HomeMy WebLinkAboutX2018-3405 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
',01'V- ? 5 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
ding Drainage (-Flet [-Mech r,plum CuvdCut — cuvdFill
ass (Not mailing address) r' Flood r Fire (- Liq r-, Landslide (-N/A Floor Suite No
on Ave. F
h of Work natio and its Use SFD ConstType VB
,Latid.small addition to an existing tory sinigl' f roily rp idp p N
,s in the front yard. _ # Stories Uhits (if Res) 1
�M/Add SF 23 Remodel SF 650 Garage/New/Add Valuation 5 75 000
i
�- Material/Labor
OWNER'S NAME Last Myers
First Jay & Joni Segal
Owner's Address - -
Owner's E-mail Address
51 2 Carnation Ave.
City Newport Beach -- State CA p
mfo@bja-in
Zi 92663 Telephone 949-645-5854
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
470 Old Newport Blvd.
-__ -- kellyf@bja-inc.com
City lNewport Beach — State CA Zip 92663 Telephone 949-645-5854
ARCHITECT/DESIGNER'S NAME Last Jeannette
�— First on Lic. No. C8612
Architect/Designer's Address Architect/Designer's E-mail Address
470 Old Newport Blvd.
brionj@bja-int com
City INewport Beach StateCA Zip 92663 Telephone 949-645-5854
ENGINEER'S NAME Last Volpe First FRobert
Lic. No. CE25116
Engineer's Address --
20321 Lake Forest Drive, Suite D-6
City Lake `Forest State CA
CONTRACTOR'S NAME/COMPANY
Contractor's Address
Engineer's E-mail Address
bob@rmvolpe.com
Zip 92630 Telephone949-305-4700
TBDCeuSG�S COaS'I•__.�n)C Lic No. i 3S6S3Class,
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City State Zip
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
CcuCe01 1"01 Y4L)on. Ce,
X12.0 ... Telephone d°7'$-�Z�- S�gJ . _
PERMIT x�-
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