HomeMy WebLinkAboutX2019-2169 - Permit Application)eZOtq—ZILO
Print Four, Worksheet for Combo Building & Solar Permit Application
(` Comm'I j? Residential City of Newport Beach - Building Division `u
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL onN'
F- Building r` Grading
D?Drainage R Elec j Mech Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood r - Fire r Liq r` Landslide r`N/A Floor Suite No
Fin Jasmine Creek Drive
Description of Work
Use R3/U Const Type I"
Install new hardscape, landacape, fire pit, ventless fireplace, BBQ, precast Wall fountain, with
revised drainage
# StoriesF # Units (if
Plan
0
New/Add SF
Remodel SF 1364 Yard Area Garage/New/Add F—
Valuation $
Material/Lab 000
OWNER'S NAME
Last Hidey First Jeannie
Owner's Address
Owner's E-mail Address
103 Jasmine Creek Drive
City Newport Beach
State Ca Zip 92625 Telephone
APPLICANT'S NAME
Last Manzer First Bruce
Applicant's Address
Applicant's E-mail Address
4275 Ponchartrain Lane
bruce@manzerandassociates.com
City Lake Forest
State CA Zip 92630 Telephone /14-720-4394
ARCHITECT/DESIGNER'S NAME Last Manzer First Bruce Lic. No
Architect/Designer's Address
Architect/Designer's E-mail Address
ame as Applicant
City
State �� Zip Telephoned
ENGINEER'S NAME
Last �— First F Lic. No.1
Engineer's Address
Engineer's E-mail Address
City �—
State Zip Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No. O�j "Aa
Contractor's Address
Contractor's E-mail Address
City I
State F Zip �— Telephoner
u O •O 1
SETBACKS REAR
SETBACKS FRONT PERMIT NO. 1573 • 1
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $