HomeMy WebLinkAboutX2019-1374 - Permit ApplicationPrint Form Wor)c*keet for Combo Building & Solar Permit �pptiration
r Comm'I R Residential \/ City of Newport Beach - Building Division '(I/ J��
NOTE: PLAN CHECK FFFS n1 IF AT TIRAF nF si 1QhA TAi
RBuilding I Grading
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Project Address (Not mailing address) r Flood r Liq r Landslide [_N/A Floor Suite No
30 LILLIE LN #112NEWPORT BEACH CA 92663 �— 112
Description of Work
Use Const Typ
KITCHEN, BATHROOM AND NOT STRUCTURAL WALL
# Sto es ' # Units (if Res)
Valuation $
Material/Labor 2000
New/Add SFF__
RemoCSF8 Garage/New/Add �—
it !
OWNER'S NAME
Last PRATT First LESLIE
Owner's Address
Owner's E-mail Address
30 LILLIE LN #112
City newport beach
State Fa Zip P2663 TelephoneF—
APPLICANT'S NAME
Last blackmore First �ason
Applicant's Address
l�
Applicant's E-mail Address
735 de soto ave
"abdesign@gmail.com , L �^' - p r
/�""`�` LJ �j
City costa mesa
State ca Zip 92626 Telephone 949.274.6585
ARCHITECT/DESIGNER'S NAME Last Same First �—
Lic. No. F_
ArchitectlDesigner's Address
Architect/Designer's E-mail Address
l�Q� �..I
4`� its �ISaV' IJf
City
State Zip Telephone 7ge3
a
ENGINEER'S NAME
Last First — Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City
State F— Zip F_ TelephoneF_
Lic No. 9
CONTRACTOR'S NAME/COMPANY � Co
c,or Class p
_3)
h 7---11}tJ I VIL U�
Contractor's Address
Contractor's E-mail Address
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)idvlbv IrJersi�c B wta;1 • Col v(
City 07 WeC Lc
State CA Zip �E- Telephone 9hq— %74 ` P
SETBACKS REAR
SETBACKS FRONT PERMIT NO.�l
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. L
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $