HomeMy WebLinkAboutX2021-2198 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
Comm'I FX_ Residential City of Newport Beach - Building Division vo?,,17,zng m ,
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMIT
Building r7 Grading r-,,Drainage r)-5,, Elec r—,'Mech � Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) F Flood F- Fire f—,, Liq r7, Landslide F_N/A Floor Suite No
220 Nice Lane #310
Description of Work
U�l V
Usej<U ConstType 1V_B
remodel kitchen; minor structural change post removal
# Storl !!5— # Units (if Res)F T
Valuation
Remodel SIP Garage/New/AddF,_
New/Add SF1,_ --- KO
$ 30,000
Material/Labor Fs
OWNER'S NAME Last Middlebrook First Carolyn
Owner's Address Owner's E-mail Address
k20 Nice "n - e 1 #31 . 0 _. inwyrkcarolyn@aol.com
City Newport Beach State Cal. zip 152663 Telephone F94967TN76
IAPPLICANT'S NAME V Last Caro First
Applicants Address Applicant's E-mail Address
11 1 4 _. G , um - wo - o I d [IAS-CARC)@COXNET
City 11 1 rvine State Fal Zip PIF Telephone F949 500-2208
ARCHIT:ENCDESIGNER'S NAME Last Caro First James 'TINco. Designer
Fe n e
Architec esig er'sAddress Archi ct/Designers E-mail A1.1ess
esig
14 Gu wood JAS-CA C
Irvine State Pal-92612 Zip Telephone 949 500-2208
F
ENGINEER'S NAME Last Christensonci7 8 _ First Paul Lic. No.F
Engineer's Address Engineer's E-mail Address
3529 Coastview Court aul.pcsd@gmaii.com
City lCarlsbad State Pal Zip 07Fr Telephone 60 2 - 07 - - 1 1 8 1 8 - 5
CONTRACTOR'S NAME/COMPANY F5�ok�bCof? to C, Lic. No. Class
0
Contractor's Address Contractors E-mail Address
C 1 ty State Zip TelephoneG-tq 4 (3q t,)
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK No. k
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $