HomeMy WebLinkAboutXR2023-3212 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I (K; Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
iX!Building r; Grading rDrainage I Elec r Mech C; Plum cu vd cute! Cu Yd Fill I
oject Address (Not mailing address) F_'I Flood Fire rl Liq r! Landslide i-N/A Floor Suite No
Drakes Bay, Corona Del Mar, CA 92625 j F_ I
;cription of Work
0, 14x10, 14x11 Louvered Patio Covers
New/Add SFRemodel SF Fi Garage/New/Add F7777
Use ConstTYP `i ew e ''
# StoriesF—# Units (if Res)7.
Valuation $ 20 000
Material/Labor '
OWNER'S NAME Last amali-Divan First li
Owner's Address Owner's E-mail Address
38 Drakes Bay 'amali.ali@gmail.com
-
City Corona Del Mar State CA Zip 92562 ) Telephone 13-216-8088
...--.. --_...
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
565 Timber Feather Ln isneylanddad@hotmail.com
City Fallbrook State CA Zip 2028 Telephone 760-916 8058
- -
ARCHITECT/DESIGNER'S NAME Last
First! Lic. No. F7777 I
Architect/Designer's Address Architect/Designer's E-mail Address
i
City _ State � Zip �� Telephoned';
ENGINEER'S NAME Last Putnam First Carl ., Lic. No C68139
Engineer's Address Engineer's E-mail Address
3441 Ivylink PI carlputnam@comcast.net
City Lynchburg State VA Zip 24503 Telephone 34-426-9242
CONTRACTOR'S NAME/COMPANY ake Cover Patios LLC Lic No. 1086774 Class
Contractor's Address Contractor's E-mail Address
9306 Luce PI systemslb( yrhoo.com
City Pico Rivera State CA . Zip 90660 Telephone 62-322-1135
SETBACKS REAR SETBACKS FRONT PERMIT NO. \ SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. �-y Jj y-t $-'I
USE ZONE DEVELOPMENT NO yv"Lt OULO--I PLAN CHECK FEES $ QZS - 5-b
Worksheet for Combo Building & Solar Permit Application
r7 Comml [x—] Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX!Building r7 Grading FDrainage r— Elec C]Mech E7 Plum Cu Yd Cut I Cu Yd Fili
Project Address (Not mailing address) r Flood F]IFire Liq Landslide [7 N/A Floor Suite No
18 Drakes Bay, Corona Del Mar, CA 92625 _J
Description of Work Use Const Type New
Coin.- On Ce2,&
?T Storief_'
# Units (if Res[
New/Add SFF7777 Remodel SF I Garage/New/Add
OWNER'S NAME Last Jamali-Drian First Ali
Owner's Address
Owner's E-mail Address
38 Drakes Bay jamali.ali@gmaii.com - ------ .. . . ........................ ......... . ....... .. . ............ .. .. - .. . .... . ................ . .. - .......
City ICorona Del Mar I State 8088
FT7 Zip 92562 F21 3-Zl 6
I
Valuation $
0000
Material/Labor Fs
APPLICANTS NAME Last I M ai n
Applicant's Address
1565 Timber Feather Ln
I— __..._I _. .. . .... . ......... ........... .. .. .... ... ............... . .. . ......... ...
City Kalb k State roo FPT7
First
Applicants E-mail Address
Idisneylian _��a�@hotmaii.com
Telephone
Zip R_mF60-916-8058
_�i�
ARCHITECT/DESIGNER'S NAME Last Lic, No. [20331
Architect/Designer's Address
1630 S. Glassel St, Suite 201
City 1. Orange State CA
Architect/Designer's E-mail Address
alex@truplans.com
Zip F9Z866 l� Telephone FT 1Z 465 �-U _H9
ENGINEER'S NAME Last .
Putnam First Lic. No.[C�M?
.......... . .....
Engineers Address
13441 Ivylink PI i
I
City Lynchburg State VA
. . ..... . ............. 1-1--1 J
Engineers E-mail Address
[cadputnamqcomcast. net
Zip 2450Telephone F434 426-9242
CONTRACTOR'S NAME/COMPANY Take I- Cover- .. - - P , atios L L C Lic. No. 1086774 ClassF
Contractor's Address
19 3 0 6 Luce PI
City jPico Rivera
State FA
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
Contractor's E-mail Address
isystemslb@yahoo.com
Zip F90FM Telephone F562-322-1135
PERMIT NO.
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $