HomeMy WebLinkAboutX2022-0130 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
City oeach - Building F Comm'I rX Residential ,��` `;,• yf Newport B9 Division �7jOz2 " o 1?J�
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r Building r Grading ®ainage (- Elec Mech r Plum Cu vd cut 'A Cu Fill F�
Project Address (Not mailing address) F_ Flood I_ Fire F` Liq r""" Landslide` „ Floor
12 VIA GENOA, NEWPORT BEACH, CA 92663
Description of Work
I. PROJECTTO INCLUDE NEW BATHROOMS, GARAGE DOORS, NEW FIXTURES AND FINISHES.
y Use r
# Stbr%s 11
Suite No
v v �
Valuation $
New/Add SFri Remodel SF 1945 Garage/New/Add �` Material/Labor 41 :: �C;
OWNER'S NAME
Owner's Address
12 VIA GENOA
Last CURRY
l /
First SCOT 0q�
Owner's E-mail Address Ir
STWITHCURRY@GMAIL.COM
I City NEWPORT BEACH State CA Zip 92663 Telephone 5629483349 I
APPLICANT'S NAME Last LING First HENRY
Applicant's Address Applicant's E-mail Address
9124 NORWALK BLVD HENRY@FASONEGBC.COM
City SANTA FE SPRINGS State CA Zip 90670 Telephone 5629483349
ARCHITECT/DESIGNER'S NAME
Arch itect/Designer's Address
City
ENGINEER'S NAME Last
Engineer's Address
City
CONTRACTOR'S NAME/COMPANY
Last �— First Lic. No.
Architect/Designer's E-mail Address
State F Zip �— Telephone
First Lic. No.
Engineer's E-mail Address
State f Zip �— Telephone
ASONE CONSTRUCTION INC.
Lic. No. 749538 Class f B
Contractor's Address Contractor's E-mail Address
9124 NORWALK BLVD DESIGN@FASONEGBC.COM
City (SANTA FE SPRINGS State CA Zip 90670 Telephone 5629483349
SETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO. x j'iZ — 0, C
PLAN CHECK NO. 01 � 7 -
PLAN CHECK FEES $