HomeMy WebLinkAboutX2020-0860 - Permit ApplicationPrint Form ;� Worksheet for Combo Building & Solar Permit Application
r- Comm'I FX- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rx—Building Fr Grading
('',Drainage Fx- Elec f_; Mech fK—, Plum Cu Yd Cut Cu Yd
177 Fill F
Project Address (Not mailing address) r-IFlood f— Fire Llq 1; Landslide r -N/A Floor Suit
17 Canal Street
. . ...........
. . . ........... ............ - ................. .. .. .. .... . .. . .. .. ... .. .. .. .. . ... ... . ... ....... .... .. .. ..... . .... ... ..... . .....
Description of Work
Use Const B
Flu F
Remodel to an existing 2 -story
single family residence includes: master deck: new railing and 1
!a6s doers to EleGk, master .new
Stories
�e.et,22T'�t"
fixturelssl=75,7:1�2et �r
ry gFnt ;!'
s�2
2�,`Iightjng,ma�sterat rFpacewinc1oww/newat8ft.hdrhgt.
# #Units(ifRes)
Valuation $ $50,000
Material/Labor
New/Add SFF—'
Remodel SF 364 Ga:aqe/New/Add In . .. .........
OWNER'S NAME Last ourman First I\ /I es
Owner's Address
Owners n- I: Address
1217 Canal Street
city INewport Beach
State CA p Telephone9
F49-975 0123
APPLICANT'S NAME
Last Teals First Mark
Applicant's Address
Applicant's E-mail Address
12900 Bristol St. I Bldg A-203
lmteale@teal,.,architecture.com
City Costa Mesa
State A ZIp 1926iI3 Telephone F949-975-0123
r6
ARCHITECT/DESIGNER'S NAME Last fsale First Marl: Lic. No. CF -22162
Architect/Designer's Address
A,chitecciDesigner's E-mail Address
City
State Zip Felephone
ENGINEER'S NAME
Last 1Burke. First Toni Lic. No.5()83
Engineers Address
Engineer's E Mail Address
1151 Kalmus Drive, Bldg E-1 41) bm@burkP;-.P.com
[-0 stn Mesa
City C
State CA Zip Telephone 7-289 0460
CONTRACTOR'S NAME/COMPANY Lic No.Fi ()m 6 1 classFE
Contractor's Address
ContrAor's E-mail Address
X336 CT' U>-N,5Nv)C
I
CIJC"\ cc, _,3Ao,e C v: dderco
City
; State
C14liPjJ)5,8U Telephone ls,t
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. ac)
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
(5 1 by6l.6,