HomeMy WebLinkAboutX2020-1955 - Permit ApplicationPant Form _ Worksheet for Combo Building & Solar Permit Application
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r Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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l^llding F_ Grading j Drainage yElec (`Meth (—Plum cuvdcutF— cuvdFill F'
Project Address (Not mailing address) F Flood
F_ Fire r Liq r Landslide FN/A Floor_ Suite No
2000 Deborah Ln, Newport Beach, CA 92660 F --
Description of Work
Use SFR Const Type VB
# Storied l # Units (if Res)
Breakfast nook addition
Valuation $ 000
Material/Labor
�- �—_'
New/Add SF 50 Remodel SF
Garage/New/Add F
OWNER'S NAME Last Drake
First David
Owner's Address
-�
Owner's E-mail Address
2000 Deborah Ln
djdrake@cox.net
City Newport Beach State CA Zip 92660 Telephone (949)400-6065
APPLICANT'S NAME Last Drake
FirstPavid
Applicant's Address
2000 Deborah Ln LL
Applicant's E-mail Address
(djdrake@cox.net
City Newport Beach State ICA
Zip 92660 Telephone (949)400-6065
ARCHITECT/DESIGNER'S NAME Last Drake
First David Lic. No. C 15618
Architect/Designer's Address
2000 Deborah Ln
Architect/Designer's E-mail Address
djdrake@cox. net
City Newport Beach State CA
Zip 92660 Telephone (949)400-6065
ENGINEER'S NAME Last Fong
First Darin Lic No.FS 5188
Engineer's Address _
3230 Imperial Highway, Suite 302
Engineer's E-mail Address
darin@dfaengineering.com
City Brea State CA
Zip 92821 Telephone 714 494-4888
CONTRACTOR'S NAME/COMPANY Self
_ Lic. No. !—_—__ Class[--
lass[Contractor's
Contractor'sAddress
Contractor's E-mail Address
City �u State F
Zip I Telephone---
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. jSIV-_
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $