HomeMy WebLinkAboutX2020-1882 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
DZ Comm'I r Residential City of Newport Beach - Building Division 3 a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ° —2,
DZBuilding r Grading [—Drainage r Elec r Mech
r Plum Cu Yd cutF Cu Yd Fill F
Project Address (Not mailing address) r Flood
r Fire r Liq i— Landslide FN/A Floor Suite No
CA 92660
350 SE Bristol St. Newport Beach,
Description of Work
Use F_ ConstType F
# Stories #Units (if Res)
Flagpole Installation
Valuation $
New/AddSFF— Remodel SFF— Garage/New/Add F-
F500 00
Material/Labor
OWNER'S NAME Last verk Law Firm
First
Owner's Address
Owner's E-mail Address
350 SE Bristol Street
slopez@averklaw.com
City Newport Beach State CA
Zip 92660 Telephone 49-313-3577
APPLICANTS NAME Last De Graaf First Fholas
Applicant's Address
Applicant's E-mail Address
11633 La Colina Rd.
nick@pacificflagpoleservice.com
City an Diego State CA
Zip 2131 Telephone 58-692-2555
ARCHITECT/DESIGNER'S NAME Last I
First I Lic. No. F_
Architect/Designer's Address
ArchitecUDesigners E-mail Address
City I State I-
Zip F Telephone
ENGINEER'S NAME Last suers
First Brett Lic. No. 881435
Engineers Address
Engineer's E-mail Address
00 B Street, Ste. 300
brett@reverenceengineering.com
City Isan Diego State 1 A —
Zip F2101 Telephone 58-692-2555
CONTRACTOR'S NAME/COMPANY pacific Flagpole Service Lic. No. 886487 Class
Contractor's Address
Contractor's E-mail Address
11633 La Colina Rd.
ick@pacificflagpoleservice.com
City San Diego State CA
Zip F2131 Telephone 858-692-2555
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. c
USE ZONE DEVELOPM NT NO
PLAN CHECK FEES $