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HomeMy WebLinkAboutXR2022-2110 - Permit Applicationa()9 Zo22— u o Print Form Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division o� r Comm'I rX Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r Building (� Grading (—Drainage r— Elec Mech r Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) IJ Flood r Fire r Liq r Landslide rN/A Floor Suite No [2322 Margaret Drive Description of Work Use R3/U ConstType VB # StoriesF# Units (if Res) emo ar Valuation $ New/Add SF�— Remodel SF�—� Garage/New/Add �— 25,000 Material/Labor OWNER'S NAME Last LA21G, LLC First Owner's Address Owner's E-mail Address 26880 Aliso Viejo Parkway, Suite 100 mrosene@tjhusa.com City Aliso Viejo State CA Zip 92656 Telephone APPLICANT'S NAME Last Montejano First Nellie Applicant's Address Applicant's E-mail Address 26880 Aliso Viejo Parkway, Suite 100 nmontejano@tjhusa.com City Aliso Viejo State CA Zip 92656 Telephone 949-669-5118 ARCHITECT/DESIGNER'S NAME Last First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City i State �� Zip Telephoned ENGINEER'S NAME Last Deyan First Pantich Lic. No. LS 8414 Engineer's Address Engineer's E-mail Address 1635 Lake San Marcos Drive, Ste. 200 City San Marcos State CA Zip 92078 Telephone 760-744-0011 CONTRACTOR'S NAME/COMPANY T J C Home Builders Lic. No. 1025507 Class Contractor's Address Contractor's E-mail Address 26880 Aliso Viejo Parkway, Suite 100 City Aliso Viejo State CA Zip 92656 Telephone 949-481-7026 SETBACKS REAR SETBACKS FRONT PERMIT NO. )C1l�ZO�' t lry SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 0C�ZZ ��"" USE ZONE DEVELOPMENT NO 'r.(J�L - PLAN CHECK FEES $