HomeMy WebLinkAboutE2022-0370 - Permit Application (2)Worksheet for Combo Building & Solar Permit ApplicationAMA 01mCity of Newport Beach -Building Division Comm I rResidential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r'Grading rDrainage f5—<Elec r Mech (X;Plum CuvdCut F cuvdFil
Project Address (Not mailing address) C Flood j— Fire r Liq r Landslide rN/A Floor Suite No
1126 E. Balboa Blvd.F_
Description of Work Use R-1 Const Type VB
New gas line from meter to rear of house approx.68' linear feet with disconnect for
o q u ure ire #Stories # Units (if Res)F 1
New 220V electrical line from panel to rear of house with waterproof coverfor future heaters.
-"" Valuation $ 4,000
New/Add SF F—
Remodel SF �— Garage/New/Add Material/Labor
OWNER'SNAME
LastlJazaeri
FirstlBrian
Owner's Address
Owner's E-mail Address
1126 E. Balboa Blvd.
brianjaz@gmail.com
City Newport Beach
State Ca
Zip 92661 Telephone 310-777-8888
APPLICANT'S NAME
Last Almendarez
First Oscar
Applicants Address
Applicant's E-mail Address
31234 W. Nine Drive
Oz.almendarez@gmail.com
City Laguna Niguel
State Ca
Zip 92677 Telephone F51-990-4834
ARCHITECT/DESIGNER'S NAME Last Almendarez
First Oscar Lic. No. B980490
Architect/Designer's Address
Architect/Designer's E-mail Address
31234 W. Nine Drive
Oz.almendarez@gmail.com
Laguna Niguel
State Ca
Zip 92677 Telephone 951-990-4834
City
ENGINEER'S NAME
Last F—
First [ Lic. Nof—
Engineer's Address
Engineer's E-mail Address
_ —
City F------
_
State �--
Zip F_ Telephones —
Lic, No. F_ Class
CONTRACTOR'S NAME/COMPANY
TBD
Contractor's Address
Contractor's E-mail Address
City s - _
-. State �—
Zip F Telephones —
-
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. ?o
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
_?D 7,2
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $