HomeMy WebLinkAboutX2020-1217 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
I— Comml r Residential City of Newport Bea h
9Building
NOTE: PLAN CHECK FEES C - Building Division
DUE AT TIME OF SUBMITTAL X Zozo ' 11 17
I Grading rDrainage r r Plum
Elec r Mech
Project Address (Not mail
1524 Galaxy Dr. Newport I
CA.
a
Cu Yd CutI Cu Yd FlllI
r- Flood r "re r Liq r Landslide
rN/AFloorr Suite No
I F—
Use F.ConstType
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Y Storlesr # Units (if Res)f—
New/Add SFF — Remodel SFF�Garage/New/Add Valuation $
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Material/Labor I
f40O
OWNER'S NAME Bakewell ff `"'
Last Christian
Owner's Address First
1524 Galaxy Dr. Owner's E-mail Address
- - christianbakewell@gmaiLcom
City Newport Beach
St tCA
-CA
APPLICANTS NAME
Last
ZiP92660 Telephone 31080 0308
�
Applicant's Address #
1524 Galaxy Dr.
City Newport Beach
State CA
ARCHITECT/DESIGNER'S NAME
First I unnsnan
Applicant's E-mail Address
christianbakewell@gmail. com
Zip 92660 Telephone 310-980-0308
Last Morris
Architect/Designer's Address
2482 Newport BNd., Suite 8
City Costa Mesa --
State CA
First Erin
LIC. No. C-32486
Architect/Designer's E-mail Address
catie@erinmonis.com
ZIP 82627 Telephone (849) 945-2144
ENGINEER'S NAME Last
First Lic.
NorEngineer's Address
Engineer's E-mail Address
City
State �— Zip Telephoner—
CONTRACTOR'S NAME/COMPANY f Michael Green Construction
Lic. No. 677600 Classf—
Contrector's Address
21372 Antigua Ln. Contractor's E-mail Address
mikecgr2@gmail.com
City Huntington Beach CA
State zip 92646 Telephone 949-887 4296
SETBACKS REAR . SETBACKS FRONT
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SETBACKS LEFT —_ PERMIT NO. ,�01 SETBACKS RIGHT !�f/�-�
USE ZONEDEVELOPMENT NO----�__ PLAN CHECK 0. Q, IRS&
---�__
PLAN CHECK FEES $
S.