HomeMy WebLinkAboutX2022-0972 - Permit Applicationorm;a; Worksheet for Combo Building & Solar Permit A placation aoa
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) F_i Flood 77 Fire r Liq r Landslide rN/A Floor Suite No
512 MARGUERITE r—', F_
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New/Add SF� Remodel SFr', Garage/New/Add!
Use ConstType VB
# Stories[— # Units (if Res)[ —
Valuation $ 25,000
Material/Labor
OWNER'S NAME Last TJC HOME BUILDERS, LLC. ' First
Owner's Address Owner's E-mail Address
26880 ALISO VIEJO PARKWAY, SUITE 11. 0.0 MROSENE@TJUSA.COM
City ALISO VIEJO State CA
Zip 92656 Telephone 949-481-7026
APPLICANT'S NAME Last
Applicant's Address
2420 RIVER RD., STE.230-915
City NORCO State CA
First INELLIE
Applicant's E-mail Address
nellie@jlhare.com
Zip 92860 Telephone 951-357-6916
ARCHITECT/DESIGNER'S NAME Last I First I Lic No.
Architect/Designer's Address
City _. State F_
Architect/Designer's E-mail Address
Zip Telephones
ENGINEER'S NAME Last FORKERT First MICHAEL Lic No. L55662
Engineers Address Engineer's E-mail Address
22311 BROOKHURST ST., STE 203
City HUNTINGTON BEACH State CA Zip 92646 Telephone 714-963-6793
CONTRACTOR'S NAME/COMPANY T J C HOME BUILDERS LLC. Lic. No. 1025507 Class B
Contractor's Address
26880 ALISO VIEJO PARKWAY, SUITE 100
City ALISO VIEJO State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT.
Contractor's E-mail Address
MROSENE@TJHUSA.COM
Zip 92656 Telephone 949-481-7026
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PERMIT NO. ZLCJ ll (/ — DI
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
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PLAN CHECK FEES $