HomeMy WebLinkAboutX2021-2589 - Permit ApplicationPrint Form Wor he t for Combo Building & Solar Permit Application
Comm Residential NOTE: PIty of LANCHE CHECKrt Beach - FEES UEATITIIIng Division X�
TIME LI 'ZS�1
Cry)
SBuilding FGrading
iage (-Elec F_Mech FPlum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood F_ Fire. Liq F_ Landslide F_N/A Floor Suite No
203 OPAL AYE, NAEWPoRT
BEACH, CA,`)z.4c z
Description of Work
Use F—Const Type
# Stories # Units (if Res)s
Pr_-MO1 1T10t4 OF (E) SI96LE FAMILY DWELL. NN �8OS0
ANP CxARPCaE (33o SF)
New/Add SFF Remodel SFF --Garage/New/Add �—
Valuation $ o0
Material/Labor 11, S60.
OWNER'S NAME Last
WH ITIF I ELD First I6ARRm
Owner's Address
Owner's E-mail Address
Z79 FLpcwr—_R STREET 6WNITFIF &6MAI1-,C0M
City ao TA MF55A
State CA Zip E2 z Telephone 949.433-Sp7v
APPLICANT'S NAME Last
wNSTFIE-LD First (agRRgTv
Applicant's Address
Applicant's E-mail Address
SAME As A'Wov�
"
City " r(
State Zip7� Telephone
ARCHITECT/DESIGNER'S NAME
Last A1�NoLp First SNEIZR►L�' Lic. No. I C• 32055
Architect/Designer's Address
Architect/Designer's E-mail Address
gig E. UVIC GENTEI2 G.R.
SARKoLD°J @ ROAPRuNNER . Com
City I 5MT-A MA
State FCA zip 9Zibi Telephone3lb.io{."Sic
ENGINEER'S NAME Last
5UZWC1First I RICYJk1Z Lic. No. ¢971
Engineer's Address
Engineer's E-mail Address
174-4 wil KAiEUA
AYE, swm 157 RS11ZdK1@1)ALECN919rIAN.e-OM
City ORA>!UE
`S
State I CA Zip 916(p-7 Telephone 7/4.,;'j. 1145-
NTR CTOR'SNAME/COMPANY
641,W gEVELOPMENT 11JC Lic. No. 95¢5(o5 Class
Con ctor's Address
Contractor's E-mail Address
279 FLBWER SfREEf
6WI4vrpfE ED6MAIL.C.aM
City I CpSTA MESA
StateF�i Zip 92(027 Telephone 9g9433.BD7o
SETBACKS REAR 5-6
SETBACKS FRONT to PERMIT p " PERMIT NO. -X_ti'..^..
SETBACKS LEFT 3 : p't
SETBACKS RIGHT 3�. 0" PLAN CHECK NO. cTTf17
USE ZONE R- 81
DEVELOPMENT NO 2&21 ^ C✓ ,I ECK FEES $