B20-0394 - 34001 CALLE ACORDARSE01/07/21
BUILDING DEPARTMENT
PERMIT APPLICATION
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
949-493-1171
I
TARGET DATE ,-
�PERMIT NUMBER IHOA REQUIRED □ YES □ � NO INT. ALT. SF ADDITION SF POOUSPA SF IJOB ADDRESS =3=&=5=======::::: '?foOI o�\I� Aiordqro�JOB VALUATION OCCUPANCY TYPE PATIO SF $16 00 fZ., �
APPLICANT NAME DANA-CONTACT PHONE# ( 0 ) /)..'e(:J � 1,-7 trbEMA L ADDRESS avitt.1� � cp, .� TENANT
Name
Address
City/State/Zip
Phone ( )
ARCHITECT/ ENGINEER/ DESIGNER
Name ��...:.::.;:::,.....i,,:;.=..;,,;;..,;,:::;..:::;,.J'---------1 Address ------�-------........ -----City/State/Zip -4--':,.,;,,:..;,,,,;,>::a...:..;.a:;,;._..=_...i.:::;=-.:;..+------1
Phone_<q..:..�,;_-..:.,_--::;..:.:::;..._:' :;....:.....-;... ___ ---1 State License# ______ _
ELECTRICAL QTY MECHANICAL QTY Li ht Fixtures/Fans AC/Comp BTU= Outlets/Switches Appliance Vent Meters/Main Panel Exhaust Fans Sub Panels
Motors> than 1 HP FAU > 100k BTU's Motors < than 1 HP Miscellaneous Pool/S a Pool/S a Extend Electrical Mechnical Hood Miscellaneous ISSUANCE ISSUANCE
DESCRIPTION OF WORK
PROPERTY OWNER
Name fo«.f �..=:.;:.:;;..._,H---4,..=�.;...,_-------,I Address ..e....:=L.J.,.;.;l!l...!..3,L....J�l..::.O_Y.;;;d:.::::(tr�$;.::e.,=-__ _,,
/l � City/State/ZiP __::::.__-=._---1,,..-.. __ ..,,,�t...L�:,, ____ _,, Phone (
I'--CONTRACTOR
Name
Address
City/State/Zip
Phone ( ) State License # PLUMBING QTY MOBILE HOME QTY Gas Systems Carport Building Sewer Porch Extend Plumbing Awning Fire Sprinkler Heads Cabana Fixtures/Hose Bibs Grease Interceptor New/Setup Pool/Spa Earthquake Bracing Water Heater Electrical Wiring Water PiPina Gas Piping Sewage Disposal Water Piping ISSUANCE ISSUANCE MICRO FILE
B20-0394
X