HomeMy WebLinkAboutX2022-0114 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit A lication
Comm'I r! Residential City of Newport Beach -Building Division
X2022-olly
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r;Building 17 Grading nDrainage F__IElec F7 Meeh r; Plum Cu yd cut Cu yd Fill
Project Address (Not mailing address) CI Flood 17 Fire f7 Liq r1 Landslide ❑N/A Floor Suite No
530 Via Lido Nord, Newport Beach, CA 92663
Description of Work Use Const Type
)emoution or ewstmg Strutt re -P # StoriesF7 # Units (if Res)
Valuation $
New/Add SF� Remodel SFF77 Garage/New/Add Material/La
OWNER'S NAME Last
Owner's Address
First
Owner's E-mail Add
ress
630 Via Lido Nord I
smokinbacon@aol.com
City Newport Beach State CAI
_._. -- Zip 92663 � Telephone626 703-6863
APPLICANT'S NAME Last
Applicant's Address
119 E. St Joseph Street
City Arcadia State CA
First
Applicant's E-mail Address
isean@mur-solbuilders.com
Zip 91006 Telephone949-514 9294
ARCHITECT/DESIGNER'S NAME Last Harrison First Ian
Lic. No. C 6947
Architect/Designer's Address
220 Newport Center Drive Suite 11-342
City Newport Beach State CA
Architect/Designer's E-mail Address
lian@ianharrisonarchitect.com
Zip 92660 Telephone 949-723-1091
ENGINEER'S NAME Last Rezaei First Ali - - j Lic. No. 4106T7_1 -_
Engineer's Address Engineer's E-mail Address
21295 BRISTLECONE
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City Mission Viejo State CA Zip 92692 Telephones
CONTRACTOR'S NAME/COMPANY Mur -Sol Builders, Ina Lic. No. 997510 Class
Contractor's Address
119 E. St Joseph Street
City Arcadia J State CA
Contractor's E-mail Address
Sean@mur-solbuilders.com
Zip 91006 - Telephone 626-447-0558
SETBACKS REAR SETBACKS FRONT PERMIT NO. )C .-Z i) I q
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO D j( '.1 — Q( t, r PLAN CHECK FEES $