HomeMy WebLinkAboutX2019-0598 - Permit ApplicationPrint Form:: Worksheet for Combo Building S Solar Permit Application
Comrn'I [Residential City of Newport Beach - Building Division XR0/q-05g8
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X034 •,20/9_
rx-Building ❑ Grading ❑Drainage [ Elec
Address
❑ Mech ❑ Plum cu Yd cut
❑ Flood ❑ Fire ❑ Liq ❑ Landslide
RIVERSIDE AVE, NEWPORT BEACH, CA 92663
New/Add SF 360
Cu Yd Fill
❑N/A Floor Suite No
Use F7 Const Type
# Stories # Units (if Res)F_
IValuationS 1690.00
Remodel SFF Garage/New/Add �I Material/Labor
OWNER'S NAME Last
Owner's Address
501 RIVERSIDE AVE, NEWPORT BEACH, CA 92663
City NEWPORT BEACH State CA
APPLICANT'S NAME Last
Applicant's Address
15375 BARRANCA PKWY 1 -104
City IRVINE State CA
First
Owner's E-mail Address
BENWO@GMAIL.COM
Zip 192663 Telephonel9496399146
FirstINAAJIt$
Applicant's E-mail Address
NAS S I B @ALTA I RSO LA R. CO M
Zip 92618 Telephone9498875106
ARCHITECT/DESIGNER'S NAME Last First! Lic. No.
Architect/Designer's Address
— -
Clty I— State
Architect/Designer's E-mail Address
Zip F—, Telephone
ENGINEER'S NAME Last First F Lic. No.F
Engineer's Address
City State
Engineer's E-mail Address
Zip �— Telephoned
CONTRACTOR'S NAME/COMPANY JAUAIR SOLAR Lic. No. 1001983 Class C46
Contractor's Address
15375 BARRANCA PKWY I -104
City IRVINE i State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USEZONE DEVELOPMENT NO
Contractor's E-mail Address
NASSI B@ALTAI RSOLAR.COM
Zip 92618 Telephone9498875106
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $
�T3001)�2613 3S.5(. c