HomeMy WebLinkAboutE2021-0050 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application (nog
(X Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �.,.oa�"
rBuilding FGrading
j-Drainage rElec rMech
F-Plum Cu vd Cut Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire F Liq f- Landslide F_N/A Floor Suite No
1000 Bison Avenue
Church
Description of Work
Use ConstType
# Stories # Units (if Res)[ —
LLIJ Lighting e
Valuation $
New/Add SFw
Remodel SF� Garage/New/Add �
Material/Labor F$163,882.00
OWNER'S NAME
Last Thompson
First Ryan
Owner's Address
Owner's E-mail Address
1000 Bison Avenue
ryanthompsonlbc@gmail.com
City Newport Beach
State CA
Zip 92660 Telephone 949-760-5444
APPLICANT'S NAME
Last Barden
First Lee
Applicant's Address
Applicant's E-mail Address
22825 Lockness Avenue
leeb@bardenelectric.com
City Torrance
State CA
Zip 90501-5103 Telephone 310-325-1155
ARCHITECT/DESIGNER'S NAME Last
First Lic. No.
ArchitectlDesigner's Address
ArchitectlDesigner's E-mail Address
City
State �—
Zip Telephone
ENGINEER'S NAME
Last Swenson
First Shane Lic No. 16849
Engineer's Address
Engineer's E-mail Address
545 West 465 North
shanes@sinesource.net
City Providence
State Utah
Zip 84332 Telephone 435-787-1445
CONTRACTOR'S NAME/COMPANY Barden Electric, Inc.
Lic No. 767487 Class C-10
Contractor's Address
Contractor's E-mail Address
22825 Lockness Avenue
leeb@bardenelectric.com
City Torrance
State CA
Zip 90501 Telephone 310-940-820-0 f I
-Obs`
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. EZc� (
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK N0. b kq �j - 7,c-5-U l
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $