HomeMy WebLinkAboutX2021-0687 - Permit ApplicationPrint Form { Worksheet for Combo Building & Solar Permit Application
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Comm'( r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Fc Building r Grading rDrainage 17 Elec r Mech r Plum Cu Yd Cud
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide
Cu Yd Fill
rN/A Floor
Suite No
1 Hoag Drive
1tt'J1 210 Pt'
Description of Work IA ii)Z,V-
Use'B
Const Type
V
Project consists of adding 3-24'x40' temporary modular trailers to be used as training
workrooms. Work also Involves adding power to the trailers as we as adding a ramp and
walkway to the entrances of the modular trailers. --T-i- p p -0 t n, O
# Storiesi1
, -ram«
# Units (if Res)r
t5 .
Valuation $
New/Add SFI2670
Remodel SFI
Garage/New/Add I
Material/Labor
$60,000
OWNER'S NAME Last 'Brooks
Owner's Address
First 'Cary
Owner's E-mail
Address
1510 Superior Ave. Suite 290
Icary.brooks@hoag.org
City
'Newport Beach State
ICa Zip
192663 Telephone19497644496
APPLICANT'S NAME Last 'same
Applicant's Address
as architect First,
Applicant's E-mail
Address
I
City I
State I
Zip
I Telephone'
ARCHITECT/DESIGNER'S NAME
Last
Architect/Designer's Address
(Liebke
First
Architect/Designer's
'Steven
E-mail
Lic. No. IC28341
Address
11340 Reynolds Ave. Suite 115
sliebke@liebke.org
City 'Irvine
State
ICa Zip
192614 Telephone19497525052
ENGINEER'S NAME Last
Engineer's Address
I
First
Engineer's
I
E-mail Address
Lic. No.1
I
City
State
I Zip
Telephoner
CONTRACTOR'S NAME/COMPANY 1
(:;,uTM
cs:Dci krr,r 1..) r Lic. No.
9 Sc� ) � Class'
E�
g
Contractor's Address
Contractor's E-mail Address
Iv
City j State I
Zip I
Telephone'
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SETBACKS REAR SETBACKS FRONT PERMIT NO. 2oZ1'>
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. argagri
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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