HomeMy WebLinkAboutX2020-2187 - Permit ApplicationXw7-0-7-1$? 132? kc( Di(
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For ___ Worksheet for Combo Building & Solar Permit Application
F_ Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX -Building r Grading
F -Drainage r! Elec F_.I Mech r Plum Cu Yd Cut F Cu Yd Fill s
Project Address (Not mailing address) Flood (- Fire j- Liq r Landslide [-N/A Floor Suite No
1327 Keel drive, CDM, Ca, 92625
Description of Work
Use s ConstTypevn
3
remove existing windows and
replace with 3 smaller windows in (e) opening. Add 2 new
# Stories # Units (if Resf
skylights
.9
Valuation$ F500
Material/Labor
New/Add SF n/a
Remodel SF63 Gara a/New/Add '
OWNER'S NAME
Last Luu First Huong
Owner's Address
Owners E-mail Address
1327 Keel Drive
huongdl@hotmail.com
City CDM
State ca Zip 92625 Telephone`
APPLICANT'S NAME
Last Pizzarelio First Guy
Applicant's Address
Applicant's E-mail Address
see below
City _
_ ..State F_ Zip—, Telephone—
ARCHITECT/DESIGNER'S NAME Last Pizzarello FirstCuy Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
946 Calle Amanecer, , ste N
9uY@Pceng-design.com
City San Clemente
State ca Zip 92643 Telephone 949 388-3332
ENGINEER'S NAME
Last FirstF Lic. No.
Engineer's Address
Engineer's E-mail Address
City
--
State �— Zip �- Telephone
Lic. No.�S Q Class
CONTRACTOR'S NAME/COMPANY (� LLl_t
I
Contractor's Address
Contractors EE--mailAC-, ddre ss �%`/ t't-�%-2LS 3;" .
City E -.i
State I Z Zip _ `( Telephone QI
SETBACKS REAR
SETBACKS FRONT PERMIT NO. ('(J
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. _ W
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $