HomeMy WebLinkAboutx2019-1599 - Permit Applicationx2m— luql
Worksheet for Combo Building & Solar Permit Application
Comm'I r) Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL k, W11
rR,Build Ing rj Grading rDrainage rElec F.—, Mech Plum cu Yd cut F
Cu Yd Fill
F'
Project Address (Not mailing address) [ Flood j! Fire f-, Liq F-, Landslide (-N/A Floor Suite No
2 Milano Dr, Newport Beach, CA 92660 cace"sk- 144-1- W sc r
of Work ti 3
I*TEAR OFF EXISTING B.U.R DOWN TO THE SHEETING/REPLACE ANY DAMAGED PLYWOOD OR
NSTALL ONE LAYER
New/Add SF Remodel SF o__-61Garage/New/Add 7-
-
Use Const Type
# Stories # Units (if Res)1—,!,
Valuation $ Material/LaborFs
„l J j
OWNER'S NAME Last BROOKS First JENNIFER
Owner's Address Owner's E-mail Address
1550 NEWPORT CENTER DR
jabrooks@irvinecompany.com
City NEWPORT —� State CA— Zip 926607 Telephone 9497205697
APPLICANT'S NAME Last IMENDEZ
Applicant's Address
160 SOUTH LINDEN
City RIALTO State CA
First
Applicant's E-mail Address
RMENDEZ@SUPERIORRW.COM
Zip 92376 Tele hone 714-944 6395
I
ARCHITECT/DESIGNER'S NAME Last �! First F Lic. No.
Architect/Designer's Address
City State
ENGINEER'S NAME Last
Engineer's Address
City State
Architect/Designer's E-mail Address
Zip F Telephone[ 71
First j Lic No.F
Engineer's E-mail Address
i
Zip Telephone
CONTRACTOR'S NAME/COMPANY SUPERIOR ROOFING CO. Lic. No. 284880 Class C39
Contractor's Address
160 SOUTH LINDEN
City RIALTO State CA ,.
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
Contractor's E-mail Address
RMENDEZ@SUPERIORRW.COM
i
Zip 92376 _ Telephone 1800-761-627 11 2 I
i
PERMIT NO. X /,F- Jr'1 —
PLAN CHECK NO.
PLAN CHECK FEES $