HomeMy WebLinkAboutX2021-1917 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division X 2/0,2,1. Iq I
X Comm'I r Residential
- NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding 17 Grading F -Drainage F'Elec rMech r7PlumcuvdcutF__ Cu Yd RIF
Project Address
Westcliff Dr. Suite 101
of Work
F- Flood r— Fire [- Liq F Landslide
MAOTP, TOW _
New/Add SF Remodel SF Garage/New/Add
Lastn....._......._.— ,.,...._._.-.. .._._,_
OWNER'S NAME .. ', First
Owner's Address Owner's E-mail Address
043 Westcliff Dr. Suite 210
city rewport Beach State Zip 2660 TE
APPLICANT'S NAME Last IIdeker First
Applicant's Address
88 Pantaneiro PI.
City allbrook State CA
[N/A Floor Suite No
Use Const Type F
# StoriesF7# Units (if Res)1_
Applicant's E-mail Address
pacneon@san.rccom
Zip 2028 Telephone 858-735-4080
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
ArchitecUDesigner's Address
City State
ArchitecUDesigner's E-mail Address
Zip �— Telephonel
ENGINEER'S NAME Last First F77777777 Lic. No.F
Engineer's Address
City State F
Engineer's E-mail Address
Zip Telephone
—
CONTRACTOR'S NAME/COMPANY Pacific Neon Lic. No.746088 Class I F645
Contractor's Address
88 Pantaneiro PI.
Cityallbrook State CA -
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE • _5v!!}}DEVELOPMENT NO
Contractor's E-mail Address
pacneon@san.rccom
Zip 2028 Telephone 858-735.4080
PERMIT NO. X 1A t � _
PLAN CHECK NO.
PLAN CHECK FEES $