HomeMy WebLinkAboutX2017-3399 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm I r Residential City of Newport Beach - Building Division o M l
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL `' ^"
Building F Grading rDrainage rElec F-Machr Plum CuvdCut CuvdRIF
Project Address (Not mailing address) r- Flood jJ Fire (- Liq r Landslide (-N/A Floor Suite No
F �J
Description of Work
Use F Const Type I
# Stories 5� #Units (if Res)
P�e'L
/-�
Valuation$
New/Add SF N/A Remodel SF N/A Garage/New/Add N/A
Material/Labor
OWNER'S NAME Last Irvine Company First
Owner's Address Owner's E-mail Address
550 Newport Center Drive
City Newport Beach State CA Zip 2660 Telephone 714-646-3462
APPLICANT'S NAME Last King Recon First
Applicant's Address Applicant's E-mail Address
34401 Via San Juan #B 'ason@kingrecon.com
City Capistrano Beach State CA Zip 92624 Telephone 949-370-0303
ARCHITECT/DESIGNER'S NAME Last F_ First �— Lic. No. F-
Architect/Designer's Address Architect/Designees E-mail Address
City State F- Zip F— Telephone�—
ENGINEER'S NAME Last apsed�PL'1-(���(�� First L Lic. No. _
2.705"
Engineer's Address Engineer's E-mail Address
1754 W � �LLk
City Telephone 7%Lt 717 11/
Q�Nlj GSE State CA Zip
I-�_
4 867
Lic. No. 984042 Class IB
CONTRACTOR'S NAME/COMPANY King Recon (Jason King)
Contractors Address Contractor's E-mail Address
34401 Via San Juan #B ason@kingrecon.com
City Capistrano Beach State CA Zip 92624 Telephone 949-370-0303
SETBACKS REAR SETBACKS FRONT PERMIT NO.�t
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $