HomeMy WebLinkAboutX2021-3146 - Permit Application1•' Worksheet for Combo Building & SolahAQ1
[7 Comm'l F7 Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT
F -Building E7, Grading f—Drainage Ig-,Elec
Address
Nate, Newport Beach, CA 92660
of Work
two exterior windows.
New/Add 5FF--Remodel
OWNER'S NAME
17 Mech 9 Plum
fr_-: Flood F- Fire f7 Liq f7 Landslide
Owner's Address
13920 Seashore Drive
City lNewport Beach State FCA
_
& Dana
Owner's E-mail Address
ldmbffood@gniaff.com
Zip
APPLICANrs NAME Last Flood First [Brian & Dana
Applicants Address
13920 Seashore Drive
City lNewport Beach State FCA
CuYdFill
FIWA Floor
Suite No
— . [
I—
se F—M Const Type Fv
Stod
.eV # Units (if Res 77
Appkanrs E-mail Address
I
dmbflood@gmail.com
-- 1..,.-------- 11—
Zip
-- - ---- - ---- - -- - ZipF921363 Telephone949-510 �M9
ARCHITECTIDESIGNER'S NAME Las+—; --ft �- Lic. No. 1(t
ArchitectfDesigner's Address
15651 Monroe Street
City IMidway City . .. ... .. .... ........ .. . . ... state CA
. .............
Architect(Designer's E-mail Address
Zip P2655
292-0987 1
ENGINEEFrSNAME Last lForbes
FirstrDale Lic- No.F30407
- - - - - -- - --------
Engineer's Address
11800 E. 16th Street, Unit B
Santa Ana
City State FCA
Engineer's E-mail Address
iivan@esifme.com
. . ... .. . .. .. ...... .... .
Zip 92709 Telephone j(7 4) 835-2800
_
CONTRACTOR'S NAME/COMPANY Pier/Builder Lic. No. Class�
Contractor's Address
... . .... ..... . . .. ... ... ... ... . - - - --- --- ---
city State F777
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE — 6 Z DEVELOPMENT NO
Contractors E-mail Address
... ... .... ... .. . ... ....... .. . .............. ... .............
Zip Telephone[
PERMIT NO. )<:2ozi- 31Li6
PLAN CHECK NO. 177-1 - Z.07- I
PLAN CHECK FEES $ 917-%4