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for Combo Building & Solar Permit Application
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Project Address (Not mailing address) [ , Flood r Fire, [` Landslide F_N/Ao Suite No
118 26th Street�—
Description of Work
Use SFR Const Type VB
# Stories # Units (if Res)
DEMOTHE EXISTING SINGLE FAMILY RESIDENCE AND ITS ATTACHED 1-CAR GARAGE PRIOR TO
-
GARAGE. {{ ``
—
Valuation $
New/Add SF 1,797
-_
Remodel SF ( Garage/New/Add 396
$381,000
Material/Labor
OWNER'S NAME
Last TOWNE First JEANETTE & SAM
Owner's Address
Owner's E-mail Address
P.O. BOX 275
City WALNUT GROVE
State CA - Zip 95690 Telephone (916) 240-6600
APPLICANT'S NAME
Last BENSON First JEFFREY
Applicant's Address
Applicant's E-mail Address
234 BROADWAY
JB@BDANDARCH.COM
City COSTA MESA
State CA Zip 92627 Telephone F949) 534 2724
ARCHITECT/DESIGNER'S NAME
Last BENSON First JEFFREY Lic. No. C32268
Architect/Designer's Address
Architect/Designer's E-mail Address
234 BROADWAY
JB @BDANDARCH.COM
City COSTA MESA - State CA Zip 92627 Telephone (949) 534 2724-
ENGINEER'S NAME
Last DEIHIMI First AMIR Lic. No C78194
ngineer's Address
Engineer's E-mail Address
23172 PLAZA POINT DR., #145 AMIR@CCREST RUCTURE. COM
City LAGUNA HILLS -
- State CA Zip 92653 Telephone (949) 954 7243
CONTRACTOR'S NAME/COMPANY
TBD Lic. No. F Class
Contractor's Address
Contractor's E-mail Address
City
State F Zip [77777 Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $