HomeMy WebLinkAboutMAIN ST W 415 01/25/2016Community Development' Depammirit
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PERMIT APPLICATION 0
OF TUSTIN
AMUNI fY DEVELOPMENT DEPARTMENT
7141573-3131 or 714/573-3132 FAX: 7141 573.3129
PO tgnaturu= c�lr�lsao�ers �` i �> PLAN C 5inatUre iEircleone}y"
**Plan Check ivi _mire in 3611 davc from suhmittat chit *_
PROJECT ADDRESS 4( 5 W • f0,,� l :Z�d VALUATION OF PROJECT $
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APPLICANT (contact) NAME:
PROPERTY OWNER: (re* r d)
I am the: Phone Nom_
Name
❑ Property Owner ❑ Archl ed "
Contractor + ❑ Engineer I
AC1d►iss -
Employee of the
❑Owner ❑Contractor(verrncanonofWorkerrCbmp.Heq&md)."'
._.Phony Number:;
Email Address
CONTRACTOR: Co. Name
Address. City
State License # lass Expj
7state/Zip Phone #
**SUB -CONTRACTOR: ❑YES ❑ NU
Ercall AddressW1 I
ARCHITECT: Co. Name '"
Address' City
State License # _Class _ _ 'Exp State/Zip _ ^Phone # _
Emad Address' @
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ENGINEER: Co. Name
zAddress City
State Registration # Class Exp.jStatelZlp{
#: Y,. Phone #
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"M-0-41 RESIDENITACHn
Room addition/Alteration sq. ft..
Linear feet of block wall (x) max. 6'-8" high
Garage _
Llrlear feet of retarhg wall (x) max. 6'-8" high
light frame sq ft, .
Linear feet ouf.wood.-fence (x) max. 6'-8" high
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masonry sq. ft,
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Proposed Roofing Material
Patio enclosure sq. ft.
ICC ER# of roofing
Patio cover sq. ft.
Roof area sq. ft.
Pool & Spa sq. ft.
1f7.01bs or over per sq, ft., please provide structural analysis by a registered engineer. Sign sq. ft.
Demolition sq. ft. Skylight
sq. ft. Fire sprinklers
RAW=
N Building AreaNew
sq. ft. Grading area __ sq. ft.
ry
Tenant Improvementsq, ft. Occupancy Class Construction Type _
Z
0
Ih;r all waste collection hies or roll off hexes, it is mandatory to use CR&R Inc.. City's franchise waste hauler. ("Tustin City Code Section 4321 —Ord. No. 1325) a
APPLICANT SIGNATURE: - DATE: )' zz r f