HomeMy WebLinkAboutX2021-0729 - Permit ApplicationrwPrml orrtu Worksheet for Combo Building &Solar It o �O
F_ Comm'I [' Residential City of Newport Beach - Building Di n
NOTE: PLAN CHECK FEES DUE AT TIME OF S MITTAL `.o.•"
jXlBuilding r; Grading Drainage rl Elec I—Mech r�Plum Cu Yd cutin Cu Yd Fill 'n
Project Address (Not mailing address) r_J Flood n Fire r Liq ❑ Landslide ❑N/A Floor Suite No
578 SAN AVENUE N/A i N/A 7
BERNADINO
Description of Work
Use R-3 Const Type Vg
NEW GUEST BETWEEN
BEDROOM / BATHROOM.INFILL EXISTING HOUSE AND EXISTING
GARAGE AND ALL ASSOCIATED MEP. NEW OUT DOOR PATIO, DECK, 161Ef i
t9EIK,
# StoriesTl # Units (if Res)n
'LS& P r Us FT 38"
New/Add SF Remodel SF N/A Gara a/New/Add N/A
--- 9 --
Valuation $
Material/Labor
Tw7�——
OWNER'S NAME Last ThorpFirst Stephen 777
Owner's Address - Owner's E-mail Address -
518 SAN BERNADINO AVENUE sthorp@burnhamusa.com
City Newport Beach State Cq _ Zip 92663 J Telephone (949) 760-9150 J
APPL'ICANT'S NAME Last Chavez First Alex
Applicant's Address Applicant's E-mail Address
3600 Birch Street
achavez@bickelgrp.com
City Newport Beach State CT--' Zip 92660 Telephone 949.757.0411 x227
ARCHITECT/DESIGNER'S NAME Last Bickel - First Jim Lic. No. C-20925 _
Architect/Designer's Address Architect/Designer's E-mail Address
3600 Birch Street jbickel@bickelgrp.com
City Newport Beach State CA Zip 92660 Telephone 949757.0411x22'
ENGINEER'S NAMEg
Last Chwt-Yin Wu First Allen Lic. No.C69385
Engineer's Address Engineer's E-mail Address----.__�
'------"-
26439 Rancho Parkway South Samc@9 P me e.com,-
_
City Lake Forest State CA Zip 92630 Telephone 949.267.9095
CONTRACTOR'S NAME/COMPANY Lic. No. �j Cl s�1
Notyet � ¢✓i�5tz�
Contractor's Address ,/� (� (� 19/ C ntractor's E-mail Address
,7
City '.. State rip �,7Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. p(&*q.u2(
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $