HomeMy WebLinkAboutX2022-1582 - Permit Application„F rintForm::i Worksheet for Combo Building & Solar Permit p�cation
r Comm'I O
Residential City of Newport Beach - Building Division M1IILLLL\\\\
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMIT T
Fx-Sullcing r Grading r;Drainage r Elec rMech r, Plum Cu vdcutr77 Cu Yd Fill F
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
914 Court St. Newport Beach, CA. 92663
)escription of Work Use F77 Const Type
# Stories17 # Units (if Res)F_
r �, Valuation $
New/Add SF I Remodel SF�—' Garage/New/Add I Material/Labor It) .?-,?Y)
OWNER'S NAME Last Newport Homes LLC - First
Owner's Address Owner's E-mail Address
6859 E. Rembrandt Ave Suite 115 darryn@lavidahomes.com
City Mesa State �"� Zi 85212 � g
-- p Telephone 480-840 40 4
APPLICANT'S NAME Last
Applicant's Address
3090 Bristol Street - 4th Floor
City Costa Mesa State CA -
First
Applicant's E-mail Address
hello@mesastudio.des ign
Zip 92626 Telephone 949-204-0076
ARCHITECT/DESIGNER'S NAME Last Dilettoso -I, First David Lic. No. C-37379
Architect/Designer's Address
3090 Bristol Street - 4th Floor
Cit Costa Mesa
Y State CA
Architect/Designer's E-mail Address
hello@mesastud io.d esig n
Zip 92626 Telephone 949-204 0076
ENGINEER'S NAME Last First—!, Lic. No.�!
Engineer's Address
City - - State
Engineer's E-mail Address
Zip �— Telephoned
CONTRACTOR'S NAME/COMPANY RLCarroli General Contractors I Lic, No. 682756 ClassF
Contractor's Address
PO Box 7829
City Huntington Beach State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
rl carrollgc@g ma ii. com
- _
Zip 92615 Telephone 714-749 0622
PERMIT NO.
PLAN CHECK NO.
JQM��CJAW !,ENT NO PLAN CHECK FEES 1