HomeMy WebLinkAboutPV2023-0369 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o4 `} °R>a
F- Comm'[ FX_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL S.,a„r•'
Fx-Building F_ Grading F-Drainage rX Elec r Mech
F Plum CuYdCuts CuvdFill s
Project Address (Not mailing address) F_ Flood
F_ Fire F_ Liq F_ Landslide F_N/A Floor Suite No
1405 Priscilla
Description of Work
Use R3/U Const Type VB
# Stories # Units (if Res)s
-y'rtem
PG ane s
New/Add SF Remodel SF F Garage/New/Add s—
Valuation $ F16,000
Material/Labor
OWNER'S NAME Last LA21G,LLC
First
Owner's Address
Owner's E-mail Address
26880 Aliso Viejo Parkway, Suite 200
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 200
nmontejano@tjhusa.com
City Aliso Viejo State CA
Zip 92656 Telephone 949-669-5118
ARCHITECT/DESIGNER'S NAME Last Com lete Solar
p
First �— Lic. No. 967988
ArchitecNDesigner's Address
Architect/Designer's E-mail Address
3000 Executive Pkwy., Ste. 504
swalden@completesolar.com
City San Ramon State CA
Zip 94583 Telephone 877-299-4943
ENGINEER'S NAME Last
First F— Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City State F_
Zip Telephoned
CONTRACTOR'S NAME/COMPANY T J C Home Builders
Lic. No. 1025507 Class
Contractor's Address
Contractor's E-mail Address
26880 Aliso Viejo Parkway, Suite 200
City Aliso Viejo State CA
Zip 92656 Telephone 949-4811-'7026
SETBACKS REAR SETBACKS FRONT
PERMIT NO. 00/piq - a36�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. J2Cayp-�
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $