HomeMy WebLinkAboutXR2022-2410 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application o�"�°�4m
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r.Building rlGrading rDrainage j—Elec rMech rPlum cuvdCut ' CuvdFill
i
Project Address (Not mailing address) r Flood r Fire rLiq r Landslide rN/A Floor Suite No
1747 Port Abbey
of Work
New/Add SFF—il
OWNER'S NAME
Owner's Address
Remodel SF� Garage/New/Add
Last iThomas James Homes First
Owner's E-mail Address
26880 Aliso Viejo Parkway, Suite 100 mrosene@tjhusa.com i
City Aliso Viejo State CA Zip 92656 Telephone
Use R3/U ; Const Type VB ,i
i
# Stories[I' # Units (if Res)
(Valuation $
Material/Labor F25
,000
APPLICANT'S NAME Last
Applicant's Address
26880 Aliso Viejo Parkway, Suite 100
City Aliso Viejo State CA
ARCHITECT/DESIGNER'S NAME Last
Architect(Designer's Address
City State
First
Applicant's E-mail Address
nmontejano@tjhusa.com
Zip F92656 Telephone 949-669-5118
First �— Lic. No. F—!
Architect/Designer's E-mail Address
Zip � Telephonel
ENGINEER'S NAME Last (Schweitzer First Michael Lic. No. 59658
Engineer's Address
1635 Lake San Marcos Dr., Suite 200
City San Marcos State CA
Engineer's E-mail Address
Zip 92078 Telephone 760-744-0011
CONTRACTOR'S NAME/COMPANY T J C Home Builders Lic. No. 1025507 Class
Contractor's Address
26880 Aliso Viejo Parkway, Suite 100
City Aliso Viejo State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
Zip 92656 Telephone 949-481-7026
PERMIT NO. )Wwpa—„ �410
PLAN CHECK N0. W-L-0 Z_
USE ZONE
DEVELOPMENT NO a/�'�Z2 '�'�`,
PLAN CHECK FEES $