HomeMy WebLinkAboutX2021-3428 - Permit Applicationnt Form Worksheet for Combo Building $ Solar Permit Application
F Comm'I r Residen�rtj City of Newport Beach - Building Division L(,3y
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTALj��
FX -Building r Grading rDrainage F-Elec
F_ Mech r plum curd cut— Cu Yd Fill F—
Address
F- Flood F- Fire r Uq r- Landslide
Via Lido Nord, Newport Beach CA 92663
of Work
oxiauiig c,ai3 ,jq. I -t. - 5 Bedroom 5 Bath
FN/AF�Floorr
_ I
Suite No
Use F_ Const Type
# StoriesF_ # Units (if Res)F_
New/Add SF�—
Remodel SFF — Garage/New/Add �— Valuation $
Material/Lab (7 po�j
OWNER'S NAME
Last
First The Newkirk Family Trust
Owner's Address
503 Redlands Avenue
Owner's E-mail Address
_
fongers23@gmail.com
City Newport Beach
State CA
Zip 92663 Telephone (714) 697-9989
LICANT'S NAME
Last
Ritner
rlfbU3
First
Ron
icant's Address
32nd street
Applicant's E-mail Address
rritner@ritnergroup.com
City Newport Beach
State CA Zip
92663 TelephoneE
ARCHITECT/DESIGNER'S NAME
Last Ritner First Ron
Architect/Designer's Address
503 32nd street
Architect/Designer's E-mail
rritner@ritnergroup.com
City Newport Beach
State CA Zi 2663P Telephone
ENGINEER'S NAME Last Ghouli --
First aid Lic7No.,FC7-0882
Engineer's Address R
26040 Acero, Suite 100 Engineer's E-mail Address
ghouli@rightengineering.net
City Mission Viejo State CA Zi 92691
P Telephone (_949_)8_55-2
300
949)855-2300
CONTRACTOR'S NAME/COMPANY Longman Construction Lic. No. 393881
Class �—
Contractor's Address
2782 Circle Dr.
Contractor's E-mail Address
Heil@longmanconstruction.com
City Newport Beach State CA Zi 92663
P Telephone (949) 722-7711
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 7
USE ZONE DEVELOPMENT NO w �� I
PLAN CHECK FEES $