HomeMy WebLinkAboutX2018-0420 - Permit ApplicationForm I v1lorKsneet for comao tsullcling at Solar Kermit Application u4m
F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building F_ Grading F Drainage ><Elec ) Mech r
r Plum Cu Yd Cut F Cu Yd Fill I
Project Address (Not mailing address) F- lood F_ Fire r` Liq )`�Landslide N/AFloorSuite No
705 Hilltop Drive
Description of Work
obtain permit for hat was built without a permit by the previous owner Use onst Type V-B
# Storiesv— # Units (if Res) 1
New/Add SF 65 Remodel SF�— Valuation $
Garage/New/Add ��_-- Material/Labor
OWNER'S NAME Last Husak First Palter
Owner's Address
Owner's E-mail Address
705 Hilltop Drive
City Newport Beach State CA Zip �2660
Telephones
APPLICANT'S NAME Last McLeod First Christopher
Applicant's Address Applicant's E-mail Address
39 Lehigh Aisle chrismcleod@cox.net
City Irvine State CA Zip 92612 Telephone949-701-9505
RCHITECT/514WML&L&N
Last McLeod First Christopher Lic. No. C31,185
Arch itect/Designer's Address Architect/Designer's E-mail Address
39 Lehigh Aisle �Chrismcleod@cox.net
City Irvine State CA Zip 92612 Telephone949-701-9505�
ENGINEER'S NAME Last F ickstrom First Eric Lic. N43989
Engineer's Address __ _ Engineer's E-mail Address
28581 Via Primavera ickstromse@cox.net
City San Juan Capistrano State CA Zip 92675 Telephone 949-454-8045
ON ACT 'S N E/COMP Lic No. F— Class F__
Contractor's Address Contractor's E-mail Address
City �— State I Zip r Telephoned
6TBACKS REAR SETBACKS FRONT PERMIT NO.
`ACKS LEFT c� SETBACKS RIGHT PLAN CHECK NO.0
F 7—�— J DEVELOPMENT NO PLAN CHECK FEES $ _ lc51