HomeMy WebLinkAboutPV2022-168 - Permit Applicationl
Print Form Worksheet for Combo Building & Soar Perm t Application
f— Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL a.+"
rBuilding rGrading rDrainage rElec rMech rPlum CuvdCut F CuYdFIT
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
6 Summer House Ln, Newport Beach, CA 92660 �— F'
Description of Work
Use Const Type
# Stories # Units (if Resf _
200A. No battery.
rated to
Valuation 5 17,000
Material/Labor
New/Add SFr— Remodel SFF—
Garage/New/Add F—
OWNER'S NAME Last Mills
First Tyler
Owner's Address
Owner's E-mail Address
6 Summer House Ln
tyler.n.mills@gmail.com
City Newport Beach State CA Zip 92660 Telephone 310-882-0938
APPLICANT'S NAME Last Blackford
First Casey
Applicant's Address
Applicant's E-mail Address
1709 Rimpau Ave, Suite 106
Casey@saterelectric.com
City Corona State CA
Zip 92881 Telephone 951-553- 9944
ARCHITECT/DESIGNER'S NAME Last
First Lic. No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
City I _.. State F_
—
Zipr Telephone
ENGINEER'S NAME Last �
First F Lic No.F—
Engineer's Address
Engineer's E-mail Address
City F_ State �—.
Zip I Telephoned
CONTRACTOR'S NAME/COMPANY Sater Electric, LLC.
Lic. No. 976252 Class C10 & B
Contractor's Address
Contractor's E-mail Address
1709 Rimpau Ave, Suite 106
installs@saterelectric.com
----
City Corona State CA
Zip 92881 Telephone 951-553-6944
SETBACKS REAR SETBACKS FRONT
PERMITNO. V , O s
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $