HomeMy WebLinkAboutX2021-2919 - Permit ApplicationX 21)21- 2 4-1 1 °l
Print Form • Worksheet for Combo Building & Solar Permit Application O�EWaOR6
F- Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5 �.oa�•'
[-Building [-Grading [–Drainage [-Elec rMech [-Plum CuvdCut s Cu Yd Fill
Project Address (Not mailing address) [- Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
225 Via Lido Nord, Newport Beach, CA F— [_—
Description of Work
Use SFD Const Type s
DEMOLISH AN EXISTING 2 -STORY SINGLE FAMILY RESIDENCE AND REMOVE ALL LANDSCAPE
# Stories # Units (if Res)s
AND HAKU5LAft. fes-
DE t-,% I6t�Cy 3 P.�URoows
New/Add SF�— Remodel SFF Garage/New/Add
Valuation
a $13
Material/Labor ,000
OWNER'S NAME Last Valder First Stephen and Teri
Owner's Address Owner's E-mail Address
5702 Mountain View Ave. scvalder@yahoo.com
City Yorba Linda State CA Zip 92886 Telephone(949) 645-5854
APPLICANT'S NAME Last Bard First Partin -
Applicant's Address Applicant's E-mail Address -
470 Old Newport Blvd. MartinB@bja-inc.com
City Newport Beach State CAZip 92663 Telephone 949-645-5854
ARCHITECT/DESIGNER'S NAME Last Jeannette First Brion Lic. No. C8012
ArchitectlDesigner's Address Architect/Designer's E-mail Address
470 Old Newport Blvd. info@bja-inc.com
City Newport Beach State CA Zip 92663 Telephone 949-645-5854
ENGINEER'S NAME Last First F_ _ Lic. No.r
Engineer's Address Engineer's E-mail Address
City State F_ Zip F— Telephoner
CONTRACTOR'S NAME/COMPANY A \ L,U5 (Z_ Lic. No.F, ®0 jT�31 Class
Contractor's Address Contractors E-mail Address
�76 t�bJP�l2T CErJt p(j ST Z2p FAC Q - Ccw�
City Q[-t,_j,?0 L -'C j[h-GlA State r�'.� Zip c� X66 Telephone ) 'j�l- Gdyrj
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. '4543-W 1
USE ZONE DEVELOPMENT NO �ZoZ I- 0576 PLAN CHECK FEES $