HomeMy WebLinkAboutX2020-2684 - Permit ApplicationPrint Form
Worksheet for
- x Combo Building
& Solar Permit Application2o Z6g yfCOmm'I r Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ��n�+
RX Building f Grading f—Drainage e
9 r Elec jx Mech jX Plum�
Project Address (Not mailing add.e._s �- FI CuaYd Cut Cu Yd Fill
Clermont
oo� Ire (— Liq j— Landslide
New/AddM
N Reodel SF 240 Garage/New/Add
OWNER'S NAME m
Last Montnnm., ,
f -N/A Floor Suite No I
_ � I
Use SFR ConstTyper—
# StoriesF2 # Units (if Res)F
Valuation $
Material/Labor 60,000
------------
Owner's Address First lNeil & Elisse
39 Claremont Dr. Owner's E-mail Address
City Newport Beach Montgomery.elisse@gmail.com
State CA Zip 92657
APPLICANT'S NAME Telephone�_
Last HOWFI I —
—�—�_
Applicant's Address First LIZ
20561 SUBURBIA LANE Applicant's E-mail Address
City HUNTINGTON BEACH
State CA Zip 92646
ARCHITECT/DESIGNER'S NAME Telephone (714)963-4600
Last HOWELL
Architect/Designer Address First LIZ
Lic. No. �-
20561 SUBURBIA LANE
Architect/Designer's E-mail Address
City HUNTINGTON BEACH
State CA
ENGINEER'S NAME
LIZ@S KYVI E WHOMES. COM
ZIP 92646 Telephone (714)963-4600
Last FORBES
Engineer's Address
1800 EAST 16th St. SUITES
City
UITEBCity SANTA ANA
— State CA
CONTRACTOR'S NAME/COMPANY
First DALE
Lic. No, C-30407
Engineer's E-mail Address
dale@esifine.com
Zip 92701 Telephone 714-835-2800
IContractor's Address �� 7 co/ -w-
City
Z°xwy _2
V t� State zip
SETBACKS REAR to
SETBACKS LEFT S
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
10,
Lic. No. C7/?�pClass�—
Contractor's E-mail Address
9 4, 7-] Telephone pi gga%9��
PERMIT NO. ALN W i(
PLAN CHECK NO. _ _ U_
PLANCHECKFEES$