HomeMy WebLinkAboutX2021-0886 - Permit Applicationpant Form' Worksheet for Combo Building & Solar Permit Application 0117Mr- Comm'I r Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) G Flood _ Fi r Liq ndslide r -.N/A Floor Suite No
12 Tidal Surf
Description of Work
Use Res ,Const Type
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#Stories #Units (if Res)
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Valuations 80000
Material/Labor
New/AddSF�
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OWNER'S NAME
Last Parrella First Leonard
Owner's Address
Owner's E-mail Address
12 Tidal Surf
leo@leoparrella.com
Ciry Newport Coast
State CA Zip 92657 Telephone (949) 813-2863
APPLICANT'S NAME
Last Suer First Steve -
Applicant's Address
Applicant's E-mail i\Ai ress
1186 Glenneyre St
info@lcblaguna.com
City Laguna Beach
A� Zip 651 Telephone 949-497-4575
State (C 92
- I —
ARCHITECT/DESIGNER'S NAME Last FirstF77 7777 Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F—, Zip F7777 TelephoneF
ENGINEER'S NAME
Last First F77777 Lic. No.
Engineer's Address
Engineer's E-mail Address
City �
State F 2ip � Telephone[—
CONTRACTOR'S NAME/COMPANY Laguna Construction and Builder Lic. No. 785473 Class'
Contractor's Address
Contractor's E-mail Address
1186 Glenneyre St
info@lcblaguna.com
City Laguna Beach
State CA Zip 92651 Telephone 949-497-4575
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK N0. o Y l?7 !74
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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