HomeMy WebLinkAboutX2020-2684 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit Application
F COmm1 jx Rest 2ntial
,02-0 l 2"68 4 City of Newport Beach - Building Division dI
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G{�t/ /rtavt�
FX -Building r Grading rDrainage r Elec
Address
Clermont
of Work
New gas bbq in back yard.
[X Mech r Plum CuYdCutr-
Cu Yd Fill
i t Flood r Fire r Liq r Landslide rN/A Floor
Suite No
New/Add SF 141 Remodel SF240 Garage/New/Add �—
OWNER'S NAME Last
First lNeil & Elisse
Use SFR Const Type l"
# StoriesF2 # Units (if Res)[—
Valuation $ 60,000
Material/Labor
Owner's Address
39 Claremont Dr. Owner's E-mail Address
Montgomery elisse@g mail. com
City Newport Beach State CA
Zip 92657 Telephoner�
APPLICANT'S NAME LastHOWELL
First LIZ
Applicant's Address
Applicant's E-mail Address
20561 SUBURBIA LANE
City IHUNTINGTON BEACH
State CA
Zip 92646 Telephone (714)963-4600
ARCHITECT/DESIGNER'S NAME
LastHOWELL First LIZ
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
20561 SUBURBIA LANE
LIZ@SKYVIEWHOMES.COM
City HUNTINGTON BEACH
State CA
Zip 92646 Telephone (714)963-4600
ENGINEER'S NAME Last
FFORBES
FirstDALE Lic. No. C-30407
Engineer's Address
Engineer's E-mail Address
1800 EAST 16th St. SUITE B
dale@esifine.com
City SANTA ANA
State CA
Zip
92701 Telephone
714-835-2800
CONTRACTOR'S NAME/COMPANY nr --
Lic. No. �O Class �j
Contractor's Address / Contractor's E-mail Address r
g Ll/ Caw �'xy -4,F� z7 esu GJsu ren cy �s-� iso eon
City L2NA- ugF State
ZIP9e�(p77 Telephone p��g�yq��
SETBACKS REARiQ t SETBACKS FRONT 10 I PERMIT NO.
SETBACKS LEFT S SETBACKS RIGHT 7
PLAN CHECK NO.
USE ZONE DEVELOPMENT NOj ! i�-
PLAN CHECK FEES $ -L� 1Q I ,;n