HomeMy WebLinkAboutXR2023-0783 - Permit ApplicationPnnt Form - Worksheet for Combo Building & Solar Permit Application
r, Comm'I x Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[Building r'Grading rDrainage rElec rMech [Plum Cu yd Cut Cu Vd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
20351 S.W. Cypress St. F F
Description of Work
Pew C� / L � Use 3 I�', Const Type VB
r f7y �fl�i 1ma�# Stories # Units (if Res)
S/iltff D/1 /zd0 GZ S Si�� �d� Sl�.�i dZW
New/Add SF10
OWNER'S NAME
SF[- Garage/New/Add IU
Last IDellar First
Owner's Address
20351 S.W. Cypress St
City Newport Beach State Ca
APPLICANT'S NAME Last
Applicant's Address
31234 W. Nine Dr
City Laguna Niguel State Ca
Valuation$ 5_5
Material/Labor1"
Owner's E-mail Address
LofgrenConst@aol.com
Zip 92660 Telephone 415-52-6301
First (Oscar
Applicant's E-mail Address
Oz.almendarez@gmail. com
Zip F9267T Telephone 951-990-4834
ARCHITECT/DESIGNER'S NAME Last Almendarez First Oscar Lic. No. 1 13980490
Architect/Designer's Address
31234 W. Nine Dr
City Laguna Niguel State Ca
Architect/Designer's E-mail Address
Oz.almendarez@gmail. com
Zip 92677 Telephone 951-990-4834
ENGINEER'S NAME Last f Ventocilla First Jose Lic No. C47942
-11-
Engineers Address Engineer's E-mail Address
24636 Cresta Court felichoventocilla@gmail.com
City Laguna Hills State Ca Zip 92653 Telephone 949-910-0942
CONTRACTOR'S NAME/COMPANY Lofgren Construction Lic No. 962889 Classy
Contractor's Address
3095 Ginger Ave Unit B
City Costa Mesa State Ca
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
LofgrenC?nst@aol.com
Zip 92626 Telephone 949-439-8053
PERMIT NO. y/LT�P2
PLAN CHECK NO. Wv /iOG�
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $