HomeMy WebLinkAboutXR2022-2675 - Permit Application (3)Print Form Worksheet for Combo Building & Solar Perm ,,,E, 0rt�
Comrn'I X Residential
City of Newport Beach - Building Division
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(X Building F_ Grading ""Drainage [`; Elec F_ Mech r— Plum Cu vd Cut i; Cu Yd Fill
Project Address (Not mailing address) rFlood F Fire F Liq Landslide r,N/A Floor_ Suite No
2235 TkISTIN AVENUE I
Description of Work_- Use SFR Const Type ,VB
REMOVE ALL EXISTING FINISHES AND REPLACE WITH NEW LAP SIDING.
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INDOW # Stories 1 # Units (if Res)
REMOVE AND REPLACE EXISTING BREAKER PANEL
Valuation $ j90,000
New/Add SFF����._� Remodel SF� Garage/New/Add � Material/Labor.
OWNER'S NAME Last GEORGE First CAROLINE
Owner's Address Owner's E-mail Address
2235 TUSTIN AVENUE DRCAROLINEG@GMAIL.COM
City rNEWPORT BEACH State CA Zip 92660 Tele hone 949-+- 887-1579
APPLICANT'S NAME Last ULLMAN First TOBIAS
Applicant's Address Applicant's E-mail Address
5407 VIA FONTE TTOBY.ULLMAN@GMAIL.COM
City IYORBA LINDA State CA Zip 92886 Telephone 949-350-6758
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ARCHITECT/DESIGNER'S HAMF Last ULLMAN First TOBIAS Lic. No.
Arch itect/Designer's Address Architect/Designees E-mail Address
5407 VIA FONTE FTBY.ULLMAN@GMAIL.COM
_.
State CA zip 92886 Telephone 949-350-6758
City YORBA LINDA p
ENGINEER'S NAME Last NFirst Lic. No.
/A
,...
Engineer's Address Engineer's E-mail Address
City State Zip Telephone
CONTRACTOR'S NAME/COMPANY JHCUSTOM HOMES INC Lic. No. 970102 Class B
Contractor's Address _ Contractor's E-mail Address
27068 LA PAZ ROAD SUITE 122 INFO@JHCUSTOMHOMESINC.COM
City (ALISO VIEJO State �CA Zip 92656 Telephone 949-325-3098
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $