HomeMy WebLinkAboutX2021-0562 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm I ' r Residential City of Newport Beach
(X Building
NOTE: PLAN- Building DiVision X CHECK FEES DUE AT TIME OF SUBM T AI r 5�L
Ij Grading F—Drainage [_ Elec
iiroject Address (A
39 Chandon
Description of Work
FNew:,ron
New/Add SF 119
OWNER'S NAME
mailing
F Mech
F Flood
Plum Cu Yd Cutf Cu Yd Fill F
[—Fire [_ Liq F Landslide F_N/A Floor
�(1vytk,0IG(GC -1 CO t�C� t lOccl F i'. 1
�r� t
Remodel SFF� Garage/New/Add
Last
Suite No I
IUse Const Type F_
#Stories # Units (if Res)[
Valuation $
Material/Labor$5,000.00
r - " First Uohn/Vanina
LF39
ner's Address
Chandon Owner's E-mail Address
Jenkins@mac com
Newport Beach — —�— State CA
Zip 92657 Telephones_�-��—
APPLICANT'S NAME
Last oscak
First Lisa
Applicant's Address _.
32232 Paseo Adelatno, Ste A Applicant's E-mail Address
lisa @a quatictech nolog ies. com
City San Juan Ca istrano
r----------"'--------- State CA _ Zip 92675...
p Telephone 949-338-4189
ARCHITECT/DESIGNER'S NAME -
Last
First ��'
ArchitecUDesigner's Address _ Lic. No.
Architect/Designer's E-mail Address
City r
State F-- Zip Telephoner������
ENGINEER'S NAME
Last Canfield
---_�_._ First Peffrey
Engineer's Address -- Lic. No. C63595
1050 Campanile Engineer's E-mail Address
eff@jeffcanfield.com
F
City Newport Beach
State CAZip 192660 Telephone 949-383-8275
CONTRACTOR'S NAME/COMPANY
quatic Technologies Lic. No. F7�44'1'77�----
Contractor's Address I Class A/B/C53'
32232 Paseo Adelanto, Ste A Contractor's E-mail Address
��- lisa@aquatictechnologies.com
City San Juan Capistrano
State CA Zip 192675 Telephone 949-493-9548
SETBACKS REAR
SETBACKS LEFT
iUSEZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. _X
PLAN CHECK NO.
i
PLAN CHECK FEES $
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