HomeMy WebLinkAboutX2019-1650 - Permit ApplicationPrint Form
yt Comm'I j-- Residential
(SfBuilding j- Grading
Address (Not
PEtf;ty
or ombo Building & Solar Permit Application � of Newport Beach- Building Division�°Of9- /650
O° N�DT6� PLAN SCK FEE BU}�AT TIME OF SUBMITTAL
12
Flood `j`
4 1 W. Balboa Blvd, Newport Beach, CA 9261
les pt' of Work
Cu Yd Cut Cu Yd Fill
( Landslide rN/A Floor
Suite No
Use F Const Type
ff StoriesF # Units (if Res)_
125,
New/Add SF�-i Remodel SFFGara a/New/Add �— Valuation $ 000 Material/Labor
OWNER'S NAME
Owner's Address
1110 Innovation
City Irvine
Last IThe Irvine Company, LLC First
Owner's E-mail Address 1 9-1- t �`"-,)_ - 25,
-
State Ca zip 92617
APPLICANT'S NAME Last Ortega First Frank
Applicant's Address Applicant's E-mail. Address
24310 Moulton Pkwy Suite O #1009 fortega@coastalbuisnessgroup.net
City Laguna Hills
State Ca Zi 92637 Tele hone 9493361550
95
ARCHITECT/ 9E516NER'9'MAA1E� Lastrmo Architel Fil No
Architect/Desi oar's Address cT/Designer's E-mail Address W
27 Orchard, Suite 200
City Lake Forest i State Ca Zip 92630 Telephone
ENGINEER'S NAME Last First Lic. No.�—'
Engineer's Address Engineer's E-mail Address -�
City Ili v�i�l(JC State llc \ Zip V Telephone
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CONTRACTOR'S NAME/COMPANY TBD50/ee yCc, �fihLic.No. at �o` Class {SiiL`!(�
,�rC
Contractor's Address - Contractor's E-mail Address
'-11� r X16 t2e.t�t t ",y�0� bs�-one�s� 1��r�,r�-r•ttc�l-� � s c- �n
City-"r,�m�c✓rk StateI EAT— ZipF =j,,,jG Telephone Dt
SETBACKS REAR SETBACKS FRONT ry lU ^ U2C PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT _ J PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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