HomeMy WebLinkAboutX2022-0835 - Permit ApplicationP'r`int Farm e°?, Worksheet for Combo Building & Solar Permit Application
Comm'I r Residential City of Newport Beach - Building Division �^/,/`��
F-NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAk "" D'
rBuilding [ Grading F—Drainage F_ Elec F_ Mech r Plum CuvdCut
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Project Address (Not mailing address) r. Flood r Fire f -', Liq I— Landslide
717 POINSETTIA AVE �— ����
of Work
New/AddSF� Remodel SF Garage/New/AddF -
OWNER'S NAME Last JTJC HOME BUILDERS, LLC. First
Cu Yd Fill 10
[N/A Floor Suite No
Use R3/U ConstType VB
# StoriesF_ # Units (if Res)[ —
Valuation $
Material/Labor
Owner's Address Owner's E-mail Address
26880 ALISO VIEJO PARKWAY, SUITE 100 MROSENE@TJUSA.COM
City ALISO VIEJO State CA Zip 92656 Telephone 949-481-7026
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
2420 RIVER RD., STE 230-915 nellie@jlhare.com
City NORCO State CA Zip 92860 Telephone F951-357-6916
ARCHITECT/DESIGNER'S NAME Last First I- — Lic No. F_
Architect/Designer's Address Architect/Designer's E-mail Address
City State Zip I Telephonel—
ENGINEER'S NAME Last FORKERT First MICHAEL Lic. No. LS5662
Engineer's Address Engineer's E-mail Address
22311 BROOKHURST ST. STE 203
City HUNTINGTON BEACH State CA Zip 92646 Telephone 714-963-6793
CONTRACTOR'S NAME/COMPANY T J C HOME BUILDERS LLC. Lic 10 No. 25507 Class'
Contractor's Address Contractor's E-mail Address
26880 ALISO VIEJO PARKWAY, SUITE 100 MROSENE@TJHUSA.COM
City 1ALISO VIEJO State CA Zip 92656 Telephone 949-481-7026
- KZJ7-/e,/_- 6)�336
SETBACKS REAR SETBACKS FRONT PERMIT NO. \ (2,jZj`Z, , D q 3 S
SETBACKS LEFT SETBACKS RIGHT ,,PLAN CHECK NO. 0761—Z— C5-L2
USE ZONE DEVELOPMENT NO �7��7. - Li C,5� PLAN CHECK FEES $