CITY OF MISSION VIEJO
200 Civic Center
Mission Viejo, CA 92691
(949) 470-3054
BUILDING DIVISION
PERMIT/PLAN CHECK APPLICATION
bldgservices@cityofmissionviejo.org
Revised 05/28/2020
PROJECT ADDRESS:
ZIP CODE:
APPLICANT NAME:
TELEPHONE:
STREET ADDRESS:
EMAIL:
CITY:
STATE:
ZIP:
PROPERTY OWNER:
TELEPHONE:
STREET ADDRESS:
EMAIL:
CITY:
STATE:
ZIP:
CONTRACTOR:
TELEPHONE:
STREET ADDRESS:
EMAIL:
CITY:
STATE:
ZIP:
LICENSE & CLASS:
TELEPHONE:
STREET ADDRESS:
EMAIL:
CITY:
STATE:
ZIP
LICENSE:
PROJECT DESCRIPTION:
SQ FOOTAGE:
VALUATION $
Proposed
Use:
Previous Use:
Tenant/Business Name:
Telephone:
TYPE OF
CONSTRUCTION:
OCCUPANCY
CLASSIFICATION:
OCCUPANT
LOAD:
SPRINKLERED?
Yes No
I will ensure that items requiring inspections will not be covered WITHOUT INSPECTION AND APPROVAL by the CITY BUILDING INSPECTOR.
I also understand that permit will EXPIRE if inspections are not scheduled every 180 DAYS.
Signature of Applicant/Agent:
Date:
RECEIVED BEST MANAGEMENT PRACTICES HANDOUT
FOR OFFICE USE ONLY
PLAN CHECK #:
PERMIT #:
TECHNOLOGY FEE:
ISSUANCE FEE:
C&D DEPOSIT:
WATER QUALITY:
PLAN CHECK:
**PLUMBING:
C&D OPTION #3:
SMIP FEE:
INSPECTION:
**ELECTRICAL:
BOND POOL:
SB 1473 FEE:
PLANNING:
**MECHANICAL:
BOND SIGN:
SCAN FEE($1/PG):
**NOTE: SEPARATE FEES for TI’s & NEW CONTRUCTION
PLANNING APPROVAL: DATE:
ZONING:
DESCRIPTION:
92691
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