HomeMy WebLinkAboutX2021-1093 - Permit Application,,Print Form I Worksheet for Combo Building & Solar Permit Application
Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
IX—Building FGrading
I—Drainage I—Elec FMech j—Plum Cu yd Cutl Cu Yd Fill
Project Address (Not mailing address) F Flood j— Fire r Liq I` Landslide rN/A Floor Suite No
127 39TH ST
F
Description of Work
JA 3ral �l i`0 *D,, kb op bt,.
se R3 Const Type VB
FIRE DAMAGE REPAIR TO EXISTING S.F.R. REPAIR IN-KIND,
REPLACE DRYWALL, ELECTRICAL,
8M15-ORtT
# Siories� #Units (if Res)
90R
Valuation $
100000
Material/Labor
New/Add SF F—
Remodel SF � V Garage/New/Add r '
OWNER'S NAME
Last SANDOVAL First ROBERT
Owner's Address
Owner's E-mail Address
127 39TH ST
City NEWPORT BEACH
State PCA— Zip F2663 Telephone 949-610-9581
APPLICANT'S NAME
Last HURLEY First JON
Applicant's Address
14583 CHERRY ST
Applicant's E-mail Address
ONHURLEY55@GMAIL.COM
City BRIGHTON
State Zip 80602 Telephone 19-248-2673
ARCHITECT/DESIGNER'S NAME Last HURLEY First PON i Lic. No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
14583 CHERRY ST
ONHURLEY55@GMAIL.COM
City BRIGHTON
State FO Zip 80602 Telephone619-248-2673
ENGINEER'S NAME
Last First F_ Lic No.F--
__
Engineer's Address
- Engineer's E-mail Address
City ..
State J i _ ; _ ' Telephone ,,,.,4,,SG/
(/1
CONTRACTOR'S NAME/COMPANY �—
EMPI ONSTRRUC Lic. No. 1002801 Class B
Contractor's Address
Contractor's E-mail Address
1585 CREEK ST
COLLIN.NYENHUIS@RESPONSETEAM1.COM
City SAN MARCOS
State CA Zip 92078 Telephone 49-233-3853
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE fJ► DEVELOPMENT NO PLAN CHECK FEES $