HomeMy WebLinkAboutX2019-2004 - Permit Application_Print Form Worksheet for Combo Building & Solar Permit Application �? °ara
Comm'I City of Newport Beach - Building Division
r jX Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL U
�W
rBuilding F` Grading rDrainage F_Elec Mech
iX plum CuvdCut l CuYdFill
Project Address (Not mailing address) F= Flood r- Fire F_ Liq F_ Landslide [_N/A Floor Suite No
1 Baywood Dr. , Newport Beach, CA 92660
F_ r—
Description of Work
Use RM Const Type
Refer to attached sheet
# Stories[— # Units (if Res)F—
Valuation$
New/Add SFF Remodel SFF— Garage/New/Add F_
$� 150,000
Material/Labor
OWNER'S NAME Last Jugant
First Alex
Owner's Address
Owner's E-mail Address
550 Newport Center Drive
ajugant@irvinecompany.com
City Newport Beach State CA
Zip 92660 Telephone[( )720-3210
APPLICANT'S NAME Last Raney
First Aaron
NyApplicants Address
Applicant's E-mail Address
170 Newport Center Drive, Suite 210
araney@thomassabinstudio.com
City Newport Beach State CA
Zip 92660 Telephone (949)734-6386
ARCHITECT/DESIGNER'S NAME Last Sabin
First Thomas Lic. No. 3565
Architect/Designer's Address
Architect/Designer's E-mail Address
170 Newport Center Drive, Suite 210
tsabin@thomassabinstudio.com
City Newport Beach State CA
Zip 92660 Telephone (949)734-6382
ENGINEER'S NAME Last Welsh
First Stephanie Lic. No.2998
,
Engineer's Address
.4
Engineer's E-mail Address
12722 Barrett Lane
swelsh@welshstructures.com
City Santa Ana State rCA
Zip 92705 Telephone (714) 352-6297
CONTRACTOR'S NAME/COMPANY Western National Group Lic. No. tLI�g1 Class Western
Contractor's Address
Contractor's E-mail Address
8 Executive Circle
mgiangeruso@wng.com
City Irvine State CA
Zip 92614 Telephone (949) 526-3795
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ o
Print Form Worksheet for Combo Building & Solar Permit Application �rEw�ar
Comm'I F_ Residential City of Newport Beach - Building Division A
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F-Building r Grading
rDrainage r Elec r Mech
r- Plum CuvdCut CuvdFill F
Project Address (Not mailing address) f- Flood
j- Fire f Liq F- Landslide F_N/A Floor Suite No
Description of Work
Use F_ Const Type F_
# Stories #Units (if Res)
_
New/Add SF
Remodel SF F— Garage/New/Add Ir
Valuation $ /
Material/Labor
OWNER'S NAME
Last��
First I I b
Owner's Address
Owner's E-mail Address
550 NKw 69
CKIM
io (14k I,f0i1 C0m c-n
City
State 1 �7"
Zip �2Dl�Q TelephoneZV
APPLICANT'S NAME
Last
First
Applicant's Address
Applicant's E-mail Address
City �
State F
Zip [- TelephoneF_
ARCHITECT/DESIGNER'S NAME Last ��)N!o `� First 1lni�AFIC Lic. No. E'
ArchiteGI/Designer's Address
Architect/Designer's E-mail Address
3 ko\5 3 Alaw poi, og.,
City Ham, State CA
Zip 9'52_b Telephone��
ENGINEER'S NAME
Last i' M t O\ l PV .
First b_ Lic. No. L 5
Engineer's Address
Engineer's E-mail Address
City �
State r
Zip Telephone F_
CONTRACTOR'S NAME/COMPANY I.L
Q N V MNfCtfMdq.,. Lic. No. S�ClassF
Contractors Address
Contractors E-mail Address
City
State F_
Zip F_ Telephone F_
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $