HomeMy WebLinkAboutX2019-1595 - Permit ApplicationK,2o l�1- 1615
Worksheet for Combo Building & Solar Permit Application
r' Comm'I 7 Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building nGrading 1 Drainage rElecr,Mech Plum CU Yd Cut1_77 cuvdFiil
Project Address (Not mailing address) � Flood r—,. Fire r. Liq F7 Landslide rN/A Floor Suite No
I Milano Dr, Newport Beach, CA 92660 (Cc, C,
Description of Work U Use Const Type
TEAR OFF EXISTING B.U.R DOWN TO THE SHEETING/REPLACE ANY DAMAGED PLYWOOD OR
ONE LAYER
New/Add SF _ Remodel SF _Cool Garage/New/Add
# Stories; # Units (if Res)
Valuation $
Material/Labor�'�}�"`�
OWNER'S NAME Last BROOKS First JENNIFER
Owner's Address Owner's E-mail Address
550 NEWPORT CENTER DR jabrooks@irvinecompany.com
City NEWPORT State CA
__ Zip 926607 Telephone 9497205697
APPLICANT'S NAME Last
Applicant's Address
160 SOUTH LINDEN
City RIALTO State CA
First RENE
Applicant's E-mail Address
RMENDEZ@SUPERIORRW.COM
Zip 92376 Telephone 714-944-6395
ARCHITECT/DESIGNER'S NAME Lic. No.
Last -...-. ........ __. First -...',.
Architect/Designer's Address
City ........ ' State F.
ArchitecVDesigner's E-mail Address
Zip Telephoned—�
ENGINEER'S NAME Last First Lic. No.
F
Engineer's Address Engineer's E-mail Address
City �— State F 1 Zip 1- Telephone
CONTRACTOR'S NAME/COMPANY SUPERIOR ROOFING CO. Lic. No. 284880 ClassC39
�,
Contractor's Address
160 SOUTH LINDEN
City RIALTO State CA I
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
Contractor's E-mail Address
RMENDEZ@SUPERIORRW.COM
...............
Zip 92376 Telephone 1800-761-6272
I
PERMIT NO. jl�/,( 91 L —
PLAN CHECK NO.
PLAN CHECK FEES $