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PERMIT APPLICATION
PLAN CHECK #
CITY OF TUSTIN
COMMUNITY DEVELOPMENT DEPARTMENT
714/573-3131 or 714/573-3132 FAX: 714/ 573.3129
_ PLAN CHEC Signature (dicle one) '
�OK for sua _ e/Submittal . _
**Plan Cheek will expire in 360 rlays from submr tal da * ,w
PROJECT ADDRESS LSVALUATION O PROJECT $ �'/ i�Ua
**DESCRIBE WORK TO
DONE - l�cz L(f�7Q(i" �zu, �5
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17 �-A-)e ���h cum: 30 G e civ sr
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APPLICANT (contact) NAME: % !`»ly ,_ PROPERTY OWNER- (re ire )
I am the: Phone No. `moi (L x'226 3 d 2 Name ,r(� 1? j
E3 Property Owner ❑ Architect , y
�L ontrador C3 Engineer ; Address "'•,. «t7 S� Ci j r^Z t
Employee of the x
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El Owner ❑Contractor (uennceaon or workers com Re Tired ,: _
p• q' Phone Number.
Email Address @
CONTRACTOR: Co. Name ( j() FI <ti G Address ,
9 UQ' City N.�A, Q
State License # ClassExp. Q�-3i=(3 State%Zip,— Phone #
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**SUB -CONTRACTOR: ❑ YES / N0
Ercall Address ] v� jgG71- @ CfiAfC�l•rcz
ARCHITECT: Co. Name Address City
State License # A
Class Exp .. State/Zip Phone #
.F
�aEmail Addressas'' @
ENGINEER: Co. Name
Address' City
State Registration # Class Exp.,'State/Zip 'L Phone #
Email Address µ
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5 ro. "t m
Room addition/Alteration sq. ft..
Garage
light -frame
masonry
Linear feet of block wall (x) max. 6'-8" high
I ,i Linear fe"'et♦of retaining wall (x) max. 6'-8" high
sq. IfL,; - Linear feet of,wood-fence (x) max. 6'-8" high
sq.
Proposed Roofing Material W6) IrD S wgey
ICC ER# of roofing
Roof area _7411 sq. ft.
/f 7.0/bs or over per s R le d
Patio enclosure sq. ft.
Patio cover
Pool & Spa
prow a strudura/ analysis by a registered engineer. Sign
Demolition sq. ft. Skylight sq. ft. Fire sprinklers
sq. ft.
sq. ft.
sq. ft.
New Building Area sq. ft. Grading area s ft.
q 0
Tenant Improvement sq. ft. Occupancy Class Construction Type o
For all waste collection bins or roll off boxes, it is mandatory to use CR&R Inc., City's franchise waste hauler. (Tustin City Co Section 4321 — Ord. No. 1325) a
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APPLICANT SIGNATURE: DATE: 2 %
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