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Home My WebLink AboutM2014-0045Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building Division Comm'I r', Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT,,, F Building Grading ,,Drainage s Elec [7 Mech f7 Plum Cu Yd Project Address (Not mailing address) Flood rj Fire [7 Liq 11 Lido Park Drive Description of Work New/Add SF� Remodel SF I IXGarage/New/Add OWNER'S NAME Last First Owner's Address ....... City State APPLICANT'S NAME Last IInlow Applicant's Address 151 Shipyard Way Ste. 7 Newport ort Beach State ... p CA Use Const Type # StoriesP7 # Units (if Res), Valuation $ $5,500.00 Material/Labor Owner's E-mail Address Zip Telephone First Bruce Applicant's E-mail Address .: Zip 92663 Telephone 49-673-9330 ARCHITECT/DESIGNER'S NAME Last First Lic. No. Architect/Designer's Address .. City � State, Architect/Designer's E-mail Address .... ......... ...... ......... Zip Telephoned77 ENGINEER'S NAME Last Harutyunyan First Grant i Lic. No. C 50019 Engineer's Address 2500 Via Cabrillo Marina Ste.200 City San Pedro State CA Engineer's E-mail Address Zip 90731 Telephone .... one 48 1924 Imo.. ..... 310 5 ..... ... CONTRACTOR'S NAME/COMPANYSouth Mooring Co Lic. No. 957414 Class, Contractor's Address 12 1. 0 Tustin Ave Ste, C City Newport BeachState CA SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT USE ZONE DEVELOPMENT NO Contractor's E-mail Address ablesouth@yahoo.com .... ......... ......... ......... Zip92663 Telephone 949 -645-0334 PERMIT NO. PLAN CHECK NO. PLAN CHECK FEES $ 09/02/2014 TUE 10-02 FAX � � 711 CITY OF NEWPORT SERCH 6 lk h, CITY OF NEWPORT SER K57 OIL. Lf -PER OHY kCpf4ec a , o nPMER 7 KST VICINITY MRP PROFILE SMINGS RREWRESSED U_L BASED ON IN FEE7 AND DENOTE MEM LOWER WH WATER. it - Il P1 -c nIm's NAME MOAN4 Wier, HAb"Uk NESOURCES Dlv. CITY OF NEWPORT BEACH PLAN VIEW W5, JOB RDMS97/// ,Ipo p� gK fJ DITE Worksheet for Building Combo Permit Application ;maw. ........ . . t"N' City of Newport Beach - Building Department Please print 3 copies [";Building [7 Grading F_:Drainage F_ Elec r N 1. Project Address (Not mailing address) li,�,ee 2�Rllvzc, Tenant Name(if Applicable) 2. Description of Work # Units (if Residential) F77 t3ox tor Cu Yd Cut ............... Cu Yd Fill ......... . 3. Owner's Name Lasti...J&r6 First ............ ........................... .................................... ........ .................. .................. ................................. .............. ................................ ........................ Owner's Address ------ — ------- ........................... ................................................... ......................................................... ............................. City State Owner's E-mail Address . ......... . . ...... .. ........... Zip fi?a!��s Telephone ............. ............ : I .................. ......................................... -------- - ---- - --------------- [7 4. Arch itect/Designer's Name Last First. 17777777777 Lic. No. ........................................ .......................................... Architect/Designer's Address F_ ............................................. .................................. ................................ City State Architect/Designer's E-mail Address 7. Zip Telephonel ....... .. .......... - ................. ...... ......................................... 5. Engineer's Name Last First Lic. No. ............................. ....................... ............ ............ ............. .......... ............ ................................. ............ Engineer's Address ...... ................................. ... ... ....... ... .......... ............. ...................... City State ............................... ........... .................................... ................. .............................. Engineer's E-mail Address ......................... ........... ................ ..... ................... .. .... ....................... zip?,?,due TelephoneV�_ ...................................... ... I ........................ ......... .... .......... ....... First' Lic. No. Class 7 6. Contractor's Name Last Fit Contractor's Address City State OFFICE USE ONLY ENERGY P/C FEE $ GRADING P/C FEE $ FIRE P/C FEE Rev 4176109 ELEC/MECH/PLUMP/C FEE$ Contractor's E-mail Address 9.................................................................................. ................. ..................................................... ..................... Zip Telephone .... ...... ..... . . .. .... PERMIT NO. PLAN CHECK NO. 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S6 Chi ti of n i. cm -- 711 of n cm n � L � Q r L J '^ T Oo T n 04 c _ 4el Q CITY OF NEWPORT BEACh HARBOR PERF -11T rERMISS-Wl IS HEREBY GRANATED TO ANV, %;'MNI'Al- THE FACILITY SKOV'414 Of:i T�i'--, �V:-..lz:,,E HERE01- k,T THE SiT4 0-DICATED, as 7 -'Ni TO 0� CHF HAFM,�--�R P `RW 5T P -CMC -l"25 'DF nCH AN , -0 . , "I., , • —�, pE, , , ANY E, C, S. NOT -u -i; ecc —,DEP, WITH 1ETLE 17 OF THE &VIUN�f,,l-,41,," u0pg6, 1`07 d- Y- 7// F- 0. TTp NSTE-I'L D A T' yn SEE ATTACHED SKIEEET SPECIAL CONDITIONS: n, Of Engnmers Peirmit zer"'nit