HomeMy WebLinkAboutX2020-1681 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
j— Comm'I r, Residential City of Newport Beach Building Division Ito 1,0
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address
Lucerne
of 1 st floor ensuite bathroom
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F', Flood r Fire r': Liq r Landslide f—,N/A Floor ( Suite�No
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Use !R-3 Const Type VB
# Stories 2F' # Units (if Res)[ 1
i---� I Valuation $
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OWNER'S NAME Last
Owner's Address
Lucerne
erne
City Newport Beach State CA.
APPLICANT'S NAME Last
Applicant's Address
1587 Lost River Court
City Lake Forest State CA
First
Owner's E-mail Address
Zip TelephoneF'7_____7__7
First
Applicant's E-mail Address
landytardif@gmaii.com
Zip2630 Telephone 14412-0371
e PCu;tE�/nESIsNER'S n; e p lcl
Last I1 ardit i, First rnora Lic. No. IN/A
Architect/Designer's Address
City State
Architect/Designer's E-mail Address
Zip TelephoneF�
ENGINEER'S NAME Last N/A
FirstF77
Lic. No.�—,
Engineer's Address
i I
City State
Engineer's E-mail Address
Zip TelephoneF_
CONTRACTOR'S NAME/COMPANY HomeKeep Plus Lic. No. 1053406 Class f B
Contractor's Address
2324 SAN JOAQUIN PLAZA
City Newport Beach State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
Zip 92660 Telephone(949) 9454621
PERMIT NO. 9 V
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $