HomeMy WebLinkAboutPV2023-0383 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application Q
[- Comm'I jX Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building [-Grading [—Drainage FxElec j—Mech
[-Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) [- Flood
[- Fire [- Liq [- Landslide [-N7A Floor Suite No
Ave
708.5 Larkspur
Description of Work
Use R3/U Const Type VB
# Stories # Units (if Res)F
ry Systern Panels
Valuation 5
New/Add SF7 RemodelSF7— Garage/New/Addr—
15000
Material/Labor '
OWNER'S NAME Last LA21G, LLC
First
Owners Address
Owner's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
mrosene@tjhusa.com
City Aliso Viejo State CA
Zip 92656 Telephone
APPLICANT'S NAME Last Montejano
First Nellie
Applicant's Address
Applicant's E-mail Address
26880 Aliso Viejo Parkway, Suite 200
nmontejano@tjhusa.com
City Aliso Viejo State CA
Zip 92656 Telephone 949-669-5118
ARCHITECT/DESIGNER'S NAME Last Complete Solar First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
3000 Executive Pkwy., Ste. 504
swalden@completesolar.com
City San Ramon State CA
Zip 94583 Telephone 949-553-9100
ENGINEER'S NAME Last
First F Lic. No.r
Engineer's Address
Engineer's E-mail Address
City State I
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY T J C Home Builders
Lic No. 10 55507 Class
Contractor's Address
Contractor's E-mail Address
26880 Aliso Viejo Parkway, Suite 200
City Aliso Viejo State A
, i t7-
Zi 92656 Telephone 949-481-7026
SETBACKS REAR SETBAC S FRO T dl
PERMIT NO.
SETBACKS LEFT SETBACKS T
PLAN CHECK NO. �C�/
/J may,
USE ZONE DEVELOPMENT NO f �4y��%`d �� PLAN CHECK FEES $