HomeMy WebLinkAboutX2018-3640 - Permit ApplicationFRrint Form Worksheet for Combo wilding & Solar Permit Application
F_ Comm'I r" Residential
City of Newport Beach - Building Division
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NOTE:
PLAN CHECK FEES DUE AT TIME OF SUBITTAL�
Building Grading Drainage
Elec XMech Plum Cu Yd Cutl
Cu Yd Fill
Project Address (Not maifing address) F_ Flood I-- Fire F_ Liq r Landslide
rN/A Floor
Suite No
scription of Work
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Use Const Type ,�:.
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1 # Stories # Units (if Res)F—
New/Add SF Remodel SF Gara e/New/Add �— valuation
J Material/Labor ( G
OWNER'S NAME Last
.Ifi�- (, ;-r , First
Owner's Address Owner's E-mail Address
City �: f2 l��l�iy State Lt Zip C� L' .� Telephone ri7 �U .... Z 6
APPLICANT'S NAME Last I First
Y
Applicant's Address Applicant's E-mail Address
City State Zip s= jG '� Telephone Z,G +� � - Z 2' V
ARCHITECT/DESIGNER'S NAME Last '� y First u i
��6 �� 7 Lic. No. I o
Architect/Designer's Address Architect/Designer's E-mail Address
City I-(i�/�JC jL� �j C��' State C Zip L1 �L"C% "'G/ Telephone f q - ' "+
ENGINEER'S NAME Last
Engineer's Address
City
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City
SETBACKS REAR
SETBACKS LEFT
USE ZONE
First
Engineer's E-mail Address
State Zip-� Telephone
Lic. No.F—
Lic. No. C� Class
Contractor's E-mail Address
State r- Zip Telephone
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. l�`t "
PLAN CHECK NO.
PLAN CHECK FEES $
K
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\' 1304 Corte Maltera Costa Mesa Ca 92626
A/6-1 Telephone: 562.235-4572 FAX: 562-490-8362
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PROJECT: 95 Jasmine Creek Dr Corona Del Mar Ca 92625
SUBJECT: Soil Engineer
TO Whom It May Concern
This letter is to confirm that this project doesn't require any inspection
from soil engineer
f there is a question or clarification please feel free to contact this office.
Cordially,
Zouheir.T. Saleh
President
BUILDING DIVISION
F E B 1 2020
BY. CHO