HomeMy WebLinkAboutX2017-2334 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit Application
F- Comm'I F_ Residential City of Newport Beach -Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBM L
rBuilding (— Grading F-Drainage r Elec F_ Mech F- Plum CuvdCut s CuYdFill s
Project Address (Not mailing address) F- (— Fire F Liq F_ Landslide F_N/A Floor Suite No
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cription of Work Use s Const Type s
=P l.kC-E +4 c.S
# Storiess #Units (if Res)s
7(j 7C
New/Add SF N/A Remodel SF N/A
Valuation $
Garage/New/Add N/A Material/La
OWNER'S NAME Last Ilrvine Company First I
Owner's Address Owner's E-mail Address
550 Newport Center Drive
City Newport Beach State CA Zip 2660 Telephone 14-646-3462
APPLICANTS NAME Last IKinq Pecan
Applicants Address
34401 Via San Juan #B
City Capistrano Beach
ARCHITECT/DESIGNER'S NAME Last
First
Applicant's E-mail Address
'ason@kingrecon.com
State CA Zip 2624 Telephone 949-370-0303
First
_7t C./0CJ,%%
Lic. No. r—
Architect/Designer's Address Architect/Designer's E-mail Address
City State � ZipF Telephones —
ENGINEER'S NAME Last Bettancourt First colt Lic. No.-004296
Engineer's Address Engineer's E-mail Address
26170 Enterprise Way Suite 400
City Lake Forest State CA Zip 2630 Telephone 949-215-3339
CONTRACTOR'S NAME/COMPANY King Pecan (Jason King) Lic. No. 984042 Class
Contractor's Address Contractor's E-mail Address
4401 Via San Juan #B 'ason@kingrecon.com
C city A Zip Capistrano Beach StateA Zip Telephone 49-370-0303
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ �� wt