HomeMy WebLinkAboutX2022-0615 - Permit ApplicationWorksheet for Combo Building & Solar
r Comm'] Z Residential
ty of Newport Beach - Building DivisionV W
NOTE. PiLAN CHECK FEES UE AT TAME OF SU 3N (TA) Pk
Q!Building F-, Grading r'Drainage rElec rMech F- Plum Cu Yd CutIi Cu Yd Fill
Address
.........._....
r Flood r Fire r Liq r Landslide
700 W. Oceanfront, Newport Beach CA 92663
of Work
New/AddSFF- Remodel SFF- Garage/New/Add
OWNER'S NAME Last IC Darle Hale Trust First
Owner's Address Owner's E-mail Address
[N/A Floor
Suite No
Use r Const Type F
# StoriesF_ # Units (if Res)F_
Valuation $,
Material/Labo 1
PO Box 2373 bmmservices@gmail.com
City Orange State CA Zip 92859 Telephone7144201164
APPLICANT'S NAME Last 1A1ejanIdro i First ulio
Applicant's Address
PO Box 2373
City Orange State CA
Applicant's E-mail Address
bmmservices@gmaiLcom
Zip 92859 Telephone7144201164
ARCHITECT/DESIGNER'S NAME Last First
Lic. No. F--'
Architect/Designer's Address ArchitecttDesigner's E-mail Address
City State F_ Zip F7777 Telephoned
ENGINEER'S NAME Last Khoury FirstNader Lic. No.61402
Engineer's Address
1278 Glenneyre St. #201
City Laguna Beach State CA
Engineer's E-mail Address
Zip 92651 Telephone9496378357
CONTRACTOR'S NAME/COMPANY 'I , k_ a,,,rj\ Lic. No. / 6 3 7/ 7y Class
Contractor's Address
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City S�ry (2rne'h� State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
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Zip Telephone W* 21�7'1197y
PERMIT NO.
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PLAN CHECK FEES $