HomeMy WebLinkAboutX2022-1672 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
(_ Comm'I 9, Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
RBuilding F_ Grading rDrainage rElec rMech rPlum CuYdCut F CuvdFill
�
Address (Not mailing address) r Flood r Fire r, Liq r Landslide rN/A Floor
633,220'Bedford Lane
of Work
NDER GARAGES
New/Add SFF___7_i Remodel S jF 9i»I Garage/New/Add F--7
OWNER'S NAME Last )3CH. FRONT WATERFORD
Owner's Address
645 LONG BEACH BLVD.
State
F_
City
ONG BEACH
APPLICANT'S NAME Last
Applicant's Address
4702 Narbonne Ave.
City omita State
First DOVER UV, LLC
round
Suite No
Fa rage
Use FiR2 Const Type _
..--- ---. -
# Stories.., # Units (if Res)
Valuation $
Material/Labor
Owner's E-mail Address
tina@bfpminc.com
Zip F0807 Telephone 62 264 5078
First
Applicant's E-mail Address
elia@ggstructures.com
Zip 0717 Telephone 10-294-8111
ARCHITECT/DESIGNER'S NAME Last - First Lic. No. F_
Architect/Designer's Address Architect/Designer's E-mail Address
City I State E:7 Zip F7777 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 g p. Lic. No. F_ Class 177
Contractor's Address
City State
-
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
Zip Telephone
PERMIT NO. Y M
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES$