HomeMy WebLinkAboutX2021-3193 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application�F""Rm
F_ Comm'] Fx- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) [7 Flood JX Fire r Liq F Landslide iXN/A FFl0000r` Suite No
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5 VIA CRISTALLO, NEWPORT BEACH, CALIFORNIA 92657 I
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Description of Work
Use R3 ConstType VB
# Stories # Units (if Resf
Valuation $
New/AddSF�RemodelSF1
Garage/New/Add',
150,000
Material/Labo
OWNER'S NAME
Last KING First MARYANN
Owner's Address
Owner's E-mail Address
5 VIA CRISTALLO
maryannkl1@cox.net
City NEWPORT BEACH
State CA Zip 92660 Telephone 949.721.6778�
APPLICANT'S NAME
Last STEVENS First BENJAMIN
Applicant's Address
Applicant's E-mail Address
25251 VIA PIEDRA BLANCA ben@benjaminjohnstevens.com
City LAGUNA NIGUEL
State CA Zip 92677 Telephone 949.680.8616
ARCHITECT/DESIGNER'S NAME Last STEVENS First BENJAMIN Lic. No. 32310
Architect/Designer's Address
Architect/Designer's E-mail Address
25251 VIA PIEDRA BLANCA ben@benjaminjohnstevens.com
City LAGUNA NIGUEL
State CA Zip 92677 Telephone 949.680.8616
ENGINEER'S NAME
Last GIBBS First ERIK Lic No. 81137.
Engineer's Address
Engineer's E-mail Address
25991 AVENIDA MARIPOSA sc-engineering@cox.net
City SAN JUAN CAPISTRANO State CA Zip 92675 Telephone 949.310.7329
CONTRACTOR'S NAME/COMPANY TOM NAJARIAN (NAJCO BUILDING) Lic. No. 678335 Class
Contractor's Address
Contractor's E-mail Address
15 BERKSHIRE
tom_najco@yahoo.com
City ALISO VIEJO
State CA Zip 92656 Telephone 949.463.5264
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SETBACKS REAR
SETBACKS FRONT PERMIT NO. •�iL�f
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 'L . to
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $