238 EXP: 11 /97
�et<: (/ � Z-��- _ conn.ao.: � � //�
,OW N BIIILDEP DECLANATION: I� dfiem uMa pmely d perjury tAm 1 em aumq Imn ihe Com�edon lirome Lew la Ihe
wig eaeaon (Setlion ]W 1.5 Bus'vroea ud Pmlasaiau COEe: My tiY a oounty v.fiitA iequiiet e permA �o connWtl. ellar. imprwe.
demaon. «�av� em sv�a�. o�« w ss e.�,�. �,o �a� me wd'�v �« w�n v� w r�. aw�a.w�m mm ne a ane
h licenaed OursueM lo Ihe pwisions d Me Con�redon Liceme Lew �Chepim 9(commend'p wilh Sed'nn ]000) d D'vubn 3 M tha
eum�sa ene Praeaon coEel «�nm ha « sM u ezema �nsehwn .m �ne msv �« N. eAepad u.mpun. Mr �dmion a seeun
'!W t.5 by eny epplifaM la e parm� wbjeif� �ha epplicam lo e dv�l panelly ot na mara Ihen Me huMred Edbn �5500j�.
� I.eaovmerWihapopeny«myempkyamwihwepesmlheisoleoompemean.vn9EOUexvrk.endNaeUununem�inteMeE
a ollered lor aeb (��w� ]�. Buviwa ard PmfesaonaCade: Tha Coniredac l'xaroe law Eom iwl eppyto en ownerd propairy
who buids n mpwa+thneon. end xtn doee suN wak NmaeE a MrsN a Waph hc a her oxn emdA�s. Gp'+� �hm ux�
imP�mems era ml iniaMad a Wertd la veb. tl. lawever. �Ae buJli'p or'vnpovaneM b sold wilhin aw Y� d oomdetion. the
ow�wa�va« �n naw ins w�da, d aava �» « �ro eu m aaa «Mo�o.. t� me wmmo d w.).
� I. ea owrar d iM prope�ly. em extlusrvey ca4rm�q wuh 4onuad convanws io conevua tM qqetl (�� ]OaO. Bueineia vM
Prdeas'vv COCe: The Gomrmm liuna lew dom m� eGW b en owner d PW�Y who builM a imPp+m iherson aM wla
convens lar euch prqeas wnh e cammeor(e) IicensaE quauenl b IM CoMretlan Licenae lew).
� I am exmmq uMer Senion: B. 8 P.C.. � Nb rsev�:
De�e: �
I Eo Mmbi ceniM Nm I em awars d enC wMesbM the mV�dremaea d Celiarca IbaEA ad SeletY COEe Sediom 25505. 255]3. ud
11 / il ml ' b neeE 1 ih eaid aim md eed tM iromeMs la
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 086161 PLAN CHECK NO: N
PERM NO: P ___086161.
GOVT: N SUPP: N
CONSTRUCTION TYPE: S—N PERMIT TYPE: PLU PURPOSE: ALT
JOH DESCRIPTION : GAS REPIPE TO ALL FIXTURES SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /
COMMENTS; X
�r��t******r�r*�+�****�e**�r*r*�r***�r*�r�r�r****�r�e+��*******�r�r****�**�r*r�r*r*�**�****�**�r**
Z O_N_I N G A E Q U I R E M E N T S
S E T B A C K S
------------ MAIN.HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42546204 ZNE: REF NO;
PLANNING NOTES> !
i
if it iE 1f iF ik'N' M it if ik K if 4!k k if 1F if k iF Mik k M ik if it iF iF 1f if iF M iE 1f iflE IE fF If iF 1k iF Mik 1F iF 1F1i if iE ik if� iEiE 1k Mit it ih�E iE If 1k 1F iE ii iF if if iF 1E iE if iF iE iE k
D E V E L O P M E N T S E R V I C E S': R E Q U T A E M E N T S
ZONING APPROVED BY .
HUILDING APPROVED BY ;
APPLZCATION ISSUED BY
If 1F M ik 1f M iF±t iF iF M 1F'lf if it if M M M If 1F
LEGALIZATION;N
F E E S U M M A R Y
DATE:
DATE:
iF'R'iF'#7FiF7FiF �E
SEGMENT:N
zssa+,�emdia�vnn�,�w�u�u��.� ceR «»i o�drw "a" BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE . SMIP/RES GRADING
e perme tammuuetim a modi&ationhom iM M�ueTiyl�enepenwa D'mand. RUNeeYiel mptiutlbn eppG�etiom en azemq hom �hpe
o��^^� P ERM I T 6. 5 0
ode: �oa�: 2 S t SMIP /NON—RES
WONKER'SCONPEN9ATONDECL�fl�iION:IMrabyelfumwtlarpmetlydpe�yryansWtlrlWow'uqEedera�iom: ISSUE FEE 22.��
� Iliewvdwilmeinlanaceni(wedmmen�ioeWamunbrv.orken'ownpenWion,eaprovideElorby5edan9)OOalihelebor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Coda. lor iM pMmnuice d the wM la w1icA Nu q�mn e foued.
��n��ew��m,��.,�,,,,�,n,,;m,,,,,�,.,,,.�,;,,ee�s,,;o„s,00a,,,,,,,,,coe,.�„n�w„�„�,�u,n�. TOTALS----> . 6,50 22,00 0.00 28.50 28.50 .00
work la whiM Me pem�u u weueG. My xaken' oompenwion "vuurence wnar eM poYc/ wmber ms:
c.m.,: REVENUE DIVISION TOTALS--> COLLECTED: 28,50 OVER/SHORT: .00
Pd'ryNumEx BLDG�PMT PLUMBING ELECTRIC MECHANIC . FZRE SMIP/TOT GRADZNG PLAN—CHECK
rmve.nw �e.e„aeeca�d.�.drwo.�+riaro.�.n�e�.eecu.�./srmin�...l 28.50
1 canA' �� � ihe pMomience al Iln xwk In whch ihu partnu is eeueE. I WY �M empby enY Ge� In enY mennx ao a� lo
Eaeomew4��o�Mxwk e'mmpevalionler.sdC+fdmia.aednO��Netll�haMbeewnea+M�toiMr.wken' 1f�FlfikiFMlfMlFiFif1F1E1fifMifMlflFMiFiF1F1EMiF1F1E1EiflfNifikiF1f1f1kikiklElfifififlfififMlfiflEilikiFiflElfiFifiElfiFiFlEifiFlfMififiFMlFlfikMlE
� omw�.�� o�.u�a a s<a� a�oo d in. � coae. i anen n mmoN wnn mo.e o�o-.ivau.
I N D I V I D U A L F E E H R E A K D O W N
Dete: � � �� Appl'reM: r--�r-� �—� I
��:F�u�ro�«��won�� ronpw�wtlonrovoaWbunlawNl,��inClfWlutl/cNn�mplq�rroulMrulpxvMneM TYPE ._ .. _QTY D E S C. R I P T I O N UNIT COST TOTAL COST
\21v/l nnu �y ro on. n�ndiw tnousuitl dol/+n (tlPq000A M Me/tlon ro tln cwr or eompMurron a�w .+ wowdse ror In
Sxtlan9106oltlroL�6orCab,lmm4���my�lwa PLU . 1 _. . GAS PIPING SYS OF 1 TO 4 OUTLETS S, SO 5. SO
CONSTtiUCIION LFNdNO �GENCY: I hneDy dfirtn uMr peneEy d per'rry tM �h�e u e mxwion bdinp epency lor Ne pLU 1 GAS P I P ING SYS S+ OUTL—PER OUTLET 1. 00 1. OO
peAarmenn ol �he hoek tar whitli t�e Du�Y u ewM (Sedian �OB]. Cw. Gl.
LENDER'S NMIE:
LENDER'S �D�HESS:
I cerliN �� I hma reaE �M1ia epdK� � time Ihet tlro ebwe iMwmelion w wriM. I q�ree b canply wiln ell ay vM coumy oNinvcae
arM eime Mwa mlpiq to buddvq oavmwim ud MrabV ewlwae �epeae�etivs d �he Myto eNer u0� �he ebwa.memionaE qoperry
lorimpenion Wrpoaea.
STEVE GUYER
oda: � � � I
(5t51<B.WP� wnno-a�na:pasmay:aeaeMWe:Caneiy-�ppirant;Rnk-ibvenue:GdEanmE-bamsa
END OF FEES
CONSTRUCTION AND PLANNING P�� & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service � Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. `^ 53. Steel Reinforcement
a'Na�� ra--� . ✓�.
.��'�. �I�trical Condu'�'��t�1 ,ity-Ung,grnd. 54. Forms �
'''C�7'E1Jtrical Cond�tFlki�'dlrgmd. 55. Elecirical Bonding � :�
'��,1,,��gl Reinforcer�e� 56. Rough Plumbing & Pressure Test �
. 6.:$pgEtrical UFER�G�rQl. 57. APPROVAI TO COVER�GUNITE
w r-. �,
�y``".IS'I�tings ��h 58. Electrical Conduit�Undrgrnd.
� 8..+�+oundation ' �: 59. Gas Pipe, O Undrymd., Test
� n -
' 9. WAier Pipe�Undrgrnd. � 60. Backwash Lines, P�Trap, �.Undrgmd. '
10. Structural Floor System � � 67. APPROVAL TO DECK
i 11. Property Sewer Lin� House�onnection 62. Backwash & Receptor•Final
12. S,`e�er Cap � 63. Heater & Vent•Final
13. Roof Drains ^ 64. Plumbing System � Final
14. Rough Plumbin� � y 65. Electrical�Final
15. Rough Electricai�ocaduit .. 66. Solar System•Final
� 76. Rough Electric Wiri;*� " 67. Fencing & Access Approval
17. Rough Wiring S� a 68. APPROVED FOfl PLASTERING
18. Rough E�ectricat'f Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. �tou�h He�ating�& Air�Conditiqnkng, ry ,r i,• � ,�x o, FbRE'BC�'T�tEQUif.i�.EMEIyS c^r�
:*; 'y ^J � O i*1 '�K } '7 ^:
20. �iou F3Ctorq. Fi[8place i S:" a * S>�+ C+ �- qppHY���H pQrmit #" � �
T 1 H �fi I[-+' X• H -7 "'�* � "'7Q i•i X �
F
21. �Q� • iri�tr�Ctur��; j � �� S . * t; � .^e � . 70.EWndergio�uttl Hydro *
22. i7uct� Ventilafin��.x i � � C �2 C� F�: . 7�, produ 'Pi{�inq,JC�as E�OiI "
23. Gas �,P'-(pe`�lough &.7�`st � rS * M u `Z G+ � ,r+ *
.�,� � c�'r• �^ � x s s* 72. UndergrWrod r,�,sh �.; y
24. JRoo�Preming '� � :* � > 'r � * • 7 Undergr�d.Sto7�$ � TanF�OGas ❑Oii
25.,Eioo herathin � `�` ���� '' '�* 7, pverheadH dr
� 9 * N *'7 �TI � x Y S C` :r
26..E-BaF.Cei7ing IStructural) & @7pcoat � O >+ C t 7v Dry Cher"lical �-'� * � `ti'C � �
m r.
27. FrarfFear� Flashing� �h;� ,�, ��' �' �,*� 76. DryStar p`�peE"�'� *
� �L � 1.-� •* b N C c
� 28. Lath7ng & Siding � 7s;r O * ' ' 7?: FIXEDC9�TE�lA �-+ �`• '7'�"
29. Insulati '� * c .. � � � £ � ^' * � Q S''
d,� a g {� r g , �r 7�tr�IRE`�{REV. F.jNAL r ;>��
� 30. Drywall Neiling �� i �x e- � Sr�n� onHEALT6i DEP�. REQUI&iENIENT
r . . r.
' . 31. Piaster Brqwrf�oat * s � `,m,� � � � � • 79. FINAL k�l�'ECT�y N * � F., ��N
' 32. �lectrica PovPer Meter� joal i = � � 8 FOOD CERTIF,T�CATE IS5CIED+ O��
1-� T
� M m � ¢ x a � � �m M� o n
'� 33. �in � le,�ric- x ^ i h- � * � � P7�es: Q �n * S
�« 34..'��ina�`jie�,Eing� Air,: OEjtlitiorii 9-" r � i i �, p H ^ ;,c,* r,y "�^
35. �Fina�lyGa3Wipe�Test � -^ " � "` I � nG �n x m C i ~
.
.X :7 � �T'y a � z, t i
36.�ioo�or�anopy � n i,:; N � � � n; �o +�n+ a�::*!
- n m
- 37. Final•FaEEory FireP�e � � ;"`" ..`„ �� C� � w, :^ � GQN �
' f^ K �i.' . 'VI -T '
� 38. Fina('-Alumbing �c ir; , p � Q'J � ti: cc .. � '-7H
� 39. Water Service-Final * F i r� i I KK�^ � * T `` •
z i r I ie' Fc�f .K S*1 fliF
� 40. Gas Service-F{nal �"' �,�,`�.'-„ ,,'',.S *� I x �.., . oz, *,_
. 41. Solar pomesiic-Finak � � v � � r^ "» J� « x V
�' x �
42. Backflow Preuenter'� � `� * ' � " �'
:� * N G:-t:� :e H 'x ,r, ,^-;C r � 'r+
43. Backflowlrrig8tion�� yy~ �w "�' � * n • •
x�� N �3 n vv -
�4. .l.andsca� Ir�i atio kS stem��n '� � m � �'� °J � `- � ' - - --�� - �
4 .,, A n' Y .r �.... ;+; r. 1 G t...c : S_ 2. t� �Jr., �S a e.
45. $ound FSttenpetion+!: "�. �. � ['1 [�7 M� T v' � • f^C7 '.
C ' T ••r. / / H7J ••F-: X
46. Han�cap'RegUlatio�s S •• � S I � .^�i O n �
;¢7.'FIN�;iSTRU�TU &BUIL`bING W;- I I �'� � � y * ^
�u
48. �,'INFt� PLANNING i j`�`� ��� � y;; �j N � �; �
�
49. �le nc Release to , ison � � � M,' •n x
^.r o•- �� '� v-,
;�jU. �Gas �elease to Soutt�ern Califort�i �lC'ias Cn � µ � �
K C -t � • J T
J .> .] �K JC �' ✓ � !' �Y ILi U i
"51. CERTIFICATE OF OCCUPANCY �' " " �
No. Date
�_�
PNQIECT RDOflE55: i 6 R CABR Z LLO ST
OWNEx'SNAME: CHERYL HOLMES
noosess: 9'74 MARI,IN DR
VIST�, CA 920R4
AflCHIENGINEEfl:
ROOflESS:
,
flEG.NO.:
UNIT:
UNIT:
PEflMITTEE:AI.i-COAST ROOFING ('714)650-�2244
nooness: ;.'107 WALLACE AV
C.M. CA 92627
LICExSEo COxTflatTofl oECUlPailaN: I nereby aliirm tnat I am licensed unaer o�ovisions ol ChaD�e� 9(�ommencing with Seclion
7000� of Div,sion 3 0l t�e Business antl Pmiessions Code, antl my license is in lutl force �ntl ti
aTv uc.: n� S 19 2 9 STATE LIC.: 5�'g 4 4 O cuss: C� .
Dale'. _�.c�"i3J—�[% Signamre: _ _ _ _ -
WOflNENS' COMPENSATION OECLABATION: 1 �ereby afiirm �hal I have a cerli ; e ol con5eni to sel4insure or a cetlilica�e ol Workers'
Campensation Inxurance, or z cerlilie0 copy Ihereol �Seciion 3800, La�. C�.
POLICV NO.: E%P. OATE:
�COMPANY:
� Cetlilietl tapy i5 h¢re�y �umishetl. ❑ CerlifieA copy is f' tl wit� t�e ciry 6uildinp Division.
Oaie: Applicant
E%EMPTION FROM WONKEflS'COMPENSATION OECIAPRTION: Rhi55eciiun neee no��ecample�etl' t�e permitisfa one hunared(5100�or1e55�.
I ceriify Ihal in ihe pedOrmance ol ihe woB tor which Ihis permii i55ueE. I SAaII not ��loy n Son in any manner so as �o become
sub�ecno t�e Wo�ker5' Compensation Laws ol Califomia. �.
Date: ����—p—ti SignaW�e:
NOTILE: II. al�er making I�is Ceclara�ion, you 5�ou10 become suGl�� � �e Workers' Comp¢nsation O�ahsions at lhe Labor
Cade. you musi Ionnwii� comply wiih such O�ovisions ot �his permii s II be tleeme0 revokeU.
CONSiHUC7lON LENDING FGENCY: I hereby attirm tnat Inere is a conslNction lentling agency for Ine peAormance of the work for
w�ic� Ihis permil is issue0 (Sec�ion 3097. Civ. C�.
LENOEN:
AOOflESS:
CiTY OF COSTA MESA - HJILDING FiRMIT �n , _�.
PERMIT NO: H 050935 PLAN CiiECK NO: N � 1: :,u ; N
CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: .lLT
JOB DESCRIPTZON : REROOF FIH./GL ON DWELi,/ROCK ON GARAGE SQ FT: 3,400
CLAIM VALUE: 3,400,00 CALC-VALUE: 3,900,00 GROUP OCC: R-1 /N-1
COMMENTS: SMOKE DETECTOR(S) RE�UlRED IN EAC3 UNIT.
�lE if iF iF 7F 1f iF iF iF if� �1F if� IF 7F lE if 3E iF iF 1F fE %if ih if i(� ii� 1F �F iF . K iE I4 df aF iF iE if 3F If 36 ie 3f M� iF N� 3f }:� 3F 7F 3f if� if if i(� IF if li �E if iF iE ii� a(� iE df iF if 3F �1F 3f iE l3t i!� #�k jF
Z O N I N G R E Q U I R E M fi N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRN'T; rT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKTNG REQ• PROV: PARCEL: 42546204 ZNE: REF NO:
PLANNING NOTES>
%
iF iF #F lf i:� iF iF -0(� if iF IF iE if� 3E 1F IF %� if K% iE iF 1`.� IF 1(� iF x if IE iE if 1F �1F iF iF ): � if *� fF if iE 3F 1: iF?F �)E!E 3F R•if N- if i N• if If IF K• li iE iF aF 3f iE iF iF 3e 3E if ?E iE 3F # 3F u if ib
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
20NING APPROVED HY DATc:
BUILDTNG APPROVED BY : � � il,/ DATE:
APPiZCATION ISSUED BY: � DATE: /Z�1 I—'
*�r**�r****x�******x**�� . . x ���sFt�r*wn**+�+��**#�g ��
%ifif3fiFiflF#N�ifiEi(�%iEK-IF3Eif1ElfiFiFiEiFifiFIEIPjFiFit hiF�flEiflf f1E iFiE3ilf-ii3EiflcY.�iE1biE�3fifM�IfifiE1f1E1fMiEiFiEiE3FiEifi4ifjfYif>
LEGALI7ATION:N F E E U M A R Y STRUCTURAL SEGMENT;Y
owNexewtoexoECuiea7�oN: inereoyanirmtnauamexemo��mmtneComractors'siate�icense�awiortnemi�owinyreason BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIF/RES GRADZNG
�Section 703L5 Business anA Proiessional Code: Any city al counry which requires a permit lo constmct, alter, improve. Uemolish, or P ERM I T 6 3, 0 0 S 0
repair any stmcwre. orior �o iis issuance, aiso reouires me avpiicam ior such permi� m liie a signe0 s�a�emem ma� ne/sne is Iicense0 . . SM I P/NON —RES
pursuant lo Ihe Omvisions of Ihe ConVatlors' Slate License Law (C�ap�er 9(commencinp wilh Sec�ion 7000) o� Oivision 3 of �he Business pLAN
antl Prolessions Cotle) or Ihat ne/she is ezempl therelrom and the basis lor t�e allege0 evemplion. Any viola�ion of Section 7031.5 by I SSIJE FEE �
any apo�icam mr a permi� subiec�s me app�icam m a civi� pena�ry o� no� more �han �ive nundree danars (8500). BU'1LD Y%1(i—DIV—> PERMIT IS$UE PLAN—CHECK TO'rA'L PAID Dl7E
�. as owner m me ompeny or my emp�oyees wite wages'as tneir so�e compensation, will do Ihe work, and me TOTALS----> �63. 50 �, �� �, �� 63. 50 63. 50 .06
❑ stmcwre is not imendetl or afleretl for sale (Section 7044, Business antl Pmtessional Cotle: The Comractors' Slate License Law .
tloes not apply to an owne� ot a O�openy who �uilds or impmves ihereon, and wha Ooes such work �imselflhersell or ihmuAh
�is ar �er own emDloyees. D�ovidetl ��al such impmvemen�s are not inlen�etl or ollere0 for sale. Ii, however ihe huilding or REVENUE D I VI S 10N TOTALS --> COiLECTED : 6 3. 50 OVER /SHORT : , OQ
, impmvemen�issoltlwiihinoneyearolcompletion,�heownerwill�avelheburtlenoiproving�e/sheUitlnot0uileorimpmve $LDC� PM"C FLIJMBING ELECTRIC MECHANIC cltic. SMIP/'1'OT GRADING PI,AN—CHECK
lor i�e Ourpose ol saie�. � j. O� , 5 0
I, as awn¢r ol ine pmperty. am exclusivelq contraciing w�ih Iicense0 canVacmrs m constmc� lhe D�ojecl (Section 70ad, Business
❑ an0 Pro�ession5 Code: T�e fAniractors' State License Law Oces not apOh �o an mmer al Oroperty v+ho CUAEs or imprwes therron
an0 who conlracls lor SucA O�olecls wiih a conVacloqs) license pursuanl to I�e ConlraclorS' S�a�e Litense law�. I am aware
t�at proof o� t�eir Work¢r'S ComOensation insurante shaul0 Oe 0��'itled �o me. ^
� I am eKempt unaer Section: 8. 8 P. C. �— \ t /�/ /
lor I�is ieamn: � j �
Date:
I �0 A¢f¢�y C¢tlily Ihdl I dm dwdf¢ OI antl u04¢r5idnd Ille!¢
2553d and Ihal I or any �uWre builaing occupant willlwill no�
permil for conslmc�ion or moedication Imm I�e Air Ouahty
these pmvisions.
I nereby cenilY �Aal I have reatl Ihis applicalion antl slate Ihai �he above
ortlinances and siate laws relaling Io bwltling con9rudion antl �ere0y aW�
O�aPerty forinspeclion purpOses.
oale'._��'a/`�0 SignaWre:_
oriver's Lirense or Soaal Secwily x:
ll Caiilomia Heallb ar
nee0 to comDly with
a Disirict. Residential
� f
is
Catle Seclions 2550.5, 25533, antl
codes antl Ihe requiremenis for a
Iion apDlications are exemp�imm
: to comply with all city antl counry
y m emer upon the aUove�mentione0
I6aL46 Whne—Builtling; G�een—Catle EnlorcemenC Canary—App6canl: Pmk—Ravenue: GolUenrotl—Assessar
?E 1E k if IE 1E if �%�f 1F } 3F iF iE 1F 1F i4 � iF 3E iE iE iE fE iE iE )f� K k iE IE iE ik i� 1F 1'r !f IE 3E lf iE It i(� ff if �IEY #F i!� �lh 3F iE iE if )E iF it If Y 3F iE }'. 1E Y. iE iF if +F iE 3e 1F iE if if if 3E 3f ?f iF
I N D I V I D U A L F E E B R E A IC D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
3900 REROOF BY VALUE RnSIDENIAi, NOZONE
END OF FEES
� �1
EXPIRED ��a�
Incomplete Inspe�ticns \
Oate .r�-----�--- Sig �—�
i
�
1,00 3,400,00
��
n2 v00J7Dia-0�07i�75 1 ¢z'� cs.5��
DATE: 121:,!�D TI(DE: i5e3�
�
CONSTRUCTION AND PLANNING � PO. ,. SPA
APPROVALS Permit # . Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Serviceb7 Pole � 52. Pool & Equipment Location :� ,'
J
2, Soil Pipe-Undrgrnd. J 53. Steel Reinfarcement
3. Electrical Conduit Utili[Y-Undrgrnd. 54. Forms i
4. Electrical Conduit-Undrgmd.�' 55. Electrical Bonding � �1
i
5. Steel Reinfofcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE' �
, 7. Footings 58. Electrical Conduit-Undrgrnd. ! �
.
8. Foundation ,�� %� - 59. Gas Pipe, � Undrgrnd., Test � %� 1-�
9. Water Pipe-U�drgrnd. .- 60. Backwash Lines, P�Trap, � Undrgrrid. -
�_ •
10. Structural Floor System < _._.;> 61. APPROVAL TO DECK � '� � '
��..
11. Property Sewer Line & House Co�nnection 62. Backwash & Receptor-Final . � �
12. Sewer Cap ,�' ^ �. � 63. Heater & Vent-Final , .-���
13. Roof Drains r-� �\ 64. Plumbing System - Final -� i;-�. �
Y
14. Rough Plumbing i 65. Eiectrical-Final �' '
��7 �
15. Rough Elect�ical�Conduit �� 66. Solar System-Final �-..�', . '
16. Rough Electric Wiring � 67. Fencing & Access ApP�oval �' �; l �
17. Rough Wirin9 Sign I 68. APPROVED FOR PLASTERING '
�,
18. Rough Electript-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � '
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Facto�Y Fireplace " • APPROVALS - Permit #
21. Dutts, in Structure . 70. Underground Hydro '�
22. Ducts, Venti�ating . 71 . Product P_iping O Gas ❑ Oil -
23. Gas Pipe-Rough & Test . 72, Underground Flush �
24. Roof Framing ' 73. Undergrnd. Storage Tank O Gas ❑ Oil -
25. Roof Sheathing , � � � 74. Overhead Hydro �
26. T�Bar Ceiling (Structural) & Monocoat ' 75., Dry Chemical .
27. Frame a,nd 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 �, J9. FINAL INSPECTION
32. Electrical PoWerMeter-Final ,-�;� 80. FOOD CERTIFICATE ISSUED
'F. .� ;
33. Final Electric � . f , Nates: � � --, ,�
34. Final Heating & Air Conditioning � •.�. " � _ .
35. Final Gas Pipe-Test �� .'�•,i'�" � - � --_
36. Hood or Canopy . , � :;�/, / � � ,
37. Final Factorv Fireplace ✓ + � '
38. Final Plumbing •1' . '
39. Water Service�Final �� � '
40. Gas Service-Final ,
41. Solar pomestic-Final •
42. Backflow Preventer E�. P f
43. Backflow Irrigation . �C R7 lete In�aect( �5
44. Landscape I�ripation SYstem , : Uate � ;o �
45. Sound Attenuation � � '
46. Handicap Re9ulations
. y
�47. FINALSTRUCTURE&BUILDING '� . -
'1
48. FINAL PLANNING " '
._, .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ���
51. CERTIFICATE OF OCCUPANCY
No Date
OWNER' K. W. KOLL CONSTAfJCTION C0. DATE 10-7-58 '
JOB ADDRESS 268 Cabrillo Street A BUILDING PERMIT NO. 7%�
GENERAL CONTRACTOR Same- � VALL[E $ H61.00 �
AP. No. LOT 1F TRACT 3202 PII2E ZONE DPSCRIPTION OF WORK TTiplex w att. garage
Y�I•S'uI
INSPECTIONS � DATE I 8UBCONTRACTOR
Final Gas Test
PLAN NO.
PERMITSISSUED
�
�OWxER' K. W. KOLL CONSTRUCTION C0. DATE 10-7-58
JOB ADDRESS 268 Cabrill0_Street B BUII.DING PERLviIT NO. �1�g `
GENERAL CONTRACTOR Sa7rie �� VALIIE $ 27 �8E1.00
AP. No.. LOT TRACT 32�2FIRE ZONE DESCR[PTION OF WORK �ialex w tt. g,y�gP
GROUP H& J 1'YPE V ZONE R=F PLAN NO.
INSPECTIONS � DATE �� SUBCONTRACTOR I DATE
coat
Final
FOR SPECIAL lZtqUIR:.MtIJ-I�S ts .y.�li.,� ...o-2w—e.V .�, i.
ITS ISSUED
NUMBER
K. W. KOLL CONSTRUCTION C0.
DATE 10
10B ADDRESS 268 Cabrillo Street C BLIdDING PERMIT:NO. ,, _. 77�
GENERAL CONTRACTOR� Same " VALIiE ; 2'7,SE1.00
AP. No.
GROUP
INSPECTIONS
brown coat
JI;' �
TYPE v ZONE
DATE � SUBCONTRACTOR
Wp� Triplex w
PERMITSISSUED
NUMBER
�✓�
�
,� �.
r ' '7'7���
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 3i]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
AOORE55
COSTA MESA, CALIFORNIA
OWNER x t.i xnrr. r.nuSm_ r.
MAIL 2g26 NE[,rnORT BLVD.
AOORE55
CITV
ARCHITECT
OR ENGINEER
ADDRE55
LEGAL
OESCRIPTION
A.P. NO.
TEL.
NO.
LIC.
NO.
TR
.+o. or e�ocs.
NOW ON LOT
USE OF
E%ISTING BLDG.
SETBACN LINE FPOM ^
CENTEN OF STREET 5O� REAR YARD L��
SIDE YARD ��'RIGHT 16� l�-�LEFT
t
DESCRIPTION OF WORK
NEW p ALTERATION AODITION
REPAIq MOVING DEMOLISH
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
rr,�rR�N� StllCCO COVERING HOf. ?�'OA
ST�TE THAT TME OBOVE I$
CITY ONOINANCES ND ST
TION. •
SIGNATURE OF
PERMITTEE �
AUTHORIZED AGENT
��� ����a��� .
lo � �-s�
PIttAM�EE OEPT.
�'dY �F �TA MESII
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
�✓ I /l/ � �'JO I Vl
BUIIOING
AODRESS
COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE ^ PLO4N5 TYPE �.
C�
CORRECTIONS
w
•ND AGREE TO LOMPLY WITH I.LL
REGUL/�TING BUILOIN CONSTRUC�
� VALUATION
/ PERMIT FEE S ��
� S �J � p�/ � PLAN CHECK S � �� �
OS O
TOTAL FEE 5 7�.56 `M�