HomeMy WebLinkAboutXR2023-0409 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
Romm'I r Residential City of Newport Beach - Building Division
NOTE, PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(-(Building r Grading F-Drainage r" Elec (— Mech
jXPlum cuvdCut s— a,vdFill
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Address (Not mailing address) F Flood r Fire r Liq r Landslide
Tustin Ave
of Work
rN/A Floor
Suite No
Use R3/U ConstType VB
# Storiess # Units (if Res)s
New/Ad F )RemodelSFF — Garage/New/Addl l��\ IValuationa z5,000
�l Material/Labor
OWNER' ME Last LA2IG,LLC
First
Owner's Address
Owner's E-mail Address
28880 Aliso Viejo Parkway, Suite 100
mrosene@tjhusa.comm
City IAliso Viejo State CA
Zip 92656 TelephoneF'
APPLICANT'S NAME
Last Montejano
First
Applicant's Address Applicant's E-mail Address
26880 Also Viejo Parkway, Suite 100
nmontejano@tjhusa.com
City Aliso Viejo State CA Zip 92656 Telephone 949-669-5118
ARCHITECT/DESIGNER'S NAME
Last
Architect/Designer's Address
city
First
Lic. No. F—
Architect/Designer's E-mail Address
State I Zip F— TelephoneF�
ENGINEER'S NAME Last Forkert
First Michael Lic. No. 5662
Engineer's Address Engineer's E-mail Address
22311 Brookhurst Street, Suite 203
City Huntington Beach State CA Zip 92646 Telephone 714-963-6793
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 100
City Aliso Viejo State CA Zip 92656 Telephone 949-481-7026
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO. �=
PLAN CHECK FEES $