HomeMy WebLinkAboutX2018-2954 - Permit ApplicationCwty19 9 pp
Print Fon„ W I��eet for Combo Building &Solar Permit Application
r Comm'I r Residential J1 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r-- Grading
Cu Yd Cu Yd Fill F
rDrainage Elecechm Il
Project Address (Not mailing address) f Flood f— Fire i— Liq r— La ndslide /A Floor Suite No
1227 SANTIAGO DRIVE F_
Description of Work
Use F§FR Const Type VB
1. FAMILY RM AND KITCHEN
REMODEL 2. REBUILD STAIRS TO 2ND FLOOR
# Stories�� # Units (if Res)
3. MASTER BATH REMODEL
D
Valuation $ 147,600
Material/Labor
New/Add SFF
Remodel SF 820 Garage/New/Add F
OWNER'S NAME
Last BERGREEN First JASON & LISA
Owner's Address
Owner's E-mail Address
1227 SANTIAGO DRIVE
City Newport Beach --�
State CA Zip F— Telephoned`;
APPLICANT'S NAME
Last Richart First Jason
Applicant's Address
Applicant's E-mail Address
1041 W. 18th St, (A106)
Jason@richartdesign.net
City Costa Mesa
State CA Zip 92627 Telephone 949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richert First Jason Lic, No. I —
Architect/Designees Address
Architect/Designer's E-mail Address
1041 W. 18th St, (Al 06)
Jason@richartdesign.net
city Costa Mesa
State CA Zip 92627 Telephone 949-422-9191
ENGINEER'S NAME
Last JAMIL First Bechar Lic.No�791 —
��\ `�
Engineer's Address
Engineer's E-mail Address
751 SHASTA DRIVE
City CORONA, CA
State CA Zip F Telephone714-8783%41124
CONTRACTOR'S NAME/COMPANY — Lic. No. 8,2,5.5 Class F
Contractor's Address
Contractor's E-mail Address
7 5_3 GL/I/T 4
City e�
State Zip q,907 Telephone �7�J cVr Z0
SETBACKS REAR
SETBACKS FRONT PERMIT.NO. T _ I — Zg5y
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. ZAO IS
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ ( v
2 1`." ` D–v LZ -->