HomeMy WebLinkAboutX2022-0271 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o EWPo
Cityof Newport Beach - Building Division
(— Comm'I IX Residential p g
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAI V�..
rKBuilding (— Grading r—Drainage r— Elec r Mech r Plum Cu rd Cut Cu Yd Fill F
Project Address (Not mailing address) f— Flood r Fire r Liq j— Landslide rN/A Floor Suite No
717 Poinsettia
F �—
Description of Work
Use F—ConstType F_
# StoriesF # Units (if Res)F—
crtystandard oc wa a ron oproper y
?*tit ?h
Valuation $ 10,000
Material/Labor
New/Add SF_Remodel SFF
Garage/New/Add �—
OWNER'S NAME Last Thomas James Homes
First
Owner's Address
Owner's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
mrosene@tjhusa.com
City Aliso Viejo State CA
Zip 92656 Telephone
APPLICANT'S NAME Last Montejano
First Nellie
Applicant's Address
Applicant's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
nmontejano@tjhusa.com
City Aliso Viejo State CA
Zip 92656 Telephone 949-669-5118
ARCHITECT/DESIGNER'S NAME Last
First �— Lic. No.
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City State �—
Zip F— Telephonel—
ENGINEER'S NAME Last
First F Lic. No.F—
Engineer's Address
Engineers E-mail Address
City State �—
Zip �— Telephoned
CONTRACTOR'S NAME/COMPANY T J C Home Builders
Lic. No. 0025507 Class F
Contractor's Address
Contractor's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
City Aliso Viejo State CA
Zip 92656 Telephone 949-481-7026
SETBACKS REAR SETBACKS FRONT
PERMIT NO. X ZUZ Z— 02 7
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $