HomeMy WebLinkAboutX2019-1593 - Permit Application4W11-ocl3
Worksheet for Combo Building & Solar Permit Application
Arn'I �• Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
fXjBuilding F7, Grading rDrainage f—, Elec Fr Mech Fl; Plum Cu Yd Cutjf �
L Cu Yd Fill
Project Address (Not mailing address) r—, Flood F_r Fire FI Liq F.. Landslide FN/A Floor Suite No
t Milano Or, Newport Beach, CA 92660 (c .«ock Zji5- l82
L
Description of Work S5
Use
'TEAR OFF EXISTING B.U.R DOWN TO THE SHEETING/REPLACE ANY DAMAGED PLYWOOD OR ConstType
IAFTEec nnn v ec nlEEnl=n nl IE rn tni T€R-ANA-T€RMIT€ St
�,`..,
# Units (if Resf
#
INSTALL ONE LAYER ROSIN PAPFR oriesl'
New/Add SF Valuation S
_ ., Remodel SF ilw� _ A Garage/New/Add _ Material/Labor I Blom
OWNER'S NAME Last
Owner's Address
550 NEWPORT CENTER DR
City NEWPORT State CA j
First (JENNIFER
Owner's E-mail Address
liabtooks@irvinecompany.com
Zip
APPLICANT'S NAME Last IMENDEZ First RENE
Applicant's Address
160 SOUTH LINDEN
City TO _ _. �) State CA
Ut RIALTO .......
Applicant's E-mail Address
RMENDEZ@SUPERIORRW.COM
Zip 92376 Telephone 714-944-6395
---- -
ARCHITECT/DESIGNER'S NAME Last r- — —
.,,.,,.,, 'First
Architect/Designer's Address
city F... State
ENGINEER'S NAME Last I I �I . -�; 1
Engineer's Address
City — -- � State
Lic. No.
Architect/Designer's E-mail Address
......... - --.
Zip Telephonel-11
First_,,,,.. k rr Lic. No. 27U
Engineer's E-mail Address
- --- .. _.------ --------------...... _----------'
Zip r_ Telephone
r ----I
CONTRACTOR'S NAME/COMPANY SUPERIOR ROOFING CO. Lic. No. 284880 Class C39
Contractor's Address
160 SOUTH LINDEN
" ity RIALTO State CA ..
REAR SETBACKS FRONT
T SETBACKS RIGHT
Contractor's E-mail Address
RMENDEZ@SUPERIORRW.COM
Zip 92376 Telephone1800 761-6272
PERMIT NO. I) CZoi`� �—�(
PLAN CHECK NO. \ 1�0 . 7,jo tt
DEVELOPMENT NO PLAN CHECK FEES $