HomeMy WebLinkAboutXR2022-2215 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit Application A��""°am
'_ Comm'I jX Residential City of Newport Beach - Building Division 0001-1-1AS 0 "r
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL .r1.
XBuilding i Grading
r—Drainage 7 Elec (— Mech
I ` Plum Cu YdCut r CuYd Fill l
Project Address (Not mailing address) (— Flood
f - Fire F- Liq F_ Landslide rN/A Floor Suite No
0141 E Ocean Blvd
I
F F .
Description of Work
Use F—Const Type
ew front yard concrete pad and cmu retaining wall/wood fence.
# Stories[— # Units (if Res)F-
3
New/Add SFF—
Remodel SFF Garage/New/Add F—
Valuation $
Material/Labor
OWNER'S NAME
Last Ponnicatto
First parianne
Owner's Address
Owner's E-mail Address
141 E Ocean Blvd
arianne@specialtyfoodsales.net
City ewport Beach
State A
Zip I Telephone 14-906-3585
APPLICANT'S NAME
Last partinez
First steban
Applicant's Address
Applicant's E-mail Address
60 E 1st St. #776
teve@tivis.me
City rustin
State F
Zip 2780 Telephone 14-290-0490
ARCHITECT/DESIGNER'S NAME Last
First F Lic No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State ��
Zip �— Telephone
ENGINEER'S NAME
Last y
First han Lic. No. 63881
Engineer's Address
Engineer's E-mail Address
dt.civil@yahoo.com
City
State
Zip r_® Telephone 09-647-6208
I
CONTRACTOR'S NAME/COMPANY ndrade Landscape
Lic. No. F648945 Class -27
Contractor's Address
Contractor's E-mail Address
972 Anaheim Ave #B
City osta Mesa
State r
Zip F627 Telephone 49-274-6505
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $