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Print form Worksheet for Combo Building & Solar Permit Application
rl Comm'] r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rlBuilding r_1 Grading rDrainage rElec r!Mech F_ Plum cuvdCut l i Cu Yd Fill
!ct Address (Not mailing address) r1 Flood r Fire r Liq rl Landslide rN/A Floor Suite No
Irvine Avenue, Newport Beach, 92660 �II
Description of Work Use F Const Type I I
1b # Stories, #Units (if Res)'
Demolition of an existing apandnent c mplex
Valuation $
New/Add SF F_
Remodel SF F_ Garage/New/Add r 'I Material/Labor
OWNER'S NAME Last (Current owner is Melia Homes. Shea Homes, LP to close escrow on
pulled as Shea Homes, LP as owner
Owner's Address Owner's E-mail Address
City — State F Zip Telephone
APPLICANT'S NAME Last First '.
Applicant's Address
2 Ada, Suite 200
City Irvine State CA
Applicant's E-mail Address
ijohn.thomas@sheahomes.com
Zip 92618 Telephone 949-526-8800
ARCHITECT/DESIGNER'S NAME Last First Lic. No. F_
Architect/Designer's Address
City _ State
Architect/Designer's E-mail Address
Zip F TelephoneF
ENGINEER'S NAME Last C&V Consulting, Inc. First F_ Lic. No.
Engineer's Address Engineer's E-mail Address
6 Orchard Rd #200 jhendricks@cvc-inc.net
City Lake Forest _ _ State CA Zip 92630 - Telephone (949) 916-3800 --
CONTRACTOR'S NAME/COMPANY SHSC GC Inc Lic No. 1012096. _ Class FB,A
Contractor's Address
2 Ada, Suite 200
City Irvine State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
Contractor's E-mail Address
ijohn.thomas@sheahomes.com
Zip 92618 Telephone 949 526-8800
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $