HomeMy WebLinkAboutX2021-2968 - Permit Applicationj I Z-7 Z -
Lip
Wort for Combo Building & Solar Permit Application
j Comm'I f9j, Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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fX—lBuilding [—j Grading [;Drainage rElec OF,W ch plum
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Project Address (Not mailing address) 10 Flood (-1 Fire of Liq
!01 Collins Ave.
n of Work
TE THE INTERIOR
New/Add SFf77777
OWNER'S NAME Last
THE FRONT AND REAR
E
Cu
Cu Yd FIJI
f7 Landslide 17.1\11A Floor Suite No
HE ]Use 5R7, Const Type 4r/ B7
#StorlesF— #Units (if Res)f T21
lValuation $
Garage/New/Add
1 11 - -i IMaterial/Labor
First
Owners Address
Owner's E-mail Address
11
PO Box 11029
lBzatica@mztco.com
. .......... ............ . . . _ .... ...
City Santa �Ana I
I State CA
. . . .......... ...... . . ........ .. ... . Zip FM 1 Telephone [714-863418
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
841 E Wahington Avenue #B
atu&jwconstruction
City 1Santa AnaI
Stae
------- - ---------- ...... . tZip 92701 Telephone (714) 835_6820
ARCHITECT/DESIGNER'S NAME LastFirst
F77777777 Lic. No.
Architect/Designer's Address A I rchitect/Designer's E-mail Address
841 111 E , .We . hi I n I gto . n .... Avenue I . I B tu@cjwoonstruction
. . . ..........
City Santa Aria
Fs ...... . State CA ZIP TelephonelM 820
0 First
ENGINEEWN
S NAME Last r� lang Lic. No.5289
ia FQ
Engineer's Address Engineers E-mail Address
1520 B rook ho 1 10 W Dr., #�451 j
. ..... - ... ..... . la!len@aqxeng.com
City Santa Ana j
--- - - - ------ State ICA Zip ji �2M Telephone 714-662-0510
CONTRACTOR'S NAME/COMPANY IMacro-Z-Technology Company Ltc. No. F561313� Class
Contractors Address Contractors E-mail Address 6) Zit
1841 East Washington Avenue #B
...... atu@cjwconstruction
...... ... . ......
CA zip 92701 Tl
CRY State F Telephone F(714) 835-6820
r, t__ - ____ - - ____; I'll - .. ...... ... .... _J
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $