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HomeMy WebLinkAboutx2019-1600 - Permit ApplicationWorksheet for Combo Building & Solar Permit ppfica ions Comm'] �i Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuIIdIng rGrading rDrainage rElec r.Mech ;Plum Cu Yd Cut Cu Yd Fill - -- Project Address (Not mailing address) �i Flood r— Fire F_ Liq � Landslide F_N/A Floor Suite No 2 Milano Dr, Newport Beach, CA 92660 C f dos k 2`3— Description of Work (;78 Use Const Type *TEAR OFF EXISTING B.U.R DOWN TO THE SHEETING/REPLACE ANY DAMAGED PLYWOOD OR New/Add SF Remodel SF Cj00 Garage/New/Add F' # StoriesF # Units (if Res) Valuation Material/Laa bor SOD OWNER'S NAME Last BROOKS First JENNIFER Owner's Address Owner's E-mail Address 550 NEWPORT CENTER DR i jabrooks@irvinecompany.com City NEWPORT State CA Zip 926607 Telephone 9497205697 APPLICANT'S NAME Last Applicant's Address 160 SOUTH LINDEN City RIALTO ( StateCA First RENE Applicant's E-mail Address RMENDEZ@SUPERIORRW.COM Zip 92376 Telephone 714-944 6395 ARCHITECT/DESIGNER'S NAME LastFirst Lic. No. Architect/Designees Address City ....... __. ........ State Architect/Designees E-mail Address Zip Telephoned ENGINEER'S NAME Last First Lic No. Engineer's Address City State Engineer's E-mail Address Zip j Telephone CONTRACTOR'S NAME/COMPANY SUPERIOR ROOFING CO. Lic. No. 284880 Class C39 Contractor's Address 160 SOUTH LINDEN City RIALTO State CA SETBACKS REAR SETBACKS FRONT SETBACKS LEFT USE ZONE SETBACKS RIGHT DEVELOPMENT NO Contractor's E-mail Address RMENDEZ@SUPERIORRW.COM I Zip 92376 Telephone1800-761-6272 PERMIT NO. / W K) I PLAN CHECK NO. PLAN CHECK FEES $