HomeMy WebLinkAboutX2021-3055 - Permit ApplicationPrint Form Worksheet for Combo Building $Solar Permit Application a"`"`°R�
F- Comm'I R Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ° oa"
D?Building r Grading rDrainage r Elec (—Mech r Plum CuvdcuT Cu Yd Fill F
Project Address (Not mailing address) r Flood r Fire r, Liq r e rN/A Floor Suite No
027 Tahuna Terrace p F_ F
Description of Work Use F Const Type F
PIP �✓2I'� 0) L�'
1 r way #Stories #Units (if Res)
�Z Caj(�,&ayiS 7 ticC,��
Valuations
New/Add SFI Zg� Remodel SF Garag a/New/Add Material/Labor
OWNER'S NAME Last CW O �1�Q First G� (� V\ t V-�
Owner's Address Owner's E-mail Address ( S 1 cxx) `^'C'
027 Tahuna Terrace bS, 0C>0
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City Corona Del Mar State CA Zip F2625 Telephone gq,G(-7S0.-G/7,�,f
APPLICANT'S SAME Las ISeFI— 0C'1/Z Firs ,,4(,
Applicant's Address Applicant's E-mail Address
069 Arroyo Lino Ave ladmin@gsenviroscapes
City San Diego State CA Zip 92117 Telephone 49-795-4884
ARCHITECT/DESIGNER'S NAME ' Last First �— Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State F_ Zip F_ Telephoner
ENGINEER'S NAMELast 13ra ��c� First (�b N„U f Lic No.�—',
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Engineer's Address Engineer's E-mail Address
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City U �� _ ✓"'�� State C� Zip 2(12 (0 Telephone
CONTRACTOR'S NAMEKOMPANY G&S Enviroscapes Lic. No. 1061626 Class 27
Contractor's Address Contractor's E-mail Address
069 Arroyo Lino Ave dmin@gsenviroscapes
City San Diego State CA Zip 92117 Telephone 49-795-4884
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SETBACKS LEFT
SETBACKS FRONT `! u ® 0 - n PERMIT NO. _"� -1 � ` �`i � �i nSS1
SETBACKS RIGHT PLAN CHECK NO. ti%'LU t/t l76 6
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $