HomeMy WebLinkAboutX2021-0255 - Permit ApplicationPnnt Form Worksheet for Combo Building & Solar Permit Application o4"`s'°"a
r Comm'I r Residential City of Newport Beach - Building Division o F
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL a
rBuilding r Grading TX —Drainage jX Elec rX Mech r Plum CuYdCut CuYdFill
Project Address
(Not mailing address) F od r Fire iq r Landslide F7N/Aj Floor Suite No
80 Linda Isle
I
Description of Work
Use R-.3 ConstType VB
# StoriesF # Units (if Res)F
Valuation $
Material/Labor
New/Add SF 5199
Remodel SF�— Garage/New/Add 629
OWNER'S NAME
Last FANTICOLA First 1. CHRISTIAN
Owner's Address
- Owner's E-mail Address
1422 Edinger Ave.
Christian.Fanticoia@tfgflp.com
City TUSTIN
State CA zip g2780 Tele hone 949-400-8777
APPLICANTS NAME
Last SEE ARCH Firs CON;aRucrioN
No►s
Applicant's Address
Applicant's E-mail Address E
City
ON
State �— Zip F Telephone I AYS
ARCHITECT/DESIGNER'S NAME Lys WALZ First JR 1388
Lic. No.
Architect/Designer's Address Architect/Designees E-mail Address
11 23 CORPORATE PLAZA, STE. 1510 WALZ.JR@GMAIL.COM
City NEWPORT BEACH State CA Zip 92660 Telephone 949.836.5977
ENGINEER'S NAME
Last GABRIEL First MIKE Lic.No.f 91
Engineer's Address
Engineer's E-mail Address
E. 20TH ST
MRGSE@EARTHLINKNET
City COSTA MESA
State CA Zip 92627 Telephone 949.646.6596
CONTRACTOR'S NAMElCOMPANY hQ l� J V e� n� C Lic. No. t[3 Class
Contractor's Address
Contractor's E-mail Address sbcA[ p bQ
g 3> W
l 1 S1 Stye 11w�-�-o� 1 ��
City
` State I E� Zip I Ct 2_- n Telephone Lee
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SETBACKS REAR
SETBACKS FRONT PERMIT NO. -
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $