HomeMy WebLinkAboutX2021-1967 - Permit ApplicationI f -11 Y
Wor eet for Comb ,ng &Solar Permit Application ��""'�Rmcc
City of Nev 3ach - Building Division 6 f
Comm'I X Residential
NOTE: PLAN C,HHEQ, _ES DUE AT TIME OF SUBMITTAL �.•.oa+s
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Project Address (Not mailing address) r- Flood r Fire r- Liq (- Landslide N/A Floor Suite No
12 BANDOL—,
Description of Work
Use V Const Type
# Storiess # Units (if R ) y
Valuation $ i
Material/Lab
aHALF BATHROOM 1 ST FLOOR
New/Add SFF— Remodel SF 21 Garage/New/Add F
OWNER'S NAME Last SCHWARTZE First CHRIS
Owner's Address Owner's E-mail Address
12 BANDOL CSCHWARTZE@LEGACYOC.COM
City NEWPORT BEACH State CA Zip 92657 Telephone949-500 5083
APPLICANT'S NAME Last ftYES First DANIEL
Applicant's Address Applicant's E-mail Address
23 PLAZA ESTIVAL DTEYES@GMAIL.COM
City ISAIN CLEMENTE State CAZip 2672 Telephone 9-357-3294
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NAME '..
""11E El SIGNER'S Last First F Lic. No.
ArchitectlDe ' dd s Architect/Designees E-mail Address
City - State F Zip I Telephoned
ENGINEER'S NAME Last First �s' Lic. NoT
Engineer's Address Engineer's E-mail Address
City State F_ Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY ITEYES CONSTRUCTION Lic. No. 1039448 _ Class
Contractor's Address Contractor's E-mail Address
23 PLAZA ESTIVAL DTEYES@GMAIL.COM
City SAN CLEMENTE State CA Zip 92672 Telephone 949-357-3294
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SETBACKS REAR SETBACKS FRONT PERMIT NO.Y'Z
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SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
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