HomeMy WebLinkAboutX2018-2811 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F- Comm'I (xResidential City of Newport Beach - Building Division'--\,_ap c....A,y_
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
j -Building r'.. Grading r.Drainage r Elec r Mech r Plum Cu ydCut F cuvdFiil F
Project Address (Not mailing address) F_ Flood C- Fire F Liq r Landslide i-N/A�Floorr Suite No
Bluff, Newport Coast I'
1 Greens
Description of Work
Use F_ Const Type
Patio Door Replacement
# Stories # Units (if Res)s
Valuation$
�
New/Add SF�— Remodel Garage/New/Add ',
20,000
Material/Labor
OWNER'S NAME Last Dickler First Steve
Owner's Address Owner's E-mail Address
1 Greens Bluff stevedickler@gmail.com
City Newport Coast State CA Zip 92657 Telephone 7142400997
APPLICANTS NAME Last same as architect.. _ First
Applicant's Address Applicant's E-mail Address
City _ State F—' Zip— Telephone
ARCHITECT/DESIGNER'S NAME Last Frank First Silke _ Lic. No. C-28991.
_ _
Architect/Designer's Address Architect/Designer's E-mail Address
610 Anita Street info@werkshopinc.com
city Laguna Beach State CA Zip 92651 Telephone9492803793
ENGINEER'S NAME Last Mokhtar _. _ First _ arek _ Lic. No. 4169
Engineer's Address Engineer's E-mail Address
31645 S. Coast Hwy arekmokhtar
city Laguna Beach State CA Zip 92651 Telephone 9494996254
CONTRACTOR'SNAME/COMPANY Paul Colburn .. Lic. No. 66�6'A'SClass F_
Contractor's Address Contractor's E-mail Address
/'�
Oa_' LAY 0 Rct picbuild@aol.com
City Wrl N kl Mo- State Zip i t"� t W Telephone 7143300546
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $