HomeMy WebLinkAboutGA050017_applicationApplic
APPLIC
I hereby
SIGNAT
I
COUN'
OF ORANGEIPLANNING AND D T
APPLICANT'S
INFORMATION SHEET FOR A
3r;t most legibly PRINT in
al of the known indicated information_ PERMIT NUMBER:
BUILDING ADDRESS
PROJECT 11 Avalon Vista Newport Coast
Number Street Genera( Area
LEGAL DESCRIPTION
PROJECT SITE: 15346 / / Lot 11
(If metes 8 bounds then you must
Tract Block Lot
ovide a recorded copy of the Grant Deed.)
ASSESSOR'S PARCEL
P) NO. -�jlZONE:
NEAREST CROSS STi
ETS: Avalon Vista & Pelicans Drive
I E: Tushar Patel
OWNER/BUSINESS NA
RESS: 620 N wport Center Drive 14 Floor
OWNER'S PRESENT A
.li Number Street
j
1 2 /949 760-8813
General Area of Coq
City Zip Phone No.
SPECIAL PERMIT NUM
R: arw
Use PermitlSite P1aniVariance
PROPOSED USE OF S
UCTURE: This must be clearly spelled out in detail aS to exactly what is the intended
use, The terms "OFFICE'
or "COMMERCIAL BUILDING" are NOT sufficient to determine if the proposed use
meets the Zoning Distric
egulations, Occupancy Group, or if the TYPE OF CONSTRUCTION will permit the
proposed use. BE SPEC
I IC;
Rou h Grade lqtjil
of Tr. 15346 — Custom lot.
STRUCTURE SIZE SQU
IRE FEET: ! 1 I
Total 1st Floor 24Floor 3rd Fi; r
SIZE SQUARE FEET
GARAGE SIZE SQUARFEET.-
(Other)
CONTRAC-rOR:
I I
Name License Number Classification
Number Street
Area/City Phone No.
r I
Workers Comp Carrier
Policy Number pate of Fz iration
ARCHITECT_
It
ENGINEER:
le tiG- No. Number Street Area/City Phone No.
1 1 1 I
N
it
e Lic_ No Number Street Area/City Phone No.
CONTACT PERSON
oFlaine KreQQ AFFILIATION: Hunsaker & Associates
F,tX# 949 465-12b
PHONE#_- 949/657-2561 E-_MAn.: ekrep0hunsaker.com
ABLE TO GRADING ON
SOIL ENGR: PETRA GE
TECH. IRCE66139 /3185 Airway I CM 1714/549-8921
n N
ENGR. GEOL:
e Lic. No. f Number Street I Area/City Phone No.
ICEG 1165 / n
N
Me Cc. No Number Street ArealCity Phone No.
CAL/OSHA REQUIREME
S/CHECK APPLICABLE BOX: ❑ I am the owner -builder and exempt from state
permit requirements/El I
nowledge that I must submit proof of issuance of CALJOSHA permit for the project/
❑ The project does not r�
ire a CAL/OSHA permit, based upon the criteria on the reverse side of this sheet.
certify th the best
7y knowledge the information supplied on this information shee is true and correct.
L RE
> DATE .--
Pr r1y Ow
or prized Agent
i
�I SEE OTHER SIDE