HomeMy WebLinkAbout1342-2017Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
i Comm'[ r Residential vvcc n"c nr ihnc nG si iRRAITTAi
Building i— Grading r-Drainage �r Elec _r Mech 17 Plum ESO �, DIVISION
Project Address (Not mailing address) F7 Flood F Fire F.- Liq n s id NEW�/QR�IB�ACH Sui a No
Description of Work
Use Const Type F
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# Stories # Units Of Res)
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Valuation $ TT
Material/Lab 5/ �V
New/Add SF[ ,RemodelSF�� Garage/New/Add
OWNER'S NAME Last First W,&,_ :f�0
Owner's Address Owner's E-mail Address
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Cny -� I�%� �-� . '� T� State �I ZiP gzz6o Telephone_
APPLICANT'S NAME Last ALE 7 First A,:�14f:_
Applicant's Address Applicant's E-mail Address
33o E. lAlS LSLIT 19�L- Gotfl
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city �, j State ; Zip qo %5 Telephoneg49-gZZ^+L3
ARCHITEC rIDESIGNER'S NAME Last I �pc( f-�� I First td Lic No.
Architect/Designers Address Architect/Designers E-mail Address
_W,30 �. HciLLG1T. �T• t�U(�LLc-�Tl�pt�ot.cor�
City f=/Q,(i.�{ State zip ��j�Qs Telephone \� L4g3�
ENGINEER'S NAME Last �Q �� �S First 1 t%1 (� � Lic No. C 30+07
Engineer's Address Engineers E-mail Address
L$oo Er.p�-tE @ ecot
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city �j�11 l,¢`- � State , �r�. Zip j� �i ! (�� TelephoneF ( S5'�oQ0
CONTRACTOR'S NAMEICOMPANY �) S�C �{ i�� l LLQ Lic. No. I Class
Contractors Address Contractor's E-mail Address
34-121 0,5-_ L1 po c(6
1 p _
city1 W p �� . �?� � State � zip 1-1 Zb60 Telephonei 5t
SETBACKS REAR
SETBACKS LEFT
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SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO. Mto1 ]- Da� �
PLAN CHECK NO. 1 2 ' w t7
PLAN CHECK FEES S -
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BRANSF(LLRD RESIDENCE
524 HARBOR ISLAND DRIVE
NEWPORT BEACH, CA
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JIAMESL-SE1 NT_6LUELL1
GENERAL CONTRACTOR
NEWPORT BEACH, CA
741- 815- 5097
EYIVA L E N T I
0 DEESIGNS
330 E. HNLLETT ST. LONG BEACH, CA 90805
949-912-9931 EMAIL: AVALENTIOAOL.COM