HomeMy WebLinkAboutX2022-1635 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ors
r Comm'I � Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c'
o.r
rBuilding r Grading rXDrainage rX Elec rMech r Plum CuYdCut 19.7 CuYdFill 59.7
Project Address (Not mailing address) r Flood r Fire r- Liq r- Landslide FN/A Floor Suite No
1405 Priscilla Lane
Description of Work
Use R3/U ConstType VB
# StoriesF2 # Units (if Res)F_
w wia ac le re is l55F
Valuation $ 710,000
Material/Labor
New/Add SF 3,928 Remodel SF�—
Garage/New/Add 457
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 Telephone
APPLICANT'S NAME Last Burton
First Keli
Applicant's Address
Applicant's E-mail Address
26880 Aliso Viejo Parkway, Suite 100
nmontejano@tjhusa.com
City Aliso Viejo State CA
Zip 92656 Telephonel—
ARCHITECT/DESIGNER'S NAME Last Niemerski
First Kenneth Lic. No. C23971
Architect/Designer's Address
Architect/Designer's E-mail Address
2031 Orchard Drive, Suite 100
jganyo@bassenianlagoni.com
City Newport Beach State CA
Zip 92660 Telephone 949-553-9100
ENGINEER'S NAME Last Nguyen
First Huan Lic. No. 664238
Engineer's Address
Engineer's E-mail Address
15 Studebaker
City Irvine State CA
Zip 92618 Telephone 949-590-9009
CONTRACTOR'S NAME/COMPANY T J C Home Builders
Lic. No. 1025507 Class F—
Contractors 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
PERMIT NO. — 5
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $