HomeMy WebLinkAboutX2019-3718 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
FX- Comm'I j Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL�(° �(n y �7 `�
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FX Building F Grading
rDrainage F Elec (•- Meth F Plum CuvdCut F CuvdFill
Project Address (Not mailing address) r Flood r Fire r– Liq r Landslide [_N/A Floor Suite No
825 W. 16th Street, Newport Beach, CA 92663 F– F_
of Work
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Use I— Const Type
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#Units (if Res)
Installation ofc sign
on bulluirly#Stories
Valuation
Material/Laa bor 13U
New/Add SFF_
Remodel SF F_, Garage/New/Add r—
OWNER'S NAME
Last DuCoing First Brent and Ami
Owner's Address
Owner's E-mail Address
3818 E. Coronado St, Unit
A ducoing@sbcglobal.net
City Anaheim
State CA Zip 92806 Telephone
APPLICANT'S NAME
Last Jones First Jeff
Applicant's Address
Applicant's E-mail Address
825 W. 16th St
lijones@risingedgegroup.com
City Newport Beach
State CA Zip 92663 Telephone 714-887-9956
ARCHITECT/DESIGNER'S NAME Last Strong First Jon Lic. No. r"
Architect/Designer's Address
Architect/Designer's E-mail Address
524 E. Lambert Rd
ion@strongimagegraphics.com
City Brea
State CA Zip 92821 Telephone714-529-5855
ENGINEER'S NAME
Last First F_ Lic. No.r_'
Engineer's Address
Engineer's E-mail Address
City I
_ State Zip �_-- Telephoner
CONTRACTOR'S NAME/COMPANY �15 ^F Iccknoloyunl(al,.(�rri �L�( Lic. No. 10337i3Class F
Contractor's Address
Contractor's E-mail Address
gj25 i� t bi" S+
J J UPI e's(a/"7i eIV
City ep, c� State FCA: Zip ` 1,(,2 Telephone vvFEP7-9gs-b
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO,
USE ZONE J (A
DEVELOPMENT NO PLAN CHECK FEES $
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