HomeMy WebLinkAboutX2019-0845 - Permit Application>c1,O iq -OGti5
Print F^rm] Worksheet for Combo Building & Solar Permit Application
1 City of Newport Beach - Building Division
FX Comn' Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Fx-Building r Grading F -Drainage rx-, Elec F_ Mech Fx-, Plum Cu Yd cut rna curd Fill na
Address (Not
Newport Blvd
of Work
I— Flood � Fire r', Liq r Landslide
tion Change- Increased trash enclosure for Compac
of enlarged trash area added emergency generator
New/Add SF
OWNER'S NAME
Owner's Address
480v
Remodel SFFO ' Garage/New/Add P_
Last
First
Owner's E-mail Address
[-,,NIA Floor Suite No
_ F I
Use 1 Const Type F
# StoriesF_ # Units (if Res)[_
r,DJ
200 Newport Blvd. w@crabcooker.com
City Newport Beach State Ca l
—) Zip 92663 Telephone F14-856-0381
APPLICANT'S NAME Last
Applicant's Address
234 Venture St. , Ste 100
City San Marcos State ca
First
Applicant's E-mail Address
gary@rrconstruction.com
Zip 92078 Telephone 60-759-2260
ARCHITECT/DESIGNER'S NAME Last Seward First Gary Lic. No. 224178
Architect/Designer's Address
34 Venture St. , Ste 100
City San Marcos State ca
Architect/Designer's E-mail Address
igary@rrconstruction.com
Zip 92078 Telephone 760-759-2260
ENGINEER'S NAME Last First 9 Lic. No.FE 3r-+C�
Engineer's Address
I
City jAtU7a= iL __ State j i
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY Lic. No. 5qba33 Class,
Contractor's Address
City S qtl MAfS State F
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
WY�cts � tc�t Ccw�
Zipl� "7b Telephone -I(o 5y Z7
737 Z *ii �:ILrIJY�
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $