HomeMy WebLinkAboutX2019-0271 - Permit ApplicationFT Residential
Y2ON 21
Worksheet for Combo Buildin Permit Application
City of Newport Beach - Building Division 2 -201 2__ t
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
171Building Ej Grading FDrainage fl Elec Mech IT Plum Cu Vd cut Cu Yd Fill --
Project Address Address (Not mailing address) IT Flood
One Hoag Drive, Newport Beach, CA 92658
FT Fire r Liq ri Landslide FIN/A Floor Suite No
Description of Work
Demo and replacement of the exsiting Kalwall skylight. Will be replacing like for like.
New/Add 5F1 j Remodel SF
Garage/New/Add
Use r— Const Type
# Storiesr # Units (if Res)l—
Valuation $
Material/Labor
OWNER'S NAME
Owner's Address
Last
City [
State [
First
Owner's E-mail Address
Zip
Telephone'
APPLICANT'S NAME
Applicant's Address
Las
City [
I State
Zip
First L
Applicants E-mail Address
Telephone'
ARCHITECT/DESIGNER'S NAME
Architect/Designer's Address
Last
City
State
Zip
First Lic. No. 12
Architect/Designer's E-mail Address 31•
Telephone
ENGINEERS NAME
Engineer's Address
Last S 6AftrAp( First ‘111/440,111Cd
City
State
Engineer's E-mail Address
Lic. No.
Telephone'
CONTRACTOR'S NAME/COMPANY
Contractor's Address
Harwood Construction Co., Inc.
11695 Curtiss Court
City iLaVerne
Lic. No. 561049 •
Class
B
Contractor's E-mail Address •
dean@hci-ca.com
State F-1 Zip 91750
Telephone1909/593-6555
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT PERMIT NO.
SETBACKS RIGHT PLAN CHECK NO.
DEVELOPMENT NO PLAN CHECK FEES $ Jad