HomeMy WebLinkAboutPV2023-0016 - Permit Applicationfor
r ComLm'I F_ ResidentiWOrKSheetNOTE PLAN CCity of ombo Buildingrt Beach -ES DUE B iTing Di Permit BApplicatiOn
OF
r-Building F_ Grading r-Drainage rElec r-Mech
rPlum CuYdCut F CuYdFill
Project Address (Not mailing i- Flood
F_ Fire F_ Liq j- Landslide rN/A Floor Suite No
address)
Z I wI.^ Lelkeg C/1/. l arana {OGl
MAr /Z6Ir
Description of Work
Use F—ConstType
f(
1(6 5&Ifir V /l-to4of WIN M,C4-o iwJe+CrS
rOd
# Stories #Units (if Res)
Valuation a 1100,660
Material/Labor
New/Add SF W Remodel SF Gara a/New/Add
N g r
OWNER'S NAME Last
First
Owner's Address
Owner's E-mail Address
2 7wi, (,4ke1 GY
city 61-" ')n NAr State
Zip C126 2S TelephoneF
APPLICANT'S NAME Last l'tifr-is
First Vio
Applicant's Address
Applicant's E-mail Address
92 3 Vewkwi( St--
_+,kState
V ih Q bl,� j41-1 t SaIar Cw
City �, CA
Zip I g261�17 Telephone olo2l_gp-3j.33
ARCHITECT/DESIGNER'S NAME Last C A 1
M� G 5 h�'/(fjNf First Lic. No.
Architect/Designers Address
ArchitecVDesigner's E-mail Address
City State F_
Zip F_ TelephoneF_
ENGINEER'S NAME Last o f-GICf
First ob � Lic. No. TV 63
Engineer's Address
Engineer's E-mail Address
s Vi li BeI &n vote -
city ``li-Gko S�A (IL4A 9.j, State G►4
Zip 926 S S Telephone q/,�.q _2$s -Slog'
CONTRACTOR'S NAME/COMPANY ��,19 TC
Sv �Ar Lic No. [ 6 Zq 2% �' Class f3l 6-1,6
Contractor's Address
Contractor's E-mail Address
Sq�,c ar k Pl,cc�t
City State F—
Zip TelephoneF_
SETBACKS REAR SETBACKS FRONT
PERMIT NO. ?V W1"6 • (7b IQ
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 'Q&7o2,22p .-po(o)
USE ZONE DEVELOPMENT NO `MP 217 OWPO PLAN CHECK FEES $