HomeMy WebLinkAboutX2021-0108 - Permit ApplicationX1,011- 0 l u T
Print Form Worksheet for Combo Building $ Solar Permit Application new
Ci of N ort Beach - Buildin Divisionr Comm'I r Residential tv � 9
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading
rDrainage r Elec (–Meth Plum Cu Yd cutl Cu Yd Fill F
Project Address (Not mailing address) r Flood r Fire Liq r Landslide rN/A Floor Suite No
1Z17 Jade Ave
[—
Description of Work
Use r'— Const Type
5'-9" Block wall 70 linear feet
(city standard 30?)
# Stories # Units (if Res)F_
54 MOCK wall I 10 linearc
ar
Gas to future bbq and fire pit
locations
OR 5 s,000
Labor
New/Add SFs-
Wf,��ag!hd
Remodel SF Garage e /
OWNER'S NAME
Last Bakshi First
Owners Address
�� SA - Y� ��p�a
S
Owner's E-mail es9A
127 Jade Ave
City Newport Beach
State Ca Zip 92660 Telephone 714.961.8575
APPLICANTS NAME
Last Ellison First Paul
Applicant's Address
Applicant's E-mail Address
24642 Via Raza
Pawl&�,rr .�e f✓MI-FS-Cu.4
City Lake Forest
State Ca Zip 92630 Telephone949.683.9861
ARCHITECT/DESIGNER'S NAME Last �- First F_ Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
City I
State I Zip r Telephoner
ENGINEER'S NAME
Last First r-- Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City
State F- Zip I Telephoner-
ki6.VTRACTOR'SNAME/COMPANYgayrich Construction Lic. No. 430347 ClasslB
Contractor's Address
Contractors E-mail Address
1230 N Grove St #D
City Anaheim
i State CaZip 92806 Telephone 714.578.5760
SETBACKS REAR
SETBACKS FRONT PERMIT NO'1.4
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECKYYYYNO. t -i I ' Lo 010
USE ZONE
DEVELOPMENT N���`�� PLAN CHECK FEES $