HomeMy WebLinkAboutXR2022-1927 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application �ewPoRT
r Comm] Gz Residential City of Newport Beach - Building DivisionXX��� 9
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTA���� �9<,cnaHP
DMilding r Grading F-Drainage [_ Elec r Mech R Plum Cu Yd Cut Cu Yd Fill
Project Addr�_,K�s (Not mailing address) CW Flood F_ Fire r Liq [" Landslide FN/A Floor Suite No
1405 Priscilla
Description of Work
Use R3/U Const Type VB
Demo (E) SFR w/Att Gar 1,175 - 3 bed
# Stories # Units (if Res)[ —
Valuation $ 30,000
Material/Labor
New/Add SF� Remodel SF
Garage/New/Add
OWNER'S NAME Last f 21 G, LLC
First Thomas James Homes
Owner's Address L
Owner's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
mrosene@tjhusa.com
City Aliso Viejo State �CA
Zip 92656 Telephone
APPLICANT'S NAME Last Montejano
First Nellie
Applicant's Address
Applicant's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
nmontejano@tjhusa.com
CityAliso Viejo State CA
� J �-
Zip 92656 Telephone949-669-5118
ARCHITECT/DESIGNER'S NAME Last First
Lic. No.—�
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
Zip Telephoned
ENGINEER'S NAME Last F
First Lic. No.F
Engineer's Address
Engineer's E-mail Address
City State �--
Zip [_ Telephone-_V
CONTRACTOR'S NAME/COMPANY T J C Home Builders
Lic. No. 1025507 Class B
Contractor's Address
Contractor's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
City Aliso Viejo State CA
Zip 92656 Telephone 949-481-7026
SETBACKS REAR SETBACKS FRONT
PERMIT NO. //o,,YJaa
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 14 pb_ �
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $