HomeMy WebLinkAboutX2020-2327 - Permit Application)(2®7,® -2327
Worksheet for Combo Building & Solar Permit
Comm'( FX_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI
j—Building f—, Grading rDrainage F_Elec riMech F_ Plum cuvdCut I CuvdFill I
Project Address (Not mailing address) F Flood r Fire r, Liq r- Landslide rN/A Floor Suite No
08 ONDA F_
Description of Work Use Const Type i -B
REMOVE STRUCTURAL WALLS IN KITCHEN, REMODEL: KITCHEN, HALL BATH, &MASTER BATH,
# Stories[, # Units (if Res)
INDOWS.
Valuation $ 55,000
New/Add SF [0 Remodel SF 375 _. Garage/New/Add (0 Material/Labor
OWNER'S NAME Last IBELCHER First (MARY
Owner's Address Owner's E-mail Address
08 ONDA maryjbelcher@icloud.com
City NEWPORT BEACH State CA Zip 92660 Telephone714-866-3920
APPLICANT'S NAME Last
Applicant's Address
16261 KIM LANE
City HUNTINGTON BEACH State CA
First (DAVID
Applicant's E-mail Address _
irubinconstruction@gmail.com
Zip 92647 Telephone949-533-6670
ARCHITECT/DESIGNER'S NAME Last FirstF Lic. No.
Architect/Designer's Address
City F State
Architect/Designers E-mail Address
Zip �— Telephoned
ENGINEER'S NAME Last JORDAN. First DALE Lic. No. 63246
Engineer's Address
51 CALLE CABRILLO
City FOOTHILL RANCH State CA
Engineer's E-mail Address
diordan@djaeng.com
Zip 92610 Telephone 949-353-4285
CONTRACTOR'S NAME/COMPANY DAVID RUBIN - RUBIN DESIGN & CONSTRUCI Lic. No. 875320 Class
Contractor's Address
16261 KIM LANE
City HUNTINGTON BEACH State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USEZONE DEVELOPMENT NO
Contractor's E-mail Address :�=T7- z -T 't2 -'3L4
ru b i n co n st r u ct i o n@ g m a i(. co m
Zip 92647 Telephone 949-533-6670
PERMIT NO. ��
PLAN CHECK NO. 'SCJ
PLAN CHECK FEES $