HomeMy WebLinkAboutX2017-1143 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'[ F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL .•'
[XBuilding F_Grading rDrainage rElec I-Mech
F-Plum Cu vd Cut Cu Yd Fill
Project Address (Not mailing (- Flood
address)
r Fire r Liq j- Landslide FN/A Floor Suite No
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3 Discovery Dr., Newport Beach
Use —ConstType
# Stories #Units (if Res)
Valuation $
Material/Labor
Description of Work
Reptatmg
I Errr6vmg 4"Y uud stdn on as[eetsnaaestrurt
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New/Add SF Remodel SF 04 0 Garage/New/Add
OWNER'S NAME Last
ewportTerrace FICA
First
Owners Address
Owner's E-mail Address
603 Main St., Ste. 500
City
State
Zip F Telephoned
APPLICANT'S NAME Last
Bostrom
First Chris
Applicant's Address
Applicant's E-mail Address
1721 Commerce St.
CBostrom@lstoppoolpros.com
City Corona
State Ca
Zip 92880 Telephonel949-584-0277
ARCHITECT/DESIGNER'S NAME
Last Sheehan First Larry Lic. No. 3810
Architect/Designers Address
Architect/Designers E-mail Address
5855 Avenida Encinitas #121
Larry@integration-design.com
City Carlsbad
State Ca
Zip 92008 Telephonel760-602-0144
ENGINEER'S NAME Last Savoie
First Fett Lic. No. C-046423
Engineer's Address
Engineer's E-mail Address
908 S. Cleveland St.
City Oceanside
State Ca
Zip 92054 Telephone 60-966-6355
CONTRACTOR'S NAME/COMPANY
1 Stop Pool Pros
Lic. No. 972225 Class Bl
Contractors Address
Contractors E-mail Address
1721 Commerce St.
ostrom@lstoppoolpros.com
City Corona
State Ca
Zip Telephonel949-584-0277
r92880
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. >C WA?
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. D-76
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $