HomeMy WebLinkAboutX2021-3267 - Permit ApplicationPrint Form Worjwheet for Combo Building & Solar Permit Application o4HEw�Rm
F Comm'I r Residential
City of Newport Beach - Building Division W S o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUB ITTAL G I.P't
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Project Address (Not mailing address) C Flood r Firetial. r slide /A Floor Suite No
30 St. Andrews Road
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Description of WorkM`y
C JEonstTypeFv
remodel kitchen and bathroom - new appliances /fixtures in existing locations C
"tit Units (if Res)'
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Material r 00
New/Add SFF —, Remodel SF 2o0 Garage/New/Add F_
OWNER'S NAME Last
Braxton First David
Owner's Address
Owner's E-mail Address
330 St. Andrews Road
City Newport Beach
State CA zip F92663 TelephoneF—
APPLICANT'S NAME Last
Walker First I Barry
Applicant's Address
Applicant's E-mail Address
P.O. Box 11658
bwarch.biz@gmail.com
City Newport Beach
State CA Zip F92658 Telephone 949.246.4085
ARCHITECT/DESIGNER'S NAME
Last Walker First f Bar—'
rY Lic. No. 19637
Architect/Designer's Address
Architect/Designer's E-mail Address
bwarch.biz@gmaii.com
City
State F zip I Telephone
ENGINEER'S NAME Last
�— First F_ Lic. No.F —
Engineer's Address
Engineer's E-mail Address
City
State F zip F TelephoneF—
CONTRACTOR'S NAME/COMPA
C_`j j "� a Lic No.715T(_3Class � 5
efa ' ddress
Contractor's E-mail Address
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City S p Com, ----
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State �A'C. zip �c��i1 7 Telephone gLyCj
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SETBACKS REAR
SETBACKS FRONT PERMIT NO. n
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SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $