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HomeMy WebLinkAboutB ST S 510 09/22/2015CITY OF TUSTIN COMMUNITY DEVELOPMENT DEPARTMENT PERMIT APPLICATION 71 4157 3-31 31 or 7 1 4157 3-31 3 2 FAX: 7141 573.3129 TOD SlgnatUFB * x F PkANI Slgrrature (drete oneb a. l(OK fo ssuanc 5ubmltta� jf� lssuanc bmlttaf )t wwt e-t.a[r't[ +f i iS!'i CC. n Sn **Phut Check tvt in 3611 davc tram .submittal data** PROJECT ADDRESS jf U S,� 5 cce+ `"1k5�1 n oft 9 VALUATION OF PROJECT $ **DESCRIBE WORK TO BE DONE L,jS4,q(1 elec;Mc a-47 �cwCc(l APPLICANT (contact) NAME: Susa A P -no n PROPERTY OWNER: (required) I am the: Phone No. Name GuSeUA F}+noY1 56roperty Owner ❑ Architect ❑ Contractor ❑ Engineer ;'A?�dress ''Sly ', �� St'fz�} �1Ltshn 917U Employee of the j... !� i `' .l-lV ❑Owner ❑Contractor(ve,+n�ano�ortr�orre.rcomn.aegvrec/ a.PhOneNtimbel' .. •)��ti1��-l� Email Address SIdSCQn.�Yr.c�@ piyy�a� ,Cy rvt a CONTRACTOR: Co. Name Ui�j ACC411:Ck' Add ress R10$,'>:6 �QC(1 City Tarn State License # GC—$1,GdRy Class Exp. _(�i' ; `State/Zip �D Phone tA((o-LG ' I0 — } **SUB -CONTRACTOR: ❑ YES ❑ N() Email Addre55 ARCHITECT: Co. Name Address�� City State License # _ _ _ Class Exp,­; xR :State/Zip _Phone # _ Email Address r; @ ENGINEER: Co. Name A'Address City State Registration # Class Exp. ,# r "'State/ZIP ::, Phone # Email'Addtess ` @ H +, Room addition/Alteration sq. ft.. Linear feet of block wall (x) max. 6'-8" high Garage ;. Line ar feet 'of retalnirig wall (x) max. 6'-8" high light frame sq ft -, , Linear feet ofwooel fence (x) max. 6'-8" high masonry sq. ft. ,. ,.. y r Proposed Roofing Material Patio enclosure sq. ft. ICC ER# of roofing Patio cover sq. ft. Roof area sq. ft. Pool & Spa sq. ft. lf7.Olbs. or over per sq. R., please provide structural analysis by a registered engineer, Sign sq. ft. Demolition sq. ft. Skylight sq. ft. Fire sprinklers New Building Area sq. ft. Grading area sq. ft. Tenant Improvement sq. ft. Occupancy Class Construction Type For all waste collection hins or roll off boxes, i t, mandatory to use CK Inc., City's franchise waste hauler. (Tustin City Code Section 4321 - Ord. \o. 1325) �l APPLICANT SIGNATURE: DATE: )Z Google earth feet) 20 ' meters 6