HomeMy WebLinkAboutX2020-3006 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ��fWP1
r Comm'I R Residential City of Newport Beach - Building Division \,+
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V
[-Building [- Grading [—Drainage [- Elec j— Mech [- Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) (— Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
217 LARKSPUR AVE
�—
Description of Work
Use F—ConstType F
# Storie # Units (if Res)
4yq I
y'S i
Valuation $ Iorlm' D o o
Material/Labor ll//
New/Add SF Remodel SF
Garage/New/Add
OWNER'S NAME Last 217 Larkspur, LLC First
Owner's Address
Owner's E-mail Address
1 Corporate Plaza Dr., Suite 110
City r Newport Beach State CA
zjR Tele hone
APPLICANT'S NAME Last ass
First Nanci
Applicant's Address
Applicant's E-mail Address
1 Corporate Plaza Dr., Suite 110
Nanci@nicholsoncompanies.com
City Newport Beach State CA
Zip 22660 Telephone 714-865-4465
ARCHITECT/DESIGNER'S NAME LastrSUMICH First EOFF G�—
Lic. No.
Architect/Designers Address
Architect/Designers E-mail Address
31511 Camino Capistrano
GEOFF@GEOFFSUMICHDESIGN.COM
City SAN JUAN CAPISTRANO State CA
Zip 92675 Telephone (949) 496-8991
ENGINEER'S NAME Last HAKIM
First FADY Lic. No. C-74736
Engineer's Address
Engineer's E-mail Address
180 S PROSPECT AVE. # 110
FADYHAKIM@fmhengineedng.com
City TUSTIN State CA
Zip 92780 T@lephone 949-245-8000
CONTRACTOR'S NAME/COMPANY Nicholson Construction . Lic. No. 660295 ClassF B —
Contractor's Address
Contractor'sE-mail Address
1 Corporate Plaza, Suite 110
.Nanci@nicholsoncompanies.com
City Newport Beach State FCA
Zip 92660 Telephone 949-756-8393
SETBACKS REAR 5 SETBACKS FRONT 15
PERMIT NO. %i jC( Z — Zp Z-(-)
SETBACKS LEFT 3 SETBACKS RIGHT 3
PLAN CHECK NO. Q%lo_ 0936
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $