HomeMy WebLinkAboutX2020-2425 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application I 9410r Comm'I r ResidentialCity of Newport Beach - Building Division X %7' 0 s Zq 26' NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding_F Grading rDrainage r Elec r Mech
r Plum CuvdCutF CuvdFill F
Project Adi4ess (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
2105 Yacht rayling
Descrip ' n of Work
Use F Const Type
# Storiess # Units (if Res)s
gas and electric to BBQ
Valuation $
SFF—Remodel SF FGarage/New/AddF
F35O'New/Add
Material/Labo
OWNER'S NAME Last Feeley
First
Owner's Address
Owners E-mail Address
2105 Yacht Grayling
City Newport Beach State Ca
Zip 92660 Telephone 714.552.0397
APPLICANT'S NAME Last Plison
First Paul
Applicant's Address
Applicant's E-mail Address
24642 Via Raza
City Lake Forest State Ca
Zip 92630 Telephone949.683.9861
ARCHITECT/DESIGNER'S NAME Last
FirstF Lic. No.
Architect/Designers Address
Architect/Designers E-mail Address
City State �—
Zip [ — Telephoned
ENGINEER'S NAME Last �
First [ Lic. No.F—
Engineers Address
Engineers E-mail Address
city State F—
Zip TelephoneF
CONTRACTOR'S NAME/COMPANY Landcrafters
Lic No. 754071 Class c27
Contractors Address
Contractors E-mail Address
29512 Ana Maria Ln
City Laguna Niguel State Ca
Zip 92677 Telephone 949.249.1086
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. t
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $