HomeMy WebLinkAboutX2019-1025 - Permit Applicationi�Z61 G - 10 7_ j
Print Form Worksheet for Combo Building & Solar Permit Application -was,
F_ Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r,Building r! Grading
F—Drainage F_ Elec r Mech (— Plum Cu Yd cut Cu Yd
Project Address (Not mailing address) F_ Flood r Fire ri Liq rl Landslide rN/A Floor Suite No
543 Tustin ave
I_—__
Description of Work
Use F Const Type
Replace safety railing @ rear
yard 2nd.Floor deck and replace /reseal decking with dex o tex & tile
# Stories # Units (if Res)l
Valuation
New/Add SFF
Remodel SFr— Garage/New/Add I
$ $20,000.00
Material/LaborF
OWNER'S NAME
Last Hickman First Rich
Owner's Address
Owners E-mail Address
same
City same
State I zip I TelephoneF�
APPLICANT'S NAME
Last D'ambrs '.. First Dennis ''..
Applicant's Address
Applicant's E-mail Address
7752 Warner Ave
DENNIS@ADDITIONBUILDERS.COM
City Huntington Beach
State calif Zip 92647 Telephone 714/848-9668
ARCHITECT/DESIGNER'S NAME Last N/a First F Lic. No. F_
Architect/Designers Address
Architect/Designer's E-mail Address
City State FZip.I Telephonel�
ENGINEER'S NAME
Last Miriahanger First Frank Lic. No.23405
Engineers Address
Engineer's E-mail Address
15145 Woodlawn ave #200
II
City ustin
State calif Zip 92780 Telephone 714/580-7713
CONTRACTOR'S NAME/COMPANY D'ambra,inc. Lic. No. 281750 Class
Contractor's Address
Contractors E-mail Address
7752 Warner Ave
Dennis@additionbuilders.com
City Huntington BEACH
State CALIF Zip 92674 Telephone F714/848-9668
SETBACKS REAR
SETBACKS FRONT PERMIT NO. X) •� r 0 `��
SETBACKS LEFT
SETBACKS RIGHT .PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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