HomeMy WebLinkAboutX2021-0041 - Permit ApplicationWorksheet for Combo B°.ti ding & Foy ar permit Application
Comm1 rX Residential City of Newpc . Beach - Pt Jdir;g Division
NOTE: PLAN CHECK .-S DUE P.: TIME OF SUBMITTAL
fyBuilding (X'Grading [X`;Drainage (xElec Mech a cuvGCut 3) (,rcuvd1`01
Project Addrems (Not mailing address F `load [ Hr- Li �``_ g ) _ q i--. Landslide ( N/A Floor Suite No
a lis'13Jasmine
of Work
3 story two unit
duplex. Front unit is 3 story with tf 2 bedreoms
New/Add SF 2934 Remodel SFF --
"e,age/Ne :;Add �113
.............
-3/U Const Type VB-Sprk
# StoriesF;; # Units (if Res) 2
Valuation $ F850,000
Material/Labor
OWNER'SNAME Last 513Jasmine, LLC 1;st1.__.
Owner's Address Ownw's E-mail Address
.— ._ ,—________._.
City i _.. State ru 4 Zip Telephoned
APPLICANT'S NAME Last Peale -, First !%,ark
Applicant!_ Address _ _ Applica.,, s F-mail Address
12900 Bristol St. Bldg A-203 � �..— � i—
inte,:,ar.;eaiearch itectu re.com
City Costa -vtesa
State �CR Zip �92 20-- TelephoneJ949-975-0123
ARCHITECT/DESIGNER'S NAME Last eale
First rMark
....�,......�_ _ _ I _ Lic. No, C-221 Q
Architect/Designer's Address Archltect/Deslcnier's E-mail Address
F�
City ,fate _ -- Z� Telephone��—
ENGINEEWS NAME ast i First �7n: it Lic No. C7819;
ngineer'a Address
73172 Haza Pointe Dr. #145
i-u.
Cii; 11 aguna Hills
CONTRACTOR'S NAME/COMPANY
State ICA
RB1J ImJestments, LLr
s E-mail Address
- �r- <:crestructu a.crom
1
Zip 192 "o TeiephoneF49-954-7244
Lic. No. 1020655 Class
Contractor's Address _ Contractor'e '--mail Address
I1110 Vallentio Rd.
City �Carpenteria State CA ip'930i3 Telephoneig�y =0gl_ -f,2_
SETBACKS REAR 5 SETSACKa FRONT -
SETBACKS LEFT
y� 3 1 SETBACKS RIGHT
USE ZONE [,) DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $