HomeMy WebLinkAboutX2022-0297 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
Comm'I rk Residential City of Newport Beach - Building Division Xnzz. p�
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[K;Building r Grading [-}Drainage r'Elec riMech r Plum CuvdcutF-- Cu Yd Fill F_
Project Address (Not mailing address) r, Flood r Fire [- Liq r Landslide rN/A Floor
X727 38th st
Description of Work
Supplement to Permit: x2021-1975 Mid new fill framing to direct the water to existing
onditions, o c�z
New/Add SFF—', Remodel SFF—'' Garage/New/Add
Suite No
Use F—; Const Type
# Stories # Units (if Res)[ -
OWNER'S NAME Last Panaovai First rooert
Owner's Address Owner's E-mail Address
27th 39th St
City I W State �— Zip [_ Telephone[—
APPLICANTS NAME Last tidy �', First Ilison
Applicant's Address
659 Pepperwood Avenue
City ong beach State
S
.abor I �) C(%
Applicant's E-mail Address
LLPERMITS@GMAIL.COM
0808 62-746-2714
Zip Telephone
ARCHITECT/DESIGNER'S NAME Last r
urley First °n
Lic. No.
Architect/Designer's Address
City State
Architect/Designees E-mail Address
Zip F Telephone 19-248-2873
ENGINEER'S NAME Last First F_', Lic. No.F_'
Engineer's Address
City ! State F
Engineer's E-mail Address
ZipF — Telephoner
CONTRACTOR'S NAME/COMPANY akwood Construction Lic. No. r62828 Class',
Contractor's Address
955 E Hunter
City rnaheim State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
Zip F2FO7 Telephone 14-529-8300
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $