HomeMy WebLinkAboutX2021-0176 - Permit Application (3)Print Form Worksheet for Combo Building & Solar Permit Application o�� ,.
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_ City of Newport Beach - Building Division
r Comm'I (� Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL<FoaH'
(j( Building F_ Grading F—Drainage J_X Elec (J Mech
[ Plum Cuvd Cutl CuYd Fill
Project Address (Not mailing address) r Flood
r Fire F- Liq F Landslide FXN/A Floor Suite No
15 St Lauret�
Description of Work
Use ConstType'
FAMILY ROOM REMODEL: DEMO (E) FIREPLACE DEMO (E) WALL BETWEEN
FAMILY ROOM & #Stories' #Units (if Res)��
LIVING ROOM, DEMO (E) WINDOWS AND INSTALL (N) LA CANTINA
DOOR
Valuation $ $60,000.00
New/Add SF[ Remodel SFlww"- 3.5�5 Garage/New/Add F�_ Material/Labor
OWNER'S NAME Last Grover
First Atul and Anouk
Owner's Address
Owner's E-mail Address
Same as above
anouk_verma@hotmail.com
City Newport Coast State CA
Zip 92656 Telephone 949-278-5604
APPLICANT'S NAME Last Lopez
First Lorena
Applicant's Address
Applicant's E-mail Address
630 S Glasses St Suite
lorenatruaddition@gmail.com
City Orange State Ca
Zip 92866 Telephone 714-289-4652
ARCHITECT/DESIGNER'S NAME Last .�-:J
First Lic. No.
Arch itect/Designer's Address
Architect/Designer's E-mail Address
City State ��'
Zip �— Telephone —
ENGINEER'S NAME Last Hooshang A. First Afshar Lic. No. C61157
Engineer's Address
Engineer's E-mail Address
17 Corozal
shawn.rmvolpe@gmail.com
City Foothill Ranch State CA
Zip 92610 Telephone 949-413-4382
CONTRACTOR'S NAME/COMPANY Jorge Rene De Leon-Truadditions Corp Lic. No. 1059227 Class��;
Contractor's Address
Contractor's E-mail Address
630 S Glassell St Suite #201
rene.truadditions@gmail.com
City Orange State CA
Zip 92866 Telephone 714-675-2062
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SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $