HomeMy WebLinkAboutX2021-0411 - Permit ApplicationXa02 a - O q- I I
Print Forrri' Wor heet for Combo Building & Solar Permit Application
Ix Comm'I r Residential City of Newport Beach - Building Division 211 Cc WCWWV+-
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL C.u/ad-t 1DV
j7!Buildir'_'Grading Drainage r'Elec r;Mech Plum cuvdCut cuvdFill
Project Address (Not mailing address) 17 Flood r Fire r' Liq r; Landslide );�N/A Floor Suite No
27763 Newport Coast Dr, Newport CA 92657.
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Description of Work
Use retail Const Type FV -13
non emising non oa earing wa s, ow
pain , tiles, vo age a one n wor
_
wirin new or relocated electrical outlets installation of pre fabricated cabinetry
# Stories #Units (if Res)
Valuation $ 30,000
Material/Labor
New/Add SF�— Remodel SF� I �..
Garage/New/Add I
OWNER'S NAME Last Meisberger First mark
Owner's Address Owner's E-mail Address
21163 Newport Coast
City Newport State CA Zip (g2657� Telephone
-- - I. F77777-777-
APPLICANT'S NAME Last Rodriguez First Adrian
Applicant's Address Applicant's E-mail Address
12800 Garden Grove Blvd # H cimaconstruction@cimacmd.com
City Garden Grove u State CA Zip 92843 Telephone 714-285-1919
ARCHITECT/DESIGNER'S NAME Last Osuch First EddieC32544
Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
2115 Huntington Dr Eddie@neo-inc.com
_ - -
City San Marino State CA Zip 91108 Telephone 626-5901818
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ENGINEERS NAME Last i FirstLic. No.F_'
Engineer's Address Engineer's E-mail Address
City f — State F Zip I-- Telephonel—
CONTRACTOR'S NAME/COMPANY Cima C.M. and D., Inc Lic. No. 757047 �; ClassFB
Contractor's Address Contractor's E-mail Address
12800 Garden Grove Blvd #H cimaconstruction@cimacmd.com
city Garden Grove State CA zip 92843 Tele hone 714-285-1919
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SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK &j
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ 1�I�