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HomeMy WebLinkAboutXR2022-2667 - Permit Application (3)Print Form Worksheet for Combo Building & Solar Permit Application SEW ART r Comm'I rX— Residential City of Ne pci,, t Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL :511 rXBuilding iX Grading r'Drainage jx Elec jX Mech r Plum Cu Yd Cut 13 Cu Yd Fill 0 Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A FIloor Suite No 603 Acacia Ave j-- Description of Work FeDuplex w/attached Garage, 3rd fl covered decks 346 SF fUse R3/U Const Type VB 1,354 SF/ 197 SF Gar ories # Units (if Res)F_ ValuationNew/Add SF3125 Remodel SFF—Garage/New/Add 3Maaeril/La bor700,00091 OWNER'S NAME Last ILA21G,LLC First Owner's Address 26880 Aliso Viejo Parkway, Suite 100 Owner's E-mail Address mrosene@tjhusa.com City Aliso Viejo State CA Zip 92656 Telephone 949-481-7026 APPLICANT'S NAME Last FPullen First Applicant's Address Applicant's E-mail Address 26880 Aliso Viejo Parkway, Suite 100 ppullen@tjhusa.com city Aliso Viejo State CA Zip 92656 Telephone 949-669-3796 ARCHITECT/DESIGNER'S NAME Last Falese First Debra Lic. No. C24900 4rchitecfDesigner's Address Architect/Designer's E-mail Address IL943 Pullman, Suite A mfitzgerald@woodleyarch. com City Santa Ana State CA Zip 92705 Telephone 949-553-9100 ENGINEER'S NAME Last Nguyen First [Huan Lic. No. C64238 Engineer's Address Engineer's E-mail Address 15 Studebaker — idtanuwidjaja@gouvisgroup.com City Irvine State CA Zip F2618 Telephone 949-590-9009 CONTRACTOR'S NAME/COMPANY T J C Home Builders Lic. No. 1025507 Class f B Contractors Address Contractor's E-mail Address 26880 Aliso Viejo Parkway, Suite 100 City Aliso Viejo State CA Zip 92656 Telephone 949-481-7026 SETBACKS REAR SETBACKS FRONT SETBACKS LEFT USE ZONE SETBACKS RIGHT PERMIT NO. 9-w22 • `,iV o' j PLAN CHECK N0. �(/r1A22.41 p/y DEVELOPMENT NO `j LVt,!' , p 171 PLAN CHECK FEES $