HomeMy WebLinkAboutX2019-0410 - Permit ApplicationXZojq -Ow 10� 6 -A -6 -
Print Form Worksheet for Combo Building & Solar Pe mit Application
[ Comm'I FI Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[Building [_1 Grading rDralnage [Elec [Mech [Plum Cu Yd Cut Cu YdFlllF-71
Project Address (Not mailing address) ❑ Flood ❑ FirerLiq r Landslide FiN/A Floor Suite No
400 Newport Center Drive, Suite 706 Newport Beach, CA 92660 1— 706
Description of Work i
UseI- Const Type lB
# Storiesn # Units (if Res)FI
Valuation $ $120,000
New/Add SFF Remodel SF 1,431 Garage/New/Add Material/Labor
OWNER'S NAME Last IPaul I First
Owner's Address Owner's E-mail Address
1401 Avocado, Suite 901 rgraves@rhodesdev.net
City Newport Beach_ J State CA Zip 92660 Telephone 949.644 0603
APPLICANT'S NAME Last IBarajas
Applicant's Address
5161 California Ave. Suite 100
City Irvine State CA
First IMantza
Applicant's E-mail Address
mbarajas@lpainc.com
I
Zip 92617 Telephone 949.701.4316 --I
ARCHITECT/DESIGNER'S NAME
Wood First Fick Lic. No. C15130Last
Architect/Designer's Address Architect/Designer's E-mail Address
5161 California Ave. Suite 100 rwood@lpainc.com
City Irvine i State CA Zip 92617 Telephone 949.769.6240
ENGINEER'S NAME �— — - First Kristoffer Lic. No. E21637
Last Cercena - — ,
I
Engineer's Address Engineer's E-mail Address
5332 Seville Circle kris@phase-c.com
City La Palma State CA Zip 90623 Telephone 562 292 5613
CONTRACTOR'S NAME/COMPANY Owner Builder I Lic. No. —_ Class Fl
Contractor's Address Contractor's E-mail Address
1401 Avocado, Suite 901 rgraves@rhodesdev.net
City Newport Beach State CA Zip 92660 Telephone 949.644 0603 }
- -- -
O�! a
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO. Y1_0 1,07 - X64
PLAN CHECK NO. Q $-,
PLAN CHECK FEES $