HomeMy WebLinkAboutX2022-0477 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit A plica ion
F Comm 1 FR Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rlBuilding ['Grading [Drainage F_Elec F_Mech F7 Plum cuvdcutF cuvdFill
Project Address (Not mailing address) F7 Flood [ Fire r, Liq I— Landslide r_N/A Floor Suite No
1912 TERESITA LANE, NEWPORT BEACH 92660, F�',
Description of Work
Use SINGL' Const Type I' B
# Stories # Units (if Res)s
ENGINEERED SEISMIC RETROFIT
Valuation$
New/Add SF N/A Remodel SF N/A Garage/New/Add N/A
2600
Material/Labor '
OWNER'S NAME Last HAMID First MYRNA
Owner's Address Owner's E-mail Address
1912 TERESITA LANE SWANASWAY7@GMAIL.COM
City NEWPORT BEACH State CA Zip 92660 Telephone 949-230-5497
APPLICANT'S NAME Last GARCIA First NA
Applicant's Address Applicant's E-mail Address
8334 FOOTHILL BLVD NA@ALPHASTRUCTURALCOM
City SUNLAND State CA Zip 91040 1 Telephone F14-642-4065
ARCHITECT/DESIGNER'S NAME Last First F Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City � State I— Zip F_ Telephonel�
ENGINEER'S NAME Last DEMERS FirstJOE Lic. No. 71535
Engineer's Address Engineer's E-mail Address
8334 FOOTHILL BLVD JOE@ALPHASTRUCTURAL.COM
City SUNLAND State CA Zip 91040 Telephone 323-258-5482
CONTRACTOR'S NAME/COMPANYLPHA STRUCTURAL INC Lic. No. 663409 Class(B
ST30079001 2-28-023
Contractor's Address Contractor's E-mail Address
8334 FOOTHILL BLVD NA@ALP HASTRUCTURAL.COM
City SUNLAND State CA Zip 91040 Telephone 14-642-4065
SETBACKS FRONT %C2o ZZ , bq7 7
SETBACKS REAR PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO, (yj LCI '2022
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $LGZ - q9