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HomeMy WebLinkAbout3040 DONNYBROOK LN - Building Permits�oopEssc�auaanc: 3p40 DONNYBRQOK Ltd axm�Rsrw�EiFa�xw: DOSTAL, RICK � : .onwEss: DOSTAL, CAAOL 2710 GANNET DR COS1'A MESA,CA 92626641-3766 �vvi. Yuuno �oox�u: . AIiCXRECTOXFlIIiNEEH: IANCII 011ENG'S AII�IiE55: �� � �� uc xo.: UNT: UNT: caam�cTorrsru� CHURCHILL CONSTRUCTION ( 714 ) 826-7508 ca+m�croxs�u�wc 1 0 0 0 N. HOME PL �WHESS ANAHEIM CA uc.r�o.: 660990 92801 urn: LICENSED COMHRCTOPS DECLAHITION: 1 heraby eflem uMar paneXy d pmjury Ihel I em licenead uiMx povivona ot Cheper 9 (commenti�B weh Sectian 1000) d Gveion � at Ne Buairoa vM PMeaebm CoEe. eM mY limnse o in lull Iace eM allaa. cmuc.N'o'7.: 06q8720 uc.cuss: g uc.No.: 6�60-99A0/ EXP: 11 /97 Um,: G"�( (-9_1 oomred«: �f'�'/J �/v � OWNEH BUILDEP UECLARATION: I hereby etfiim under peneXy d perjury ihet I em mempt fmm �he ContreGas License Lew la Ne iaw�.�:w �ew� Iseaio� �wi s eus:bsa a�d am��au code: nm cn o. ca,�ry wnw, reauvee e o�*n �o omsuuc�. ene.. i�aro+e. demoloh, or repeir eny evucture, pior lo m"veueMe, abo reyuims iM epplimM Im auch pmmil lo file a eiqred atmamam thm M a sM � n limneed W 9�^I lo iM provieione d Me Conlredore License lew [Cl�eper e(oommaMriq v.ilh Sed'an )000) d pvuion 3 d tte Buainess aM Rdeaiona Codel a �het he a she ia ezamq iherel�om eM ihe b�e fa Ma elleged azamqion. MY videtion at Seaion ]p�t.5 by eny epWimn� lor e parmil wbjeee IM epvlicent w e civil penelry d iwt mae than INe huMrad Eolkn j4500�). � I.eaowinrdlMpapenYamY�GM�'^�hwapesavlheiedemmpanaetion.v.illEotMwwk.eM�MetnMumeiMirueMad a oilered br aeb (Seclion )01d, Businem aeM Prdeaeians Coda: TM Conveeon Licensa Lew doea �at epply loen ownerd propa�y who buiM a inpwea tlwraon. vd xfio does suc1� xak IimaNf or henel a NrapM1 he a Mr awn emWqees. provided ihet wch improvemenla ere rw� inleMeC w diered for aele. H, Mwever, ihe buiNinp or imqwemmt p eald wi�hin are yeer d mmpbibn, ihe owrerbuilder will heve tM WMen W parirq he or sM Eid nd builE or imprwe lor iM WN�e d veb�. � I. es owner d the propaM. em eRduaiwty oonlraem0 �h licensad wntrec�on ta conmrua tM Prol� (`�� )�. Bueinma eM Pmtmaonc Cade: TM Con�reqon license law doee mi eCWY w en owix d V W�Y who buiMa or'unD�'m Iherean arM who convana for wM qqeas with e mmretlo�(e) licen»C Wrsuent to iM ConireGan Licerue Lew). � I an ssamq �Mm Saciim: B. 8 P.C.,1« Ne reemn: Deie: Pmer: I Eo hareby urliy Ihet I em ewera M end uMeistend the reQuiremenM M Celfanie Hml�h eM Se1My CoEa Sediona 25505, 2553J, eM 45536. eM tMt I a enY �un buiki�q ottupeni will / wil rwi (orcle are) rieed to mmpFy x'tA aek m�e cado vd ihe �eyuiramenb br epermn/aconsVuctionamoEifi�bnkantheRi3au y.TianepameniDia�nd.ReeiLenlielconet�uqionsppimtiomenuemplmmiMae �lOV190119. Dele: Applicent: WORKER'S CONGENSATION DECLAN�TION: I hereEy elfirm uMar pandry d perjury me d tlro lolbwi�p Eetlarmons: ❑ � ner. end w mei�ie:,. cenAvte a omse�i io een:nw�e tn xaAceea' cwnw^Wi^^... vwkw �o. M s.mo� alao a �n. Lma. coda m� me van�� m m. wn� i«.�m�on m�a w�u �. ���ae. �7 � nm�e a;d Mi� meio�en xalm�.� wmw�on lim,rerim. m rev��e nv s«vian sloo a �n. Lebor cod.. ror ine v�� d �n. �C woM for wliich Mia pa�mll is iaeued. My warkers' cwnpenemion inwrence remer eM po4ry numbm ere: c�: STATE FUND EXPIRES Policy Number. 1 L�..{ 1��� rn:, �c� ��e �ar ae c�Wared r me o+�e b b, are n��d�d dd�ls�oo� a kd.l � I eenAy thet in Iha perlormenee d Ihe wak br whieh Ihie paemn u iewad, I d�dl iwl emd%' �Y Va� in eery menner eo u lo beewre wbjar to �na wwlees' eom0aree�ion lerre a ee4lwnu. erd wrae itw A I dauH bxm�e subptl �o ihe xaMen• compansetion pmrispuns opl5etlion 3)00 W Ihe LeEor Gotle, I ehell lo�hwilh mmp�y wilh p 4na Dele: 2�I /'"' l 7� ApqienL �� Cii Wem/n0� Fellun ro aecun woAsn'rompwwtlon roveraps /a unlewN( ene MN/ alb/�c! an mplorx ro crlM�x/ pmeMu eM clvll Ilms up ro are huntlre0 thouurM rldbr� (S10q000), In edtlltlon ro Ms roat ol rompsiwtbry Asmepu u prov/tlM b� In Sxtlon J]G6 ollhe laEor COW, /nfens�, vM elromsy� /ww CONSTFUCTION LENUINO ACENCY: I Mmby elfirm under penelry d parlNry �hm �Mre u a conmriwion bMiip epenry br tM �,���, a �M,�.�,���ha �, h�«� �,. �.. �,. LENDEF'S NIWE: LENOEF'S ADDRE55: I cenM �� I heva reetl �nu nppfration erd pele IM1et the ebove iNameiion e cortetl. I ep�ea to c«nply xiih dl ary vd mun7 �ir�eeKee enp etete lawe releiing lo builEing cronsimdian aM hereb/ euHwrrze ropeeentativee d thia drym enler upon iM ebove-menlioned piapeny �«��'°'tlp�p1D�� SCOTT CHURCHILL Pn 5ma 7 q Oete: L—�� ( � SiB��ura d Onnr/RganUAOpFfenVCm�rada (5151de.WP) While-Builamp d Selary:OreerFle: Cenery-Appkranl: Rnk-Revanue; dWdenmE-baesaor CI'fl OF COSTA F1ESA —}3UILDING PERMII' PERM NO: B 0£S1f;6 PERMIT NO: B 081667 PLAN CHECK NO: N GOVT; N SUPP: �7 CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURL�OSE: OTI{ SOB DESCRIPTION : T/OFF ROCK & REROOF W/COMP. 25YR SQ FT: 3,500 CLAIM VALUE: 7,500.00 CALC—VALUE: 3,500.00 GROUP OCC: R-3 /U-1 COMMENTS: RESIDENTIAL REROOF iE 1E 1f fE �f iE if iE if iE ff iE iF iE 1F 9E iF 1E iF 1E 1f 1E 1E iF iE iF iE 1E iF iE iE iE iE iE iE fE iE �E �E iE �E-7FjE jE iF 1F -0E 3E ik �E M if 3E k� �E jE iE if 1E �K� �f jf- 3E 3E iE if if jF if �E if jf iElE �f iE iE iE �f Z O N 2 N G R E Q U I R E M E N T S S E T H A C K S --------- -- MAIN BUILDZNG --------- --------- ACCESSORY AUILDING ------ -- FRNT: F'1' IN REAR: FT IN FRNT: FT IN kEAR: FT IN LEFT: FT ZN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: , PROV; PARCEL: 14116602 ZNE: REF NO: PLANNING NOTES> f.- � ' 3E �E iE dElE !E �E jE iE 3E �1(� if df !f 1f �ElF aE iE�lE fE 1f 1E 3f 1ElElP fElE �E 3ElE iE fE iE iE 1E fE iF 9E iF �E 1E jF iE iF iF iE iE iE if iE 1k jf if fE 1F 1E iE �E �E aF �E if �)F iE 1E iE 3f �1ElE �E iE �E �E iE 1E �E if 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 NIT S ZONING APPROC�ED BY DATE; t_-• HUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: 2—��-9 7 1E 3(- iE 1E �F'k if iE 1E 1E iE iFlE 7f 1F iE 1E iF i(- Ik iE iE iE 1E iE iElE 9f 3E 1E 1E 9EiF��FiF1E iE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 87.25 ,50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUfi TOTALS----> 87.75 0.00 0.00 87.75 87.75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 87,75 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 87.25 .50 # iE iE N' #!E 1E iE 1E �lE fE fF IE iE 4 iF iE if 1E 3F iF 1E 1E IE iF 1E iE IF �E iE ff 1E'lE �E iE �)f IE 1FlE iE 1F �lE iE 1E iE'.E 1F iElklf �IE If if 1E if iE 1k iE If 1f �F iE-� ff� �!E 7f� �f 1E iE �IE �E iE iE iE # iE IE 3E iE 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 ONIT COST TOTAL COST SFR 3500 REROOF HY VALUE RESIDENTIAL NOZONE END OF FEES 1,�� 5��,�0 tp,,d � �. �y g�9�'` �1 ` ' FE ���S.�aM� �� CONSTRUCTION ANDPLANNING - _ . POOI ,PA :r!PROVAIS Permit#- Date Inspector qPPROVAIS Permit# � Date inspector �, 7, Temporary Elec2riral Service or Pole . 52. Poof & Equipment Location 2. Soii Pipe�Undrgrnd. 53. Steel Relnforcement . 3. Electrical Conduit Utility�Undrgrnd. _ 54. Forms 4. Electrical ConduibUndrgrnd. � 55. Electrical Bonding � 5. Steel Reinforcemeni ' 56. Rough Piumbing & Pressure Test - 6. E4ectricai UPER Gc�d. 57. APPRQVA�TQ C6VEft•GUNITE , 7. Footings � 58. Electricai Conduit-Undr9rnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. 4'Vater Pipe-Undrgrnd. 60. Backwash Lines,�P�Trap, � Undrgrnd. 10. Structural Fioor Svstem 67. APPROVAL TO DECK 17. Property Sewer Line & House Connection . 62. Backwash & ReceptorFinal 12. Sewer Cap � 63. Heater & Vent•Final � 7 3. Roof Drains � ` , 64. Plumbing System - Pinai , 14. flou9h Plumbing � 65. Electrical-Final . 15. Rough EtectricabConduit 66. Sofar System�Finai � 16. Rough Electrtc Wiring • 67. Fencing & Access Apuroval ' 1J. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough ElectricabT Bar Ceiling . : 69. POOUSPA SYSTEMS FINAL 19. Rough Neating & Air Conditioning FIRE DEPT, REQUIREMENT 20. Rough Factory Fireplace � � APPROVALS Permit # 21. Duats, in Structure 70. Underground Hydro 22. Duczs, Ventilating 77. Product Piping OGas ❑OII 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑OiV 25. Roof Sheathing �; 2ip"�% f 74. Overhead Hyd'ro 26. T-Bar Ceiling (Structural) & 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. Drywali Nailing � HEAITH DEPT. REQUIREMENT 31. Plaster Brolvn Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Pinal 80. FOOD GERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final Heating'& Air Conditioning • � 35. Final Gas Pipe-Test 36. Nood or Canopy � 37. Final Factory flreplace � -- 38. Final Plumbing . . � ` 39. Water Service-Final �40. Gas Service-Final 41. Sofar pomesticFinai , 42. Backflow Preventer � � �` � t 43. Backfiow Irrigation ,� 44. Landscape Irrigation System � ' � ' - - i 45. Sound Attenuation _ �`,i �. 46. Handicap Regu�ations �''�,i q� f,.V 47. FINALSTRUCTURE&BUILDING 3_3-q7 �jGV -�"� .\ 48. FINALPLANNING ''r�rf �. 49. Electric Release to Edison 50. Gas Release to Souihern California Gas Co 51. CERTIPICATEOFOCCUPANCY No. Date �� ACP���ant t0 fill In all spacl5 witM1in •CITY OF COSTA MESA PEpq� IT NO. � CONSTRUCTION PERMIT /'''-�.Spp �.� .. _. ...,_ .. . _ ,. i� Address Address bortler lines anE sign all approl TRACT NO. LOT NO. � L. /� TVPE OF CONSTRUCTION Phone%" ❑ NEW ❑ ADD ❑ ALTERATION � � ❑ REPAIft ❑ CONVERSION ❑DEMOLISH LicenSe No. ❑ OTHER DESCRIPTION OF WORK FCTOB DECLARATION I am Iicensetl untler provislons ot Charter 9 �n 7000) of DiviSion 3 0/ the Busines ind my Ilcense is in full force antl i � � �' License No � A � _ Sl9nature �' - - n"' � WORKERS' COMPENSATION DECLARATION I hereby atfirm that 1 have a certificate ot consent to self-Insure or a certiiicate of Workers' Compensation Insurance, or a certl�letl copY .thereof (Sectlon 3800, Lab. C.). � T PolicyNo. ���'%�`f�n Company,'�A��P✓ l'�� =e�tlfietl copy i5 h!�¢by tu�nishetl. :ertitietl copy is filetl with Ihe tity Builtlin9 Division. GXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This 5ettian neetl not be completetl if tha permit is (or one huntlretl (5100) or less). 1 certity that in the plrformanG¢ ot th¢ work tor whicn thi5 permit is issuetl, I shall not employ any person in any manner so as to become sub)ect to tha Workers' Compensation Laws of Callfornla. �dt¢ $IgndturC NOTICE: If at[er making this tleclaration, you shoultl become subjec[ to the Workers' Compensation provisions of ihe Labor Cotle, you must torthwith comply wlth such provisions or this permit shall be tleemetl revOkltl.- CONSTRUCTION LENDING AGENCV I heraby�dtfirm that thereds a constrUction lentling_agenCy for the per- formantt of the work'tor`which'this permit.is issuetl (Sectlon �309Z Civ. C.I. . . . Lentler's Name Lentler'S' Atltlress a. Is IlcenSetl pursuant to the provisions of the Contractor's LICe�S¢ I.aw (Chapter 9(commencing with Section 7000) of Dlvlsion 3 of [he Buziness antl Professions Cotle) or that he is exempt therefrom antl the basis for the allegetl exemption. Any viola[ion of Sectlon 7031.5 by -'v3� appllcant fOr a p¢�mit SUbject5 the applicant t0 a dvil pEndlty �`�bt more�than five buntlretl tlollars ($500). - . �;:, as owner of t�e properry; or my;employees with.wages a5 thelr sole tompensation', will tlo the work, antl the'siructurels no[ intentletl. or otferetl�for'sale. (Section �044, Business antl Aofessions Code: The ContractorY� �icense Law tloes not apply to an owner of a property who bUlltls or ImprOv¢5 thereon, antl who tloes suCh work himself or through his own employees, provitletl that sucn Improvements are no[ Intentled or Otferetl tor Sale. If, however, the builtling or improvement is soltl witM1ln onc year of completion, ihe owner will M1ave thc burtlen of provinq he ditl not builtl or improve for tne purpose of sale). ❑ I, as Owner of the property, am exclu5ivety contracting with licensetl rontractors to construct the project (Section �044, Buziness antl Pro(esslons Cotle: The Contractor'S License Law tloes not apply to an owner ot property who builtls or improves thereon, antl who con- bact5 fvom SucM1 p�oject5 with a cont�actor(5) licesnetl pur5uant to the Contractor'S License Law). ❑ I am exempt untler Sectlon B. 8 P. C. for this reason Date Owner I h¢rGby c¢ttify that 1 have �eatl tnis applicdtion antl StdtG thdt [he above information is torrecL I agree to compry with all ciry antl county ortlinances antl state laws relatinq to mnstruction, antl hereby authorize representatives o( th15 city to enfe� upon lhe abOve mentionetl property for y�j pe<tlon �purp es. 5iqnature ����=A..�.te. /_}J . .^�_.E.r�+ oate ��'�6-�Z' Drivers' L'cense or 55 � � � ��" � � � �� � /� CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Accounting; G . TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTV RAL ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑MECHAI ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCGUPANCV_CONSTRUCTION TVPE VALUATION ZONE GRADING CU. VDS. ACRES PLUMBING BATHTUBS TOILETS LAVATORIES KIT. SINKS SERV ICE SINN FLOOR SINKS INTERCEPTORS SWIMMING POOL' WATER SERVICE GAS SERVICE WATE(3 HEATERS SEWER CONNECTIONS SOL'AR_TANK ` PLAN CHECK SHOWERS URINALS OOUBLE LAVS DISHWASHERS SUMPS FLOOR DRAINS CLARIFIERS PTRAP ALTERATION OUTLETS BTV OUTPUT ISSUE FEE MECHANICAL PLAN CHECK HEATING SVSTEM 0-100,000 BTV_ ANDOUCTING 100,000+g7U_ REFRIGERATION 0-100,0008TU_ SVSTEM 100,000 * BTU _ BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE ISSUE FEE ay 5677 5/10/B2 ZONING REGULATIONS A.P. � ZONE PLNTGp. RgUEFL. p� SEpTEBACKC/15T. PROPE�RTVNLINE L5EpFTYARD RIIGHTA REAR VqRD (TO P/L) PKG.SPACEREQ. PROVIDED STREET WIOTH PARK FEE S ZONING APPROVED BV DATE SPEC IAL CONDITIONS: ELECTRICAL� PLAN CHECK GENERATOR 0-1 KW_1-30 KW _ TRANSFORMER APPLIANCE 10-50KW_SO+KW_ MOTOR$ 0-1 HP_3-30 HP _ (INC.SOLAR) 30-SOHP SO+HP_ FI%TURES - OUTLETS SWITCHES GAS TUBE SIGNS POLE LIGHTS PANElS MAIN SUB SERVICE AMP .a.-\ ' \ ISSUE FEE ' - APPLICATION APPROVED BV DATE 5.00 TL SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $—y— PERMIT �� � 1� � ISSUANCE $r�T PLUMBING $ �"� PLANCHECK g GRADING $ ELECTRICAL $ - E PLANCHECK $ MICROFILM $ MECHHNICAL $ TOTAI FEE S S� C'U PLAN CHECK $ LE55 AD- VANCp PC $ Y 1 n/5%� � G' yi/ o FINAL FEE $ �'' �� �. . CONSTRUCTION AND PLANNING POOL & SPA � APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location . Soil ipe-Undrgrn - 44. Steel Reinforcement 3. Electrical Conduit UtilitY-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electriral Conduit-Undr rn 6. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn 10. Structural Floor System 52. APPROVAL TO DECK i i. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough ElectricConduit �56. Electrical-Final - 15. Rough Electric-Wiring - 57. Solar System-Final 16. Rough Heating & Air Conditioning • Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING ' 18. Ducts, Ventilating 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathin 22. Frame and Flashin NOTES: y �� � 23. Insulation " � 24. Lathing & Siding -�2- �Z .V £' D � 25. Drywall Nailing 26. Plaster Brown Coat .�3 � • � 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test � 31. Final Plumbing " G C /.f Y / <! J4L O. O � . 32. Water Service-Final 33. Gas Service-Final � 34. Solar pomestic-Final 35. landsca e S rinklin S stem 36. Sound Attenuation 37. Handicap Regulations � � 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison � 41 . Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date � OWNER Colle�e Mesa CO. DATE q��5� ,I JOBADDRESS 30lt0 Donnybrook I.ane BUILDINGPERMITNO. ZBSC7 GENERALCONTRACTOR Hale CO. VALUE $ $�(x��Op � �� 1(11 BLOCK TRACT ���i� I INSPECTIONS Footing Trench Foundation Forms and Grade to t0 Temporary Pole : Wiring, Rough Heating, Rough Heating, Final . Sewer. House . Plumbing, Final, F Plumbing, Fin�al G Wiring, Final Occupancy I'orm `l10 C-H 1 V ZONE �l DATE I SUBCONTRACTOR , �` LB � � 1 '� � '/7"� ewer, St. Out v p p • a ie -: � Complete �Q.Q. � y-27� Gffl' ,A / c/ )J� PEHMIT8ISSUED DATE I NLIMBI -Costa Mesa Bnilding Department APPLICATION FOR PEI�MI� " ,. 111 EAST 20th STREET i8�,� B U I� L D�L N G `�- ,�' COSTA MESA� CALIFORNIA FOR APPLICANT TO 1+'ILL IN FOR OFFICE IISE ONLY Receipt No. Perm(t N� nddre�� 3040'Donnybrook Lane pl.� Rec iv by Date Rec'd. Date Issui Costa Mesa, California ,�f� �. Nearest ��XJ SEP 1 9 �4� '��(��' CrossSt. j�at90II Building � . College Mesa Company Address � Owner Costa Mesa, Ciff�11fOTII18, Mail g002 Central Avenue Address � Nearesi .'� Garden Grove Te1•Le.9-2158' crossst. � City No. Zone I No.of �I Typ Group Arohitector D8V13 & Q111 ZE No. ��1`T9� APProved, Plans _ Engineer g y nad�es� 43 Halaga Cove P1aza,Palos Verdes by �+ Date c�tY u�. CORRECTIONS ,nt�actor The Nale Com an No. 3422 ^n ^ I pddreu 8002 Central Ave.� Garden Grove ��,� ��� Lega4� � Lot � I � � �� Descriotion No. t01 Block I Tract 2341 — Size af Use of ..se from None �. oT >r,o�mr—s S� I I Moving � i Demolish � No. of 127� Rooms s SWries �' � StUCCO I Covering gock Single family dwelling wi I hereby acknowledge that I have read this Application and state that the above is crorrect and agree to rnmply with all City Drdinances and State I.aws regulating building construction. Signatureof THE HALE COl4Pl� Permittee Authorized Agt. \ ��-� sztvrn t,nanrr� Valuation � Permit Fee $ � � � Plan Check $ 3 ' $ � O o o Fee I $ p5 �"_ anz zas s-sr u.t e-ss r ;' '. �. i '� . . APPROVALS 'Foundation Locatian I Inspe¢tor Forms, Materials, Plaster, Int Plaster, Ext Masonry Reinforced Bond Beam ' �.:1 Date j� 1t �', j1 ° �I 'A , =—; i � � PLOT Pi.AN Show Iocation and distances from propeMy line and between buildinga ' 4 COSTA. K SEP?1�SSP��E;a'S74a *'^�:.Z3.Qf a -_.. ... , � .