HomeMy WebLinkAboutX2020-2329 - Permit ApplicationA )�uW -rint Form 5 PP
PWorksheet for Combo Building & Solar Permit Application
F Comm'I r Residential City of Newport Beach - Building Division 3
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
f— Building r Grading
)(Drainage r Elec r Mech r Plum Cuvdcuts— Cu Yd Fill F_
Project Address (Not mailing address) f— Flood r Fire r Liq r Landslide rN/A Floor Suite No
1500 Ruth Ln
r— �—
Description of Work
Use F_ Const Type
# Stories # Units (if Res)s
Drama
Valuation $ [3500
Material/Labor
New/Add SF�—' Remodel SF�—
Garage/New/Add �—
OWNER'SNAME
Last Levi
First Psak
Owner's Address
Owners E-mail Address
1500 Ruth Ln
City Newport Beach
State Ca Zip 92660 Telephone 310.694.7990
APPLICANTS NAME
Last Ellison
First Hunter
Applicant's Address
Applicant's E-mail Address
24642 Via Raza
hunter@dpspermits.com
City Lake Forest
State Ca
Zip 92630 Telephone 949.315.1511
ARCHITECT/DESIGNER'S NAME Last
. First F Lic. No. �—
ArchitecUDesigners Address
Architect/Designers E-mail Address
City
State F_
Zip �— TelephoneF_
ENGINEER'S NAME
Last--
First F_ Lic. No.F—
Engineers Address
Engineers E-mail Address
City
State [—
Zip �— Telephoned
CONTRACTOR'S NAME/COMPANY Landcrafters
Lic. No. 754071 ClassC27/B
Contractors Address
Contractors E-mail Address
29512 Ana Maria
City Laguna Niguel
State Ca
Zip 92677 Telephone 949.249.1086
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $