HomeMy WebLinkAboutX2022-1270 - Permit Applicationt Worksheet for Combo Building
I I— Residential City of Newport Beach- Building Division
olar si�lt Application
gilding j- Grad' NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
ng F Drainage jX Elec
Address
,50 San Clemente Dr
Of Work
F Mech )( Plum Cu
r Flood {_-_ Fie F Liq r Landslide
(Vivante - Senior Assisted Living
New/Add SF f — Remodel SFF-----
OWNER'S NAME
Owner's Address
1 Macarthur Place #300
City Santa Ana
Last +Nexus Companies
APPLICANT-5 NAME
Last
Applicants Address
24642 Via Raza
City Lake Fores4
ARCHITECT/DESIGNER'S NAM
Last
Architect/Designer's Address
Garage/New/Add F-
First
Owner's E-mail Address
Cu Yd Fill I
I —N/A Floor Suite No
IUse r— ConstType �-
# StoriesF # Units (if Res)F
Valuation $
Material/Labor 2500
State ca
Zlp 92707 Telephone,
---------
First
—�_ Applicants E-mail Address
Paul@dpspermits.com
State Ca Zip 92630
Telephone 949 68
3.9861
FirstLic.No.
Architect/Designer's E-mail Address
City i 1
State r_—_ Zip
Telephoner ---
ENGINEER'S NAME
Last
EngineerFirst F —
's Address Lic. No.F�
Engineer's E-mail Address
city -- —
State F� Zip r� Telephoner---
CONTRACTOR'S NAME/COMPANY
Mission Pools
F
Contractor's Address Lic. No. 326760 Class B-C/53
22600 Lambert E-1104 Contractor's E-mail Address
City Lake Forest
State Ca Zip[92630
Telephone 949.588.0110
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT PERMIT NO. PZOZ2_,jN, /�Zpu.OZZ6
SETBACKS RIGHT a
USE ZONE —�_ PLAN CHECK NO. L i7 S ZGZ Z_
DEVELOPMENT NO L27,0 t �i _&Qu7i —��
PLAN CHECK FEES $