HomeMy WebLinkAboutx2019-1598 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
F-, Comml (—X Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
I•XjBuilding rl, Grading j -Drainage I-Elec I—"i Mech F—, Plum Cu Yd Cut Cu Yd Filll
roject Address (Not mailing address) F. Flood j-` Fire F_ Liq F -I Landslide r!N/A Floor Suite No
Milano Dr, Newport Beach, CA 92660 Cc.r?ovA US1- WS�'1
escription of Work liil
:AR OFF EXISTING B.U.R DOWN TO THE SHEETING/REPLACE ANY DAMAGED PLYWOOD OR Use ConstType
New/Add SF Remodel SF Ck(}V i Garage/New/Add
# Stories # Units (if Res)F-,
Valuation $
Material/Labor
OWNER'S NAME Last BROOKS First JENNIFER
Owner's Address Owner's E-mail Address
550 NEWPORT CENTER DR jabrooks@irvinecompany.com
CityNEWPORT State CA Zip 926607 Telephone 9497205697
APPLICANT'S NAME LastMENDEZ First RENE
Applicant's Address
160 SOUTH LINDEN
City RIALTO State CA
Applicant's E-mail Address
RM E N D EZ@S U P E RI ORR W. COM
Zip 92376 Telephone 1714-944-6395 1
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address
-- --- --- -- ----- -- —
City [---�—` State �—
Architect/Designer's E-mail Address
Zip Telephoned
ENGINEER'S NAME Last First Lic No.
Engineer's Address
City _ _; State
Engineer's E-mail Address
Zip F7777 Telephone
CONTRACTOR'S NAME/COMPANY SUPERIOR ROOFING CO. Lic. No. 284850 Class C39
P'
Contractor's Address
160 SOUTH LINDEN
71
City RIALTO State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
RMENDEZ@SUPERIORRW.COM
Zip 92376 Telephone 1800-761-6272
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $