HomeMy WebLinkAboutX2021-1021 - Permit ApplicationPrmt Form. Worksheet for Combo Building & Solar Permit Application r`h
F Comm'I r Residential City of Newport Beach B '
- unding Division >( z ` ^� d2 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
j`Building I Grading '`Drainage j— Elec
Address
101 Birch Street
I of Work
--
monumentsign non
F Mech r Plum Cu Yd Cut
Cu Yd Fill
F Flood F_ Fire r Liq r Landslide
'D I LA i
New/Add SF 36 Remodel SFF--
Garage/New/Add
OWNER'S NAME
Last Owner's Address Barrett
First grad
26023 Acero Owner's E-mail Address
rN/A Floor
Use Const Type
# Stories # Units (if Res)[ —
'Valuation $
Material/Labor 18000.00
Ichernandez@barrcomm.net �P d navt:
City Mission Viejo State
CA Zip 92691 Telephone 949.305.3493 1
APPLICANT'S NAME
Last Neil
A First Mary
------
Applicant's Address
17981 Sky Park Circle Suite M Applicant's E-mail Address
City mary@calibersi.com
Y Irvine State Cq
Zip 92614 Telephone g4g,748.1070
ARCHITECT/DESIGNER'S NAME
Last First
Architect/Designer's Address Lic. No.
Architect/Designer's E-mail Address
City
_ State �— Zip
Telephones�
ENGINEER'S NAME
Last First r Lic. Nos--
Engineer's Address
Engineer's E-mail Address
City
State �— Zip TelephoneF`
CONTRACTOR'S NAME/COMPANY
Contractor's Address
1117981 Sky Park Circle Suite M
City Irvine
SETBACKS REAR
Caliber Signs & Imaging Inc Lic. No. 972755 Class C45
Contractor's E-mail Address
mary@calibersi.com
State Cq Zip f92614 Tele hone p 949.748.1070
SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE A-6
DEVELOPMENT NO
J S1 PERMIT NO. h Z n Z
PLAN CHECK NO.6 _ �'7 1
PLAN CHECK FEES $ v1