HomeMy WebLinkAboutX2022-1659 - Permit ApplicationPrint Form Wor eet for Combo Building & Sblar Permit Application
15z Comm'I j- Residential NOTE: PLAN rt Beach - Building Division
HE KNewpoFEES DUE AT TIME OF SUBMITTAL QOdb ,- V i
r:Building r Grading Drainage klec XVech lum Cu Yd CutF_ Cu Yd Fill
lct Address (Not mailing address) r Flood r Fire rLiq r Landslide [WA Floor Suite No
DOVE STREET *Vt-` :='7vTk 760 O I7 — 750 o
17
ption of Work 750 = %� ^ I Use FB— ConstType 1
'IMPROVEMENT WORK ON 6,737 SQ. FT. OF THE TOTAL _
Stories 12 # Units (if Res)F_
New/Add SFF
Remodels
IMaterial/Valuation
$laborGarage/New/Add300,000
OWNER'S NAME
Last
OCEAN WEST
First
CAPITAL PARTNERS
Owner's Address
Owner's E-mail Address
2101 ROSECRANS AVE #2101 MSHAW@OCEANWESTCP.COM
City EL SEGUNDO State CA Zip 90245 TelephoneF
APPLICANTS NAME Las KA'9-n Al 7 First kR& %alZ%/
Applicant's Address Applicant's E-mail Address
6083 BRISTOL PARKWAY rr�
City CULVER CITY State CA Zip 90230 Telepho IQ n7A
B, fr214
2T n
ARCHITECT/DESIGNER'S NAME Last ALGAZE First NELSON
Lic No. C-21090
Architect/Designees Address ArchitectMesigners E-mail Address
6083 BRISTOL PARKWAY NALGAZE@SAAIA.COM
City CULVER CITY State CA Zip 90230 Telephone
ENGINEER'S NAME Last I First r— Lic. No f -
Engineer's Address Engineer's E-mail Address
city I State �— Zip I— TelephoneF_
CONTRACTORTNAMEMOMPANY Lic. No.
Class
Contractor's Address Contractor's E-mail Address oet5 -�- (, G(/(//1mj/le", —Z� .
City I �(1'E E% �)o v e State ' Zip Telephone r) / y
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO. Aej4 . 1 (051 PLAN CHECK NO. (%5,u F27/
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $