HomeMy WebLinkAboutX2019-0983 - Permit Application� C) eltl'��CD
Print Form Worksheet for Combo Building & Solar Permit Application
r Comm'I F- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FBuilding j- Grading rDralnage r Elec j! Mech r Plum cuvdCut cuvdFill F—
Project Address (Not mailing
address) F- Flood C Fire [ Liq r Landslide rN/A Floor Suite No
224 Jasmine Ave.
I
Description of Work
Use F—ConstType �-
Demo all structures
rte_
# Stories # Units (if Ress
r (_Do
it
-P 01000
Valuation$ $10K
Material/Labor J
i
New/Add SF F Remodel SF F Garage/New/Add F
OWNER'S NAME Last k24 Jasmine, LLC First
Owner's Address
Owner's E-mail Address
1 Corporate Plaza Dr. Suite 110
City Newport Beach
State CA Zip 92660 Telephone 949-756-8393
APPLICANTS NAME Last lGlass
First Nanci
Applicant's Address
Applicant's. E-mail Address
1 Corporate Plaza Dr. Suite 110
nanci@nicholsoncompanies.com
City Newport Beach
State CA Zip 92660 Telephone 949-756-8393
ARCHITECT/DESIGNER'S NAME
Last Sumich First GeoffF—
Lic. No.
ArchitectfDesigner's Address
Architect/Designer's E-mail Address
31511 Camino Capistrano Suite A
City San Juan Capistrano
State CA Zip 92675 Telephone 949-496-8991
ENGINEER'S NAME Last N/A First 7—Lic. No.F--
/�
Engineer's Address
Engineer's E-mail Address L -I "
N/A
City ,.. -_... __._.
State F— Zip TelePhoneF—
CONTRACTOR'S NAME/COMPANY
Nicholson Construction l Lic. No. 60295 Class F
Contractor's Address
Contractors E-mail Address
1 Corporate Plaza Dr. Suite 110
anci@nicholsoncompanies.com
City Newport Beach
State CA Zip 92660 Telephone 949-756-8393
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. — Z�
USE ZONE
DEVELOPMENT NO V 6)�67PLAN CHECK FEES $