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HomeMy WebLinkAboutXR2022-2409 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r- Comm'I jx Residential City of Newport Beach - Building Division d NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL RBuilding r Grading r-Drainage rElec rMech jX Plum CuvdcutF CuYdFills Project Address (Not mailing address) r Flood r- Fire (— Liq r Landslide rN/A Floor Suite No 310 Narcissus Description of Work Use RM ConstType VB # Storie 1s _ # Units (if Resu— emo 51-m 1,289 Sv & Detached (jar 4 1 t, Sv Valuation $ New/Add SFF Remodel SF�— Garage/New/Add F 25,000 Material/Labor OWNER'S NAME Last Thomas James Homes First Owner's Address Owner's E-mail Address 26880 Aliso Viejo Parkway, Suite 100 mrosene@tjhusa.com City Aliso Viejo State CA Zip 92656 Telephone APPLICANT'S NAME Last Montejano First Nellie Applicant's Address Applicant's E-mail Address 26880 Aliso Viejo Parkway, Suite 100 nmontejano@tjhusa.com City Aliso Viejo State CA Zip 92656 Telephone 949-669-5118 ARCHITECT/DESIGNER'S NAME Last �® First F _®m...® Lic. No. �— Architect/Designers Address Architect/Designer's E-mail Address City State F_ Zip F_ Telephoned ENGINEER'S NAME Last Forkert First Michael Lic. No. LS5662 Engineer's Address Engineer's E-mail Address 22311 Brookhurst Street, Ste. 203 City (Huntington Beach State CA Zip 92646 Telephone 714-963-6793 CONTRACTOR'S NAME/COMPANY T J C Home Builders Lic. No. 1025507 Class Contractor's Address Contractors E-mail Address 26880 Aliso Viejo Parkway, Suite 100 City Aliso Viejo State CA Zip 92656 Telephone 949-081-7026 SETBACKS REAR SETBACKS FRONT PERMIT NO. XV-2R U' 4DI hpLs'� SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. TOV721.-214*' USE ZONE DEVELOPMENT NO ? RZa ZZ - &0'12 PLAN CHECK FEES $