HomeMy WebLinkAboutX2021-0691 - Permit ApplicationD�I® d(o
Worksheet for Combo Building & Solar Permit App ication
e
I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
;Building rGrading
Drainage jX;Elec rX rPlgro CuvdCutr CuYdFill
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Project Address (Not mailing address �6O I re j`, Liq j—, Landslide rN/A Floor Suite No
229 Agate Ave, Newport Beach CA a 62 ®� r
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Description of Work
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Use Re Const Type Remodel
Address Code Violations. Replace
damaged '
sec
o to I Fire Wall. Repair/Replace
# StoriesF'__ # Units (if Res)(?
/
1 e0
t' E
-
T � .a �Z7
New/Add SF_'�,
Remodel SF Garage/New/
1
OS�..
,
-- -- -..
OWNER'S NAME
Last Lasher'st
PL .
VM
.-.-.. -Owner's
Owner's Address
`�t�'���,�/^�� ^%�1
B
E-mail Afltlt C , AN
321 N Las Cases Ave
[lmasher.wyo@gmail.coN
City Pacific Palasade11 s
_
State ca Zip P12,72 Telephone 307-272-1340
APPLICANT'S NAME
Bro
Lastwn First Matthew
-
Applicant's Address
— -- -
Applicant's E-mail Address
6895 Aliso Creek Rd
mbrown@avatargr.aenbuilders.com
Crry ]ISO Viejo
_. State CA _ Zip 92656 ,., Telephone 19-933 2409
ARCHITECT/DESIGNER'S NAME
First [_Lic. No.
Architect/Designers Address
_ Architect/Designees E-mail Address
City
State Zip F Telephoned
ENGINEER'S NAME
Last Endrawes First George Lic. No. 91685 _
Engineer's Address
Engineer's E-mail Address
17621 Irvine Blvd, Suite 210
ngineeringsolutions.info@gmail.com
City ustin
State ca Zip 2780 Telephone 909-560-7385
CONTRACTOR'S NAME/COMPANY vatar Green Builders Inc.. 9 Class —
Contractor's Address
Contractor's E-mail Addressj�
26895 Aliso Creek Road, #B447 mbrown@avatargreenbuilders.com
7�ity liso Viejo State CA Zip F2656 Telephone 19-933-24019
BACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NOr.�==��lj'��
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $