HomeMy WebLinkAboutX2019-0105 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o'�oPoRa
Comm'I ResideXl%-Building Division
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(x–Building F_ Grading
rDrainage FX_Elec (K Mech (x Plum Cu ed Cut Cuvd Fill
Project Address (Not mailing address) F_ Flood (K Fire F_ Liq r Landslide FN/A Floor Suite No
700 W. Pacific Coast Hwy. Newport Beach, CA 92660 F �—
Description of Work
C
Use F—Const Type F
# Stories # Units (if Res)s_
interiorco updates, front
counter a es, bunroonis ADA updates.
Valuation
Material/Labor
New/Add SFs—
—
1p IV Remodel SFA 4 l 23 Garage/New/Add
OWNER'S NAME
Last Wilner First Jason
Owner's Address
Owner's E-mail Address
3800 Kilroy Airport Way, Suite 200 J VSlbn Vv @_ U5 Uu�C d CDVy1
City Long Beach
. \\Y\,w .
State CA Zip 90806 Telephone
APPLICANT'S NAME
Last Jia First Kristy
Applicant's Address
Applicant's E-mail Address
4240 East Jurupa Street, Suite
402 kjia@core-eng.com
City Ontario
State CA Zip 91761 Telephone909.467.8928
ARCHITECT/DESIGNER'S NAME Last Sims First Alex Lic. No. C-30021
Architect/Designer's Address
Arch itect/Designer's E-mail Address
1700 W. Industrial Drive, Suite B asims@core-eng.com
City Rogers
State AR Zip 72756 Telephone
ENGINEER'S NAME
- Last First 7— Lic. No.s
Engineer's Address
Engineer's E-mail Address
City
State F— Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No. Cl
Contractor's Address
laasps�
�.J `J Contractor's E-mail Address -7 V 1 t-9 g
�/�' B
City
State F__ Zip 7— Telephones
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 0070 . Z-0 �.C(
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $