HomeMy WebLinkAboutX2021-1580 - Permit ApplicationPrint Form J Worksheet for Combo Building & Solar Permit Application
EX Comml r_1 Residential City of Newport Beach - Building Division
-- NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r—iBuilding ❑Grading rjDrainage ri Elec
Project Address (Not mailing addre!
Pacific View Drive
Mech r'I Plum cu Yd
[I Flood r; Fire ri Liq rl Landslide
Description of Work
Associated Sitewom: Flagpoles
i
Cu Yd Fill
[_N/A Floor Suite No
Use ConstType II_B
# Stories? # Units (if Res)�I
�; — I Valuation �27,000
New/Add SFI RemodelSFGarage/New/Add Material/Laa bor— —�
OWNER'S NAME Last
Owner's Address
First
Owners E-mail Address
3443 Pacific View Drive
City Corona Del Mar State CA _ Zip 192625 Telephone 49-640-1410 x20E!
APPLICANT'S NAME Last
Applicant's Address
5301 California Ave, #100
City Irvine 1 State CA
First
Applicant's E-mail Address
inbabic@lpadesignstudios.com
Zip 2617 —I Telephone 49-7014050
ARCHITECT/DESIGNER'S NAME
Last EAVES First �DAVE- Lic. No. ('-25ytoZ
Architect/Designer's Address
5301 CALJFoR.N►A PAVE *t-t� ou
-- i
City �rYiY1�- State CA�
Architect/Designer's E-mail Address
DEAvES a LPAa6St6N STu-O,L-j, C_OAI
Zip L 97A# 11 Telephone q`ig- 21n1 -l00 1
ENGINEER'S NAME Last I �—
I First Li
I J c. No.
Engineer's Address Engineer's E-mail Address
City _- — - State -I Zip �J� Telephone
CONTRACTOR'S NAME(COMPANY — J Lic No. J ClassF
Contractor's Address
City i State—'
Contractor's E-mail Address
ZipTelephoneTelephone—I -- — -
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO. AO-U7 I --
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $