HomeMy WebLinkAboutX2020-2218 - Permit ApplicationPrint Form_ I Worksheet for Combo Building & Solar Permit Application p"", 2
City of Newport Beach - Building Division y
r Comm'I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 120 22i�
rBuilding r Grading
rDrainage r Elec r Mech r Plum Cu Yd cutF Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
310 Fernando St.
�—
Description of Work
Use F_ Const Type F
la tear off existing roof layers.
Install Duro-Last roof system with pverr tiles on top
# StoriesF_ #Units (if Res)
Valuation
New/Add SF�
Remodel SFF— Garage/New/Add �
$ g0,000.00
Material/Labor
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
CityState
F Zip r TelephoneF_
APPLICANT'S NAME
Last illiams First Laura
Applicant's Address
Applicant's E-mail Address
1215 Columbia Ave. C1
lauri@mcdonnellroofing.com
City Riverside
State CA Zip 92507 Telephone 714-348-6484
ARCHITECT/DESIGNER'S NAME Last First�
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
17985 Sky Park, Ste. G
City Irvine
State CA Zip 92614 Telephone949-336-6420
ENGINEER'S NAME
Last First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F Zip Telephone
CONTRACTOR'S NAME/COMPANY McDonnell Roofing Inc Lic. No. 603230 Class C-39
Contractor's Address
Contractor's E-mail Address
1215 Columbia Ave. C1
lauri@mcdonnellroofing.com
City Riverside
State14-348-6, Zip2507 Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $