HomeMy WebLinkAboutX2020-1145 - Permit ApplicationPrint FormWorksheet for Combo Building & Solar Permit Application ozEW�
r Comml r Residential
City of Newport Beach - Building Division T>z-01,
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X i") "
RBuilding F- Grading
rDrainage rElec r, Mech rPlum Cu yd cut Cu Yd Fill F_
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide RN/A Floor Suite No
7409 Priscilla Lane, Newport Beach CA I F
Description of Work
Use F Const Type F
Block Wall & Fence
# StoriesF # Units (if Res)F
Valuation$ V
CIS;
Material/Labor �� 1 V
New/Add SFI__
Remodel SFF— Garage/New/Add F
OWNER'S NAME
Last ong First Peanie 5 Ncm^
Owner's Address
Owner's E-mail Address
1707 Kanola Road
richin@pacbell.net
City LaHabra Heights
State CA Zip 80631 Telephone626-484-0887
APPLICANT'S NAME
Last Pmprich First arah
Applicant's Address
Applicant's E-mail Address
12 Balboa Coves
sarah@burkhartbros.com
City Newport Beach State CA Zip 2663 Telephone 143532272
ARCHITECT/DESIGNER'S NAME Last First —�—
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State r_— Zip F— Telephoned
ENGINEER'S NAME
Last First Lic No.F --
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F Telephoned
CONTRACTOR'S NAME/COMPANY Burkhart Brothers Construction Lic. No. 905510 dassFB
Contractor's Address
Contractor's E-mail Address
12 Balboa Coves
sarah@burkhartbros.com
City Newport Beach
State CA Zip 92663 Telephone 714-353-2272
SETBACKS REAR
SETBACKS, FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.T
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $