HomeMy WebLinkAboutX2021-1654 - Permit ApplicationPnntForm , ; Wo s eet or Combo Building & Solar Permit Application
(— Comm'I (X Residentia X City of Newport Beach - Building Division
- NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) r Flood r Fire F Liq r Landslide 17N/A Floor Suite No
513 CATALINA DRIVE. F�'
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Description of Work
Use R3/U ConstType VB
CONVERSION OF A PERMITTED 400-SO AR -FOOT RECREATION ROOM INTO AN ACCESSORY
# Stories # Units (if Res)
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DWELLING UNIT (ADU).
Valuation $
Material/Lab
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New/AddSFIV Remodel SF400 Garage/New/Add 363"
OWNER'S NAME Last LANGE First TONY
Owner's Address Owner's E-mail Address
513 CATALINA PRIVE ticnpt@sbcglobal.net
City NEWPORT BEACH _ State CA Zip 92663 Telephone (949) 422-1165
APPLICANT'S NAME Last LANGE First TONY
Applicant's Address Applicant's E-mail Address
513 CATALINA DRIVE ticnpt@sbcglobal.net
City NEWPORT BEACH State CA Zip 92663 Telephone (949) 422 1165
ARCHITECT/DESIGNER'S NAME Last BENSON _ First JEFFREY Lic. No. C3226B
Architect/Designer's Address Architect/Designees E-mail Address
234 BROADWAY JB@BDANDARCH.COMI
City COSTA MESA State CA Zip 92627 Telephone (949) 534 2724
ENGINEER'S NAME Last N/A First F®', Lic No.F_
Engineer's Address Engineer's E-mail Address
City State F ------- Zip �! Telephone
CONTRACTOR'S NAME/COMPANY N/A Lic. No. F Class
Contractor's Address Contractor's E-mail Address
I W 1L4a
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City State �— Zip [77777�7 Telephoned
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SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $