HomeMy WebLinkAboutXR2022-2667 - Permit ApplicationPrint Form J Worksheet for Combo Building & Solar Permit Application o° RRo
j— Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �<„o„.�
rBuilding rGrading rDrainage I—Elec I—Mech
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Project Address (Not mailing address) F_ Flood I— Fire r Liq (— Landslide FN/A Floor Suite No
603 Acacia Ave
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Description of Work
Use R3/U ConstType VB
# Stories # Units (if Res)s
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Valuation $
New/Add SF� Remodel SF Garage/New/Add Ir
25 000
Material/Labor '
OWNER'S NAME Last Thomas James Homes
First
Owner's Address
Owner's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
mrosene@tjhusa.com
City Aliso Viejo State CA
Zip 92656 Telephones
APPLICANTS NAME Last Montejano
First Nellie
Applicant's Address
Applicant's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
nmontejano@tjhusa.com
City Aliso Viejo State CA
Zip 92656 Telephone 949-669-5118
ARCHITECT/DESIGNER'S NAME Last First F Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State I—
Zip F_ TelephoneF—
ENGINEER'S NAME Last Forkert
First Michael Lic. No.5662
Engineer's Address
Engineer's E-mail Address
22311 Brookhurst Street, Ste. 203
City Huntington Beach State CA
Zip 92646 Telephone 714-963-6793
CONTRACTOR'S NAME/COMPANY T J C Home Builders
Lic. No. 1025507 Class
Contractor's Address
Contractor's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
City Aliso Viejo State CA
Zip 92656 Telephone 949-481-7026
SETBACKS REAR SETBACKS FRONT
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L/h f T NO.
SETBACKS LEFT SETBACKS RIGHT
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PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
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