HomeMy WebLinkAboutX2022-0301 - Permit Application?. Worksheet for Combo Building & Solar Permitsion X Application ����Po"m
[]X Comm'I Residential City of NOTE: PLAN CHECK o Ert ES DUE each - AT TME OFing ISUBMI AL 22— ��.'opa,.
['Building [i Grading rDrainage ❑Elec FMech F—, Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F-, Flood r Fire r Liq r Landslide nN/A Floor Suite No
2121 SE Bristol Street C
of Work
New/AddSFF77777 Remodel SF F777777Garage/New/Add
OWNER'S NAME Last
Owner's Address
PO Box 6004
city San Ramon State CA
First
Use 177 Const Type
# Stories7l # Units (if Res)C
Valuation $ 7500.00
Material/Labor
Owner's E-mail Address
cbittle@chevron. com
Zip
APPLICANTS NAME Last FHohn First Greo
Applicant's Address
3334 E. Coast Hwy., Suite 550
State
City Corona Del Mar - state CA
Telephone
Applicant's E-mail Address
greghohn@chevron. com
Zip 92625 Telephone 909-645-1515
ARCHITECT/DESIGNER'S NAME Last— First—No.
'
Lic. F777—
ArchitecNDesigner's Address
city State
ArchitecUDesigner's E-mail Address
Zip F— Telephoned—., <.
ENGINEER'S NAME Last - - -- _ --- First LicNo.F_-7--
Engineer's Address Engineer's E-mail Address
City (---, State ---_- Zip Telephone;
CONTRACTOR'S NAME/COMPANY Wayne Perry, Inc. Lic. No. 300345 ;Class A,B,C10'.
Contractor's Address
8281 Commonwealth Avenue
City Buena Park State CA
SETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
Diasky@Fastechus.com
Zip 90621 Telephone714-826-0352I
PERMIT NO.
PLANCHECKNO.
PLAN CHECK FEES $