HomeMy WebLinkAboutX2018-3361 - Permit Application�2)& 33u 1
Print Form Worksheet for Combo Building & Solar Permit A
City of Newport Beach - Building Division
r Comm'] r Residential N T PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding , F- Grading rDraina r EI is [' Mech r
PIUm Cu Yd Cut Cu Yd Fill
Project Address (Not mailin teas) r
Flood r Fire r Liq r Landslide I -N/A Floor Suite
2661 Bayshore Drive Gr
Description of Work Use R3 Const Type VB
5 s.f. addition to ex. master bedroom. New covered balcony at ter bedroom. New balcony # StoriesF2 #Units (if Res)'
c
Replacing all ex. windows with new. Valuation $
100,000.00
New/Add SF 5 ,
emodel SF �- Garage/New/Add Material/Labor
OWNER'S NAME Last Raeder
First John & Deborah
Owner's Address Owner's E-mail Address
2661 Bayshore Drive F-
city Newport Beach
State CA Zip 92663 _ Ti
First JCynthia
APPLICANTSNAME Last Childs
Applicant's Address Applicant's E-mail Address
App'
2732 East Coast Hwy. Ste. B cchilds@ccarchitect.com
City Corona del Mar
State CA Zip 92625 Telephone 949-718-3528
ARCHITECT/DESIGNER'S NAME Last Childs First Cynthia Lic. No. C-22985
Architect/Designer's Address Architect/Designees E-mail Address
2732 East Coast Hwy. Ste. B
cchilds@ccarchitect.com
State CA Zip 92625 Telephone 949-718-3528
city Fcoronadel Mar
ENGINEER'S NAME LastFheppard
First Steven Lic. No. S 5446
Engineer's Address
28782 EI Mio Lane
City Mission Viejo r' State CA
Lic. No. jCDI Class
Contractor's E-mail Address
Ff-1 ons {4 n� jm�;\
Telephone
State T� Zip I77 r z 1
Engineer's E-mail Address
steve@sdc-engineering.com
Zip 92625 Telephone 949-481-9669
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City�� . �D '-
SETBACKS REAR LQ SETBACKS FRONT
SETBACKS LEFT yam— SETBACKS RIGHT
USE ZONE (C- 1• DEVELOPMENT NO
()' PERMIT NO. ✓ \(zol v `
3 ' PLAN CHECK NO.
PLAN CHECK FEES $ �--