HomeMy WebLinkAboutX2022-0212 - Permit ApplicationPrint Form Worksheet for Combo Building
COmm'I (X Residential City of Newport Beac- BuilSolar
ing p vissiioon Permit AppiiCation
NOTE- PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
fX`'Building r' Grading
rDrainage (—Flee (--'Mech
Project Address 9 I Plum cu Yd cutl
(Not mailing address) (` Flood 1 N Yd Fill
430 EL MODENA AVE Fire j' Liq j LandslideN/A Floor
Suite No
Description of Work �Y
Use 1� Const Type F—
New/Add SF
# Stories[# Units (if Res)s
F�—
Remodel SF��`—I Garage/New/Add �—
Valuation $
OWNER'S NAME Material/Labor 1�960
Last TJC HOME BUILDER LLC
Firs
Owners Address _ t
26.940 ALISO VIEJO PARKWAY SUITE 100 Owner's E-mail Address
City ALISO VIEJO _ MROSNE@TJHUSA.COM
State 1CA
Zip f92656 AME Telephone 949-481-7026
APPLICANT'S N
Last ROSENE
Applicant's Address --- _ _. FirstIMARK
26940 ALISO VIEJO PARKWAY, SUITE 100 Applicant's E-mail Address
City IgLISO VIEJO MROSENE@TJHUSA.COM
State CA _ Zip 92656
ARCHITECT/DESIGNER'S NAME - Telephone 949-894-8034
Last NIEMERSKI
Architect/Designer'sAddress -- _ First KENNETH
2031 ORCHARD DRIVE, SUITE 100 Lie No. C23971
ArchitecVDesigner8 E-mail Address
City NEWPORT BEACIi -- -- JGANYO@BASSENIANLAGONLCOM
State CA Zip 92660
Telephone 949-553-9100
ENGINEER'S NAME � _
Last NGUYEN
Engineer's Address - - _. _ _ First H UAN
Lie No. C64238
15 STUDEBAKER Engineer's E-mail Address
City IRVINE ----`— HNGUYEN@GOUVISGROUP.COM
---
State CA Zip 192660 -
Telephone 949-590-9009
CONTRACTOR'S NAME/COMPANY
TJC HOME BUILDERS LLC — —
Contractor's Address Lic. No. 17 025507 Class
26940 ALISO VIEJO PARKWAY SUITE 100 Contractors E-mail Address
City [ALISO VIEJO
_ State ICA _ Zip 192656
Telephone 949-481-7026
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. x�U Ci(1i�
PLAN CHECK N0. 04��1
PLAN CHECK FEES $