HomeMy WebLinkAboutX2022-0705 - Permit Applicationji Print Form Workshegt for
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r Comm'I F Residential
NOTE:
Combo Building & Solar Permit Application
City of Newport Beach - Building Division v
PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
)(Building f -Grading Drainage F_Elec F-Mech )(,Plum CuvdCut F Cu YdFill F
Project Address (Not mailing address) F_ Flood F_ Fire i- Liq f- Landslide F -N/A Floor Suite No
504 ACACIA AVE F_
Description of Work
Use R3/U Const Type VB
# Storiess # Units (if Resf
Valuation $
New/Add SFRemodel SF F—Garage/New/Add F-
Material/Labor F7 1 (r�
OWNER'S NAME Last T J C HOME BUILDER LLC First
Owner's Address t i C7 Owner's E-mail Address
ALISO VIEJO PARKWAY, SUITE 100
City ALISO VIEJO State CAZip 92656 Telephone 949-481-7026
APPLICANT'S NAME Last ROSENE First MARK
Applicant's Address L w5?n Applicant's E-mail Address
26#49 ALISlO VIEJO PARKWAY, SUITE 100 mrosene@tjhusa.com
City ALISO VIEJO State CA Zip 92656 Telephone 949-894-8034
ARCHITECT/DESIGNER'S NAME Last First Lic. No. F_
Architect/Designees Address Architect/Designer's E-mail Address
City State F_ Zip I— TelephoneF—
ENGINEER'S NAME Last First F_ Lic. No.F__—'.
Engineer's Address Engineer's E-mail Address
City State F___ Zip Telephone[
CONTRACTOR'S NAME/COMPANY T J C HOME BUILDERS LLC Lic. No. 1025507 Class
Contractor's Address Contractor's E-mail Address
26940 ALISO VIEJO PARKWAY, SUITE 100
City ALISO VIEJO State CA Zip 92656 Telephone 1 949-481-7026
SETBACKS REAR SETBACKS FRONT X PERMIT NO. X Z07--L-67V G
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 62Z Z0ZZ
USE ZONE DEVELOPMENT NO D u21` 05$3 PLAN CHECK FEES $