HomeMy WebLinkAboutX2020-1629 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
', Comm'] [7,, Residential City of Newport Beach - Building Division X,20,?o - 16, ct
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Jj(]Building ❑ Grading ❑Drainage ❑ Elec
Project Address (Not mailing addrea
7 Telescope
❑Mech ❑Plum Cuvdcutn CuvdFill
❑ Flood ❑ Fire ❑ Liq ❑ Landslide ❑N/A
Description of Work
IF eld Rey sions- Remodel of master bathroom and quest bathroom added to scope, Minor
layout modifications to Family Room, Pantry, and Master Bedroom entry per owner's request.
Floor Suite No
177 F_
Use n Const Type
# Stories # Units (if Res)F—'.
Valuation $
New/Add SFF-----] Remodel SF 257 Garage/New/Add F ----i I Material/Labor 0,000
1
OWNER'S NAME Last
First
Owner's Address Owner's E-mail Address
17 Telescope
City Newport Beach State CA Zip 92657 TelephoneTelephone 949-244-9415
APPLICANT'S NAME Last
First IHanna
Applicant's Address Applicant's E-mail Address
17985 Sky Park Circle, Suite G J hanna@-archdesign.com
City Irvine State CA Zip 82614 Telephone 14-486-3318
ARCHITECT/DESIGNER'S NAME Last GuinaJ First Rick Lic. No, C 30161 -
Architect/Designees Address Architect/Designer's E-mail Address
17985 Sky Park Circle, Suite G J rick@gb-archdesign.com
City Irvine — State CA Zip 92614- Telephone 714-486 3318
ENGINEER'S NAME Last First Lic. NoF
Engineer's Address Engineer's E-mail Address
....._..i
City State I Zip �I Telephone
CONTRACTOR'S NAME/COMPANY C� GGj �JG�w �y/ Lic. No. ) ZG1 Class j
Contractor's Address Contractor's E-mail Address
City �'p�;V1.�`��LYVI/t�- State l Zip .�Z,Ip�,f _.I Telephone
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK
PLAN CHECK FEES $