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CITY OF EASTRALE c-O PLCK No: Permlt No:
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Building Combination PejmiFf 6-_IS. 00 smilp - G.00
To Be Completed By Applicant
Legal Description: - Planning Case: F. L t RL• R;
Property Address: Assessor's Parcel Number.
ProjecMnant Name: s Unit if: Floor#:
Name: Phone No. Fax No.
Property Address:
Owner Unit Number Zip Code
Email Address:
Name:
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Applicant Ad to Unit Number Z' 1 a
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Name: o
a :J
Contr
actor --
cense o. Contra or' St t A LiCebse No. i
:er of Squares: -
bquare Footage
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Description of Work: \ W Cost of Work.
1
Applicant's Si Date:
/ e _ y CitySte Only
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Solis Report(on Id only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Single Line diagram for also.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration* Addition' Means/Methods
Work Type. Repair- Retrofit' Revision to ElrisOrlg Permit' Required4 YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate indicate if Indicate all Geo-tech.Haz.Zone
At Project S rinklered YES or NO
Completion: Construction p that apply: Coastal Zone
Type(s): C Of a YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit pemal Case: mg.
F -dire Projects: oId.
A vat
1 O Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety Pennil$pecialisl I Clfy Planning Civil Engineering I EPWM-Admin I Transportation Mgmt. I Rent Gontrol
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY