HomeMy WebLinkAboutX2019-2091 - Permit ApplicationL Print Form- EWao
Worksheet for Combo Building& Solar Permit Application
6SR�-2®1q City of Newport Boach - Building Division ii o
F Comm'I r
Residential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI
fXBuilding r-Gradingr-Drainage
rElec F_Mech r Plum Cu Yd Cut CuvdFill
Project Address (Not mailing address) F Flood F_ Fire j— Liq j— Landslide r_N/A Floor Suite No
3900 West Coast Highway F— F_-
Description of Work
_
Use F—Const Type I
_
# Stories[. # Units (if Res)[_
installation o Electric
c e a ing Stations
Valuation$ $19,700
Material/Labor
New/Add SFr—
Remodel SFr— Garage/New/Add
OWNER'S NAME
Last Beegle First Jessica
Owner's Address
Owner's E-mail Address
3900 West Coast Highway
_
jbeegle@calcomm.org
City Newport Beach
State CA Zip 92663 Telephonef949-650-0040
APPLICANT'S NAME
Last [Tran _ First Son
Applicant's Address
12681 Pala Drive
Applicant's E-mail Address
lvvdmanagement@vvdcomm.net
City Garden Grove
State CA Zip 92841 Telephone562-572-5633
ARCHITECT/DESIGN Last pl—,
1 First ��R/ l Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State Zip �� Telephoned
ENGINEER'S NAME
Last �— First F_ Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City �Y
State Zip �� Telephoned
CONTRACTOR'S NAME/COMPANY Video Voice Data Communications Lic. No. 821598 Class Flo
Contractor's Address
Contractor's E-mail Address
12681 Pala Drive
vvdmanagement@vvdcomm.net
City Garden Grove
State CA Zip 92841 Telephone562-572-5633
SETBACKS REAR
SETBACKS FRONT PERMIT N0. -2-b
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. SZ2 L61 ��
USE ZONE
DEVELOPMENT NO �S�.Oti b Com' PLAN CHECK FEES $ f