HomeMy WebLinkAboutX2021-0886 - Permit Application (2)Xuitl u
Print Form Worksheet for Combo Building & Solar Permit Application
j— Comm'I r Residential City of Newport Beach - Building Division o a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX -Building r Grading rDrainage r Elec r Mech
r Plum CuvdCut F Cu Yd Fill F
Project Address (Not mailing address) f Flood [- Fire r Liq F_ Landslide [_N/A Floor Suite No
12 Tidal Surf
Description of Work
Use Res Const Type
# Stories[ # Units (if Res)
ac x ng wi a m e y ex error
m ec on
main floor per plan
Valuation$
New/Add SF�— Remodel SF 87.5 Garage/New/Add
Material/Labor $2,500
OWNER'S NAME Last Parrella
First Leonard
Owner's Address
Owner's E-mail Address
12 Tidal Surf
leo@leoparrella.com
City Newport Coast State CA
Zip 92657 Telephone(949) 813-2863
APPLICANT'S NAME Last Suer
First I Steve
Applicant's Address
Applicant's E-mail Address
1186 Glenneyre St
info@lcblaguna.com
City Laguna Beach State CA
Zip 92651 Telephone 949-497-4575
ARCHITECT/DESIGNER'S NAME. Last �— First F Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
—
Zip TelephoneF
ENGINEER'S NAME Last Ahmadi
First Fmansour Lic. No. C76370
Engineer's Address
Engineer's E-mail Address
303 Broadway, Suite 209
mansour@calproengineering.com
City Laguna Beach State CA
Zip 92651 Telephone (949) 715-9990
CONTRACTOR'S NAME/COMPANY Laguna Construction and Builder Lic. No. 785473 Class
Contractor's Address
Contractor's E-mail Address
1186 Glenneyre St
info@lcblaguna.com
City Laguna Beach State CA
Zip 92651 Telephone 949-497-4575
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.Lk
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $