HomeMy WebLinkAboutX2019-0042 - Permit ApplicationZb b�! °O(7 �Z
t I Worksheet for Como gilding & Solar Permit Application � a
City of Newport Beach - Building Division
r,. Comm r Residential NOTE PLAN CHECK FEES DUE AT TIME OF SUBMITTAL `"���^"�
FX-BuildingGradingr(Drainage rElec r, Mech
r, Plum Cu Yd cutCu Yd Fill
Project Address (Not mailing address) r Flood
rl Fire n Liq r Landslide rN/A Floor Suite No
4207 Jamboree Roadl
Description of Work
UseI Const Type F
# Stories #Units (if Res)
Installation of 658' x 8' high temporary Vinyl Construction Fencing
----- ---
-,
Valuationa F/oodd
Material/Labor
---"
New/Add SFFRemodel SF Garage/New/Add—,
OWNER'S NAME Last The Picerne Group
First I—
Owner's Address
Owner's E-mail Address
5000 Birch St., STE 600
jteegarden@ picernegroup.com
-
City Newport Beach State A IZ_
ip 92660_. I Telephone94-26-152-5
APPLICANT'S NAME Last Teegarden First Jim
Applicant's Address
Applicant's E-mail Address
5000 Birch St., STE 600
jteegarden@picernegroup.com
City Newport Beach State CA
Zip 92660 Telephone 949-267-1525
ARCHITECT/DESIGNER'S NAME Last �—
i First—' Lic. No. F—
Architect/Designees Address
Architect/Designer's E-mail Address
City— State—I!
Zip Telephone—I
ENGINEER'S NAME Last ��xx ,
First No.
Engineer's Address
Engin 's -mail Address
City State
d-
Zip�ITelephone
Lic. No. 1005521 Class A/B
CONTRACTOR'S NAME/COMPANY Consortium West
Contractor's Address
Contractor's E-mail Address
3200 Park Center Drive, suite 1240
Costa Mesa State CA
Zip 92626 Telephone 949-748-7556
City
SETBACKS RAR SETBACKS FRONT
PERMIT NO. w
SETBACKS L T SETBACKS RIGHT
PLAN CHECK NO. (�
nwll
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $