HomeMy WebLinkAboutX2022-0062 - Permit Applicationer
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Worksheet for Combo Bu: PLAN CHECK ilding
-S DUE BuiSAT T,iME of iPUBnr ��oir►-/_®R, CorintnForm r Residential ,�fl'C- g
JX—Building r Grading
rDrainage r Elec r Mech r Plum Cu rd cut Cu vd' l [VW 140
Project Address (Not mailing address) r Flood j— Fire VLiq XLandslide rN/A Floor Suite No
2210 Lake Park Lane
1 1
Description of Work
Use SFD Const Type FB —
BEDROOM
ADDITION
r
# StoriesF1 # Units (if Res)F
Valuation $ 34,000.00
Material/Labor
New/Add SF j ,6 Remodel SF r�
Garage/New/Add r�
OWNER'S NAME
Last HEISE
First FIM & TONYA
Owner's Address
Owner's E-mail Address
210 LAKE PARK LANE
onyaheise@cox.net
City NEWPORT BEACH
State CA Zip 92660 Telephone949-8874235
APPLICANT'S NAME
Last Beinlich
First Craig
Applicant's Address
Applicant's E-mail Address
P.O. BOX 5383
craigbeinlich@sbcglobal.net
City ORANGE
State CA
Zip 92863 Telephone 14-588-8562
ARCHITECT/DESIGNER'S NAME Last BEINLICH First CRAIG Lic. No. F92300
Architect/Designer's Address
Architect/Designer's E-mail Address
P.O. BOX 5383
craigbeinlich@sbcglobal.net
City `ORANGE
State CA
Zip 92863 Telephone 714-588-8562
ENGINEER'S NAME
Last Ibrahim
First Mark Lic. No.�
Engineer's Address
Engineer's E-mail Address
3436 E. Longridge Dr.
tibbase@gmail.com
City Orange CA
State CA
Zip 92867 Telephone 714-553-2595
CONTRACTOR'S NAME/COMPANY CRAIG BEINLICH CONSTRUCTION Lic. No. 92300 Class F
Contractor's Address
93
Contractor's E-mail Address
P.O. BOX 5383
craigbeinlich@sbcglobal.net
Ci ORANGE
city �E
��$ '�,3
(91
State CA
I
Zi Tele hone 92863
p 192863 p
hP AA
SETBACKS REAR
SETBACKS FRONT
v !
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. i PillTy')
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $