HomeMy WebLinkAboutX2022-1671 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I
2"
(, Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F—Grading rDrainage r—Elec r,Mech [—Plum CuYdCutl CuYdFill F
Project Address (Not
address) n Flood r Fire (— Liq FI Landslide F_N/A
1630,14k1a0WRQft;1X2&Bedford Lane
of Work
TUCK -UNDER GARAGES
New/Add SF Remodel SF 1t05_� , Garage/New/Add
OWNER'S NAME Last CH. FRONT WATERFORD DOVI First FOVER JV, LLC
Owner's Address Owner's E-mail Address
Floor Suite No
round arage
Use F&R2 ConstType�
# StoriesF # Units (if Res)7 a
Valuation $
Material/Labor
645 LONG BEACH BLVD. tma@bfpminc com
City [ON G BEACH State Zip 0807 Telephone 62-264-5078
APPLICANT'S NAME Last
Applicant's Address
4702 Narbonne Ave.
city �ornita State r"
First
Applicant's E-mail Address
elia@ggstructures.com
Zip 0717 Telephone 10-294 8111
ARCH ITECT/DESIGNER'S NAME Last - '.. First Lic. No. F
Architect/Designer's Address
City State
Architect/Designees E-mail Address
Zip F__7 Telephone
ENGINEER'S NAME Last arcia First ionel Lic No. 4653
Engineer's Address
4702 Narbonne Ave.
City kmita State �—
Engineer's E-mail Address
�ngineer@ggstructures.com
Zip 0717 Telephone 10-294-8111
CONTRACTOR'S NAME/COMPANY B D. Lic No. F Class f
Contractor's Address
_... .---
City State F_
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
Zip [ Telephone
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $