HomeMy WebLinkAboutX2018-3730 - Permit Application (5)�rnt'F. Worksheet for Csombc
F_ Comm'[ r Residential City of NOTE: PLAN CHH
ECK
.g Division
WE OF SUBMITTAL
R—Building r Grading
?CDrainage 5� Elec rMech r Plum Cu vd Cut F_Cu Yd Fill I A�
Project Address (Not mailing address) r Flood Fire i" Liq �( Landslide N/A Floor Suite
621 Road
Rockford
Description of Work
Use R-3 ConstType V-B
# Stories # Units (if Res)s
Major home addition & renovation. Addition of 1,455 SF of living space to existing home.
l ion Or -car garage. Kenovation of i,zj i v SF of existing ome. 4 bedroom, IS dath,
2-Car garage.
Valuation $
New/Add SF 1,455
Remodel SF 1,819 Garage/New/Add 481
P000,()oo'
Material/Labor
OWNER'S NAME
Last Christensen First Denise
Owner's Address
Owner's E-mail Address
621 Rockford Road
chdstensen.denae@gmail.com
City Newport Beach
State CA Zip 92 Telephone 92625
APPLICANT'S NAME
Last Oldham First Ryan
Applicant's Address
Applicant's E-mail Address
2651 E. Chapman Ave #110
Ryan@oklham-architects.com
City Fullerton
State CA Zip 92831 Telephone 714-482-8296
ARCHITECT/DESIGNER'S NAME Last (Same as Applicant) First F— Lic. No. C-29715
Architect/Designer's Address
Architect/Designees E-mail Address
City I
State tl Zip I Telephonel
ENGINEER'S NAME
Last Lothrop First Shawn Lic. No. S5627
Engineer's Address
Engineer's E-mail Address
40810 County Center Drive
shawn@iseengineers.com
City Temecula
State CA Zip 92591 Telephone 951-600-0032
CONTRACTOR'S NAME/COMPANY Lic. No. F_ Class s
Contractor's Address
Contractor's E-mail Address
City
State F— Zip F Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. Lll ill
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. ,
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $