HomeMy WebLinkAboutX2021-1535 - Permit Application„Fnnt> orrn,, Worksheet for Combo Building & Solar Permit Application
F- Comm'I Residential City of Newport Beach -Building Division X%�' l IPj 5
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI L r�
P7 Building r Grading KDrainac
Project Address (Not mailing
1510 Sandc aS+l e Dr'%,
Description of Work &I(
Rpnovo&ion and addition
residence with cattctchec
New/Add SFI '2,� Yrl Remodel
OWNER'S NAME Last
FT Elec r Mech I) Plum cu Yd cut Cu Yd Fill 1
Flood' [ Fire r Liq r Landslide rN/A Floor Suite No
�I
Use Const TypeNI_g
riq 5tnale Story
# Stories #Units (if Res)
aar 9a�pr4AQ _1
--
Valuation $
Garage/New/Add N/71 Material/Labor o
Owner's Address
15lo SandC S+_I-e__Or_ive-- _
City I Newport t3ectCh State C7A-
Be-
Owners
Qe
Owners E-mail Address
r
Zip 1 9 07 4 v
APPLICANT'S NAME
Last I }v�Sa. _-........ First J_r�t
Applicant's Address
City ��/%� �� State
Applicant's E-mail Address
Zip 9Z�d (f Telephoner7& 22f f 3W$
ARCHITECT/DESIGNER'S NAME
Last Che YSon ', First Erin Lic. No
C-3z74g
Architect/Designer's Address
[(0_0 (v__ Centra► Ave. _
city 15ectl 9erLCh State CR-
ArchitecUDesigners E-mail Address
er.in @ CwcnrchiifC--Vs. n gwirw
Zip _ q0_740 Telephone5 b 2 9 to' 0 4 d S
ENGINEER'S NAME Last ChFirst DLic. No S g
i.. --- -
oa��-
Engineer's Address
1327 —L oYna ..fwe
- -
City Lon`�
Qe0.ch State G�
__
Engineers E-mail Address
Zip go$6A Telephone Sb2 3$2-1640
CONTRACTOR'SNAME/COMPANY J/✓_ Lic. No. y3pa-zp ClassF6
Contractors Address
City Y�4 Lt' State C
t I SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
Contractors E-mail Address
Zip %t 5 yC. Telephone z!`( ZZ. _
PERMIT NO.
WWTIA NT:140
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $