HomeMy WebLinkAboutX2019-1594 - Permit ApplicationA 201 q -Ij'q 4
hi Worksheet for Combo Building & Solar Permit Application
F7', Comm'] ri Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r-1 Grading F Drainage 17 Elec r Mech
Plum Cu Yd Cut I, Cu Yd Fill F_I
Project Address (Not mailing address) F' Flood r Fire F7. Liq r Landslide F7N/A Floor Suite No
t Milano Dr, Newport Beach, CA 92660 (C�(p-c-F
Description of Work 5�) Use Const Type
TEAR OFF EXISTING B.U.R DOWN TO THE SHEETING/REPLACE ANY DAMAGED PLYWOOD OR
ONE
New/Add SFF Remodel SFR)r<bv l Garage/New/Add
# Stories # Units (if Res)F
Valuation$
Material/Labor
OWNER'S NAME Last (BROOKS First JENNIFER
Owner's Address Owner's E-mail Address
550 NEWPORT CENTER DR jabrooks@irvinecompany.com
City NEWPORT State CA�
Zip 926607 Telephone9497205697
APPLICANT'S NAME Last MENDEZ First RENE
Applicant's Address
160 SOUTH LINDEN
i
City RIALTO State CA
Applicant's E-mail Address
RMENDEZ@SUPERIORRW.COM
Zip 92376 Telephone 714-944 6395
ARCHITECT/DESIGNER'S NAME
Last '.. First Lic. No.
Architect/Designer's Address
City State
Architect/Designees E-mail Address
Zip
Telephone��
ENGINEER'S NAME Last First Lic. No.
Engineer's Address
City _ State
Engineer's E-mail Address
Zip r�� Telephone
CONTRACTOR'S NAME/COMPANY SUPERIOR ROOFING CO. Lic. No. 284880 Class F7
Contractor's Address
160 SOUTH LINDEN
- -- --
---
State
CA
City
RIALTO
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
Contractor's E-mail Address
RMENDEZ@SUPERIORRW.COM
Zip 92376 Telephone 1800-761-6272
PERMIT NO.' (-7O "l \�-f1
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $