HomeMy WebLinkAboutX2020-1827 - Permit ApplicationPrint Form ] Worksheet for Combo Building & Solar Permit Application Q
F_ Comm'I � Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding rGrading
FxDrainage F_Elec rMech
F-Plum CurdCut 1640 CuYdFill791
Project Address (Not mailing address) F_ Flood r Fire F_ Liq r" Landslide FN/A Floor Suite No
311 Jamboree
Description of Work
Use MU ConstType s
Rough grading and wet utility improvements for Lot 1 east
# 5tories1S_ # Units (if Res) 30
Valuation $
Material/Labor �51s, 77q
New/AddSFF Remodel SFF—Garage/New/Adds—
OWNER'S NAME
Last Bitney
First[Tom
Owner's Address
Owner's E-mail Address
Park Plaza, Suite 700,
Bitney@shopoff.com
City Irvine
State CA
Zip P614 Telephone 949.383.0706
APPLICANT'S NAME
Last Brown
First Pustin
Applicant's Address
Applicant's E-mail Address
17782 17th Street Suite 200
ustin.brown@deainc.com
City ustin
State CA
Zip 92780 Telephone 714.665.4538
ARCHITECT/DESIGNER'S NAME Last Gabrich
First Peter Lic. No. �— --
Architect/Designer's Address
Architect/Designees E-mail Address
2850 Red Hill Ave. Suite 200
peterg@whainc.com
City Santa Ana
State CA
Zip 92705 Telephone (949) 250-0607
ENGINEER'S NAME
Last Brown
First Fustin Lic. No.85617
Engineer's Address
Engineer's E-mail Address
ame as applicant
I I
City
State F—
r
Zip Telephone
CONTRACTOR'S NAME/COMPANY n/a 'wl
I Lic No. IOS3D5T Class
Contractor's Address
Contractor's E-mail Address
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, 5 7.d
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City pC14 CA
IF,!�
State CiV�
Zip 1 Telephone �� - v
SETBACKS REAR
SETBACKS FRONT \ 1010 ' PERMIT NO. W
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $
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