HomeMy WebLinkAboutX2016-4003 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
M Comm'I (xi Residential City of Newport Beach - Building Division yy��g1rrll /t
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X F V�✓I10- O
[Building r Grading
Address
EBB TIDE CIRCLE
of Work
❑Drainage n Elec [7 Mech F-71 Plum Cu vd CutF___7 Cu vd Fill
Flood M Fire ❑ Liq M Landslide nN/A Floor Suite No
New/AddSFF Remodel SF F77777 Garage/New/Add
OWNER'S NAME Last JEBB TIDE, LLC
Use FI ConstType F77
# StoriesF7 # Units (if Res)
Valuation $ F$50
Material/Labor
Owner's Address Owner's E-mail Address
4 PARK PLAZA, SUITE 1000 IFDDAVIS@MBK.COM
City IRVINE State CA J Zip 92614 Telephone 949-789 8441
APPLICANT'S NAME-- Last FEBB TIDE, LLC
Applicant's Address
4 PARK PLAZA, SUITE 1000
City IRVINE State CA
... Firsti ,I_.
Applicant's E-mail Address
EDDAVIS@MBK.COM
Zip 4 Telephone 9
926149-789 8441
ARCHITECT/DESIGNER'S NAME
Last DUARTE First PETER Lic. No. 5067
Architect/Designees Address
92 ARGONAUT, SUITE 270
City ALISO VIEJO State CA
Architect/Designer's E-mail Address
PAD UARTE@STU D I O-PAD. CO M
Zip 92656 Telephone 949-770-8530
ENGINEER'S NAME Last I.VINCENT First SCARPATI Lic. No. 33520
Engineer's Address
27156 BURBANK
City FOOTHILL RANCH State CA
Engineer's E-mail Address
DKESSLER@CVC-INC.COM
Zip 90755 Telephone 949-916-3800
CONTRACTOR'S NAME/COMPANY TBD Lic. No. TBD — J Class TBD
Contractor's Address
TBD
City TBD State TBD
SETBACKS REAR - SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
TBD
Zip Telephone TBD TBD
- . PERMIT NO. -
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $