34947 (GRD)c1rrLlly.�grvlpprvn�gMt(Li.,-'.MII)�)y{nA,,�± "
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ADDRESS
12.34 N BLUE CUM s'rREET
CITYICOMMUN ITYISTATE/ZIP
ANAHEIM CA 926800080
JOB SITE ADDRESS/SPACE
78435 HWY 111
CITY/COM M U N ITYISTATE/ZIP '
LA ,,QUI TA CA • 922530000
BOKPAG
613
/412
PRC
025
C
6
TWN
0053
PING
07FL
SE
19
S
0
TRACT LOTMOD
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SB
TRACT NAME
s I/p
OWNER NAME TMI
DOWAE SAVINGS
PHONE q
CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITY/COMMUNITY/STATEIZIP ,
PHONE A
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC 9
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PLAN #
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
xAY
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�t .LDATE 34947
TOTAL..
FEE
CA
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NC
I COUNTER B.I.
COUNTER L.U.T. '
APPL.ICATX.ON FOR STRUCTURAL PERMIT
T H 18 I S. A iN A P P L, I C A T T 0 N O N 1. Y
FORM 284.208(11.81) !NSRECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34 Plenums 8 Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets
8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
P'
ADDITIONAL INFORMATION
_
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service,Entranc®.
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME