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PERMI'I NG: M 08531� PLAN CHECK NG: N
CUNSTRUCTIGN TYPE: V-N F�cRMIT TYPE: MEC
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LICENSEU COHrNRCTOfl3 DECIRPATION: I Mnby eflim u�Mx penely M pa�ury Nei l em licaneed uMm pvruime ot Chaqer 9
(wmmerc rq r,nh Seclion )000) d Dimun � tl tM Bu�eo W Pmlaeeona Code. W m1' fcrw u in h0 face eM oflea.
CRY LJC. NO.: UC. CIASS IJC. NO.: hxP 7
ome: coimmor
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WONKEN'9 CONPENSATION OECUNATON: I Mreby elfmn uMer prWty d prjuy ar d tM tdbw'uq bNvmoro:
❑ I hew uM MY mei�uen e mMicele d consant �o eeHinw�a br xvkrs' epnpenWion, m prwided Irc by Sec�ion 3)00 d �M labor
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c.m.,:
Pd'ry Number:
ris eea�on �ea mr a. w�psise r rne a«m� e ro. �. wm�.e dme�s Isicnl a w.l
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CONSTNUCTION �ENqNO �GENCY: I Meeby eKum under pseRy d per'�wy tM Nra u e mrmiuuun bMvq epency br Ne
peAormerce d Ine xvrk lar whitli ihc peimY b eawd (Seaun 309). C'v. G�.
LENDEH'S NMiE:
LENDER'4 ADDFESS:
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Ainvu�m (Mmr/ anVA nIM �mnn
(515L48.WP)
Giex�qe: Car�eiy-Appicani: Fnk�is.awe: Caddenro�Ananan
Ytt(M NV: ri V2f�31
liV�11 ; N SUYY; N
YiiR'r�Se:: uiri
:JUb DESCRIPTZGN : REPLACE WALL HEATER SQ FT:
CLAIM VALUE: CALC-VALUE: i;ROOF GCC; h-3 i
CGMMENTS: X
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Z i� N Z N G R E Q U 1 tt E M'n N'I 5
S E T B A C K S
------------ MAIN BUILLINi� ---------- ---------- AC�ES:iGRit BUILLING ---------
FRNT; FT IN REAR; FT IN YliN'T; Y'I IN kcAR: tT IN
LEFT; FT IN RGHT: rT IN LEF'f; FT TN RGHT: Fi ZN
PARKING RE{-,�; PROV: FARCEL; 4259b206 ZNE: REF Nii:
PLANNiNG NGTES>
%
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L E V fi L U P M E N T S E R,V I C-E S k E� U i: k E M E N I S
ZONING APPROVEL HY .
bUILDZNG APPRGVEL BY ;
APPLZCATIdN ISSUEL bY:
*;�������*��������*�� �r
LEGALIZATIGN;N
F E E 5 U M M A R Y
BLLG PMT PLUMbING ELEC'PRIC MECHANIC
�ERMIT 13.25
25t
PLAN
ISSUE FEE 22,00
_ LATE;
LAI'E ;
uAT�.: � � �
��*�*���x��� � ��� ��
STRUC'iURAi Sc.GMENi:N
FZR£ SMIP/Re:S GA.4L'ING
SMIP /NON--it�:5
bUILLING-LIV-> PERMIT ISSUE PLAN-CHEi:K TOTAL PAiD L�E
TOTALS----> 13,25 22,00 0.00 35,25 35.25 ,GG
REVENUE DZVISION 'fOTALS--> CuLLECTEL: 35,25 GVERiSHGRT: .0�7
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIF/TV'I GRALING PLAN-CHECH
35,25
if iF 9F iF #�11 if iF if 3F iF #F it iF iF i'e if if iE iF iF �F ie ie if if iF if iF if iF w if w ie w 3F # if ie'sf if iF i't �f iF w ie+F iiK iiie w iF # iF # ie'se ie ii� iF if w ii i'r if ie iF �k ie if ie w w w w ie
I N L I V I U U A L F E E b R E A K u U W N
'TYPE QTY L E S C R I P T I U N UNIT CUST iG['Ai. CGST
MEC 1 INSI'iRELGC RfiCESSEL WALL iiEATER 13,25 13.25
ENL OF FE65
18-28-1997/IB:33 pM/f35.25
RCPT@:81-@814187
PERMIT:B85313
"`�CONS7RUCTIQN AND PLANNING POOL �A
r APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary EleGtrical Service or Pole �' 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
�.;..3. :Electricai Conduit Utility-Undr9rnd. 54. Forms -
�-4.;ElectricalConduit�Undrgmd. 55. Electrical8onding
Y i'
':S;.�Steel Reinforcement 56. Rough Plumbing & Pressure Test r
7�-i�6'.'Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
. .r �� �
'_'7.=Footings 58. ElectricalConduit-Undrgmd. >,
:� 7 8. Foundation 59. Gas Pipe, O Undrgrnd., Test
:, �
:�; z 9.%/ater Pipe-Undrgrnd. 60. Backwash Lines, P•7rap, O Undrgrnd.
10! Structural floor System 61. APPROVAL TO DECK
7 7.��Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. .Sewer Cap 63. Heater & Vent�Final
13. Roof Drains 64. Plumbinc� System • Final
74. Rough Plumbing .,� 65. Electrical-Final
15. Pough Electrica��Conduit . �� 66. Solar System-Final
16. Rough Electric W���ng 67. Fencing & Access ApProval
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Electrica�-T Bar Ceiling � � 69. POOUSPA SYSTEMS PiNAL
79. Rough Heating &_Air Conditioning , � FIRE DEPTZREQUIREMENT �
20..'Hoygh F�cto�;y Fieplace ` �� � � � ,', : � �?' A 'r APPROVA4S� -' Petmit # °��_
21 .�Ducts, in_Strppturo K � •• � ��.^ ' -' '� 1 - 70:"UnderFjrou�d dro °
� `i . n
22. Duci's, Venti�tin^ r � •� �. ': .= '� t: '� J :'� c . �T ��
� . � 9� r � 1: �7 :; 'J �� 4. ,1, 77. Produ�t�iping �'Gas �b Oil
23. :Gas.Fipe:Ftough & jest � -.�j S i� T7 T � �� K� 72. Undergrc�unA Flu's'h �
24. =Rooi Framing �` '"• .-.,r '= �-' _ � K S y�' Undergr�id. Sto;a�e Tank � Gas O bil
�
25. Roof�5h0ething i. � •� � � �7 � v x�� }ry, Overhead Hydr.'ra K
�
26. -T�B2t Ceiling (5erudturaq & iGl'g}i 'coat �' y � � �� �� 7.5. Dry Chemical �7 ;, '�' � �
r F '� r _ }� .. �
27.'�rarx�e and Flashing; �� � �.T 'i� � k 76. Dry Sta�utlpipe- � .�� � •
' 28. LatM'ng&Siding k� y== �^ "5 "�F 73�, FIXED,$,Y�ST��tC�FINFj1.� .-; ;r
1 29. Insulati � -� > .• r� � � 78. FIRE PREV. FIIQ'AL �� 1� � �
' 30. Drywall Nailing �� I ;��, I �r .� ; H€AL7Fi DEP�'."REQUIii�EMENT
•. 37. Plaster Bcown�Goat, c ,�r r i � � K.. 7�. FINAL �1SPECT�tON k J � ��
`� 32.'Electrical Po�/er Meter�Final� �' v � 'F • 80� FOOD CERTIE�CATE �,SS� ED, �
~ �, r � : '�7 I �r, .r � . y � �•
• 33.�;Fina1� Ele{`3tric, �, r, . �� i s Notes. � �.n �-, �) : tr;
34. �FinaY Heatingi& AirConJitioniHg.: ,2 , . .%! .�, _ , _ F .� :;'7
� ,r t _ ,: � ��g�7i - �, . .� , ,� = � �: �
35.'�inal'Gas Pip,��,�Testf -�. r � ;: � �' 7 � _ �' •�� �. _ � .` � � �,�r
I 1 -
�� 36. Hood or CanopY - ^ 7 4 � � � 'F s ;g � � y r�~ r„r
i r r .., I « � c.q �„a
37.`Final',Factory�irep�aC'e,. �� t r � I �� -_ _ -`..ij
,,, n
, 38. FinaCPlumbing •� • � � ?: `�'.'.'� . .y `'� ^ ---
v o i
� 39. Wate'r Service-Final* ; � � � i 'r a � � w�? P`
. 40. Gas Service-Final j r �.r� ,� � �. ; i` 'r _�:.: ,� ti a^
� - t � .� s �� �
� 47. Solar pomestirPin�t ` -' .. r � � ` l'' ' `
r ♦ i ; �. . y l� c r. _
42. Backfiow Preventer� ' � •j � � - � -� .K 7
'-�43. Backflow Irrigation',�. 'x - � � .� � t � J � ' - `.
(44. landscape Iriiqation System: �; "� = ".�. '7 'r �, ` _ '� v 'c,�� � -
d5. Sound A�tenudtionf " � ; '" ` _ �� � x ' _ ' '; ' r -
� ,
'46. Handicap.Regu�atio{�s �� �j � k .: s = 7 �� S k �� �I
-� ,
47, .FINAL STRUGTUf�E & BUILDING _ � i _�' � �3 c _ '
48. FINAL PLANNINGJ , - . � C� * � .{ . �
� i � <
_49. .Electric Release to Edison ' � ' ��' � ^ � - �
� � �; ,. �, � - t �
. ' - ,
50. 6as Release to Southem Cali(ornia Gas Co �" �c -+ �7 • : r •
- �r
_5.]�. CERTIFICATEOFbCCUPANCY � � ._ . T::� ' - '
No. Date �
K. W. KOIS: CONST. C0.
JOB ADDRE55 �(�
GBNERAL CONTRAC
AP. No. LOT
cRouP H & J
INSPECTIONS
COBi
Final Cas Test
�
I�
Cabrillo Street A
Same
�rxacr 3
vPF V
FIRE ZONE
ZONE F
DA�
SUBCONTRACTOR
DATE 10-7-58
BUILDING PERMIT�NO. TTSO
VALUE j �'( tSb1.00
NORK TY'iplex w att garage
PLAN NO.
PERMITSISSUED
�
�
�
�
�OWNER K. W. KOLL CONST. C0. DATE 1�-7-58 ,
)os ADDxESS 276 Cabrillo street Fs BLIILDING PERMIT NO. 775�
..�_.�_._ ..____.....m�_ �— - ------_ _ ,,., o., ,.,.
AP. No. LOT
GROUP H & J
INSPECTION$
cont
ZONE
DATE I 8UBCONTRACTOR
PLAN NO.
W
MIT818SUED
��O�VNE•R K. W.^KOIS,�CONST. C0. � DATE 10-7-58..
JOB ADDRESS 276 Cabrillo Street C B[IILDING PEBIWT�NO. 7750
GENERAL CONTRACTOR Same
AP. No. LOT 6 TRACT �202 PIRL ZONE ' DESCRIPTION OF WORK TriDlex w
ir�:�
INSPECTIONS � DA7E I SUBCONTRACTOR
caat
Gas Test
PLAN NO.
P•
IT3195UED
NUMBER
_c,. .ex..e_x-� vr-c-art..a - Y' 775n
' ' '7'�:aO
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADDRE55 276 C�t1YI+I+O �j d
COSTA MESA. CALIFORNIA
MAIL
ADDRE55
cilr
ARCHITECT
OR ENGINE
A�DRE55
�y�� ��c�ivE�
�o�`-�n-cs��
�� K W ,�
APP�LICAT�IOAN�Fl7R PERMIT
BUILDING
FOR OFFICE USE ONLY
NLWFORT DEACH ��a: oR 36600 qDD E�s"s
LIC.
h....�_ NO.
LEGAL LOT �
OESCRIPTION �VO.
A.P. NO.
size 50� %
OF LOT
USE OF
EXISTING BLC�G.
CITY LIC.
NO.
TEL.
NO.
, I NO;^O^ 6LOG6.
CENTER OF STREET �JU �
SIDE YARD g IGHT ],6� �
' DESCRIPTION OI
NEW g ALTERATION
REPAIR MOVING
BUILDING NO.OF
SIZE 1 g � ROOMS
E%TERIOR WALL St.UCCO ROOF
COVERING COVERI
�
EFT
WORK
AODITI ON
DEMOLISH
�') STORIES
Hot Mon
f�l
COSTA MESA. CALIFORNIA
DATE
CORRECTIONS
STPTE THAT TNE 4BOVE IS CORRECT nND FGAEE TO COMPLV WITH RLL
CITV OR�IN�NCES AND 5 LAWS REGULiTING BVILOING CONSTNUC�
110N. VALUATI ON
SIGNATURE OF PERMiT FEE S>
PERMITTEE ,1
�� y//� PLAN CHECK S
. 5 O O
AUTHOR12ED AGENT �/�/}([ • TOTAL FEE $
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