HomeMy WebLinkAboutX2021-0782 - Permit ApplicationX?�gM - OWL
I Worksheet for Combo Building & Solar Permit Application �EW�R�
City of Newport Beach - Building Division a
r Comm9 �! Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c;ro„��^
)(Building ❑Grading [Drainage [JElec rMech [Plum cuvdcuti cuvdF111
Project Address (Not mailing address) ❑ Flood ❑ Fire [; Liq r—; Landslide ❑N/A Floor Suite ]No01i 41 Riverside Dr ��
ascription of Work Use R1 ConstType N
arior renovation of kitchen/dining area. Exterior addition to dining at the rear of Dining --'
I
# StoriesC # Units (if Res)
new doors and windows (retro at existing area, new wdw at rear of kitche & new door at dining.
Valuation $ F$I 0,000
New/Add SF 60 Remodel SF 80 _ 1, Garage/New/Add F Ji Material/Labor
OWNER'S NAME Last ( GRATIAS First I PAUL & DENISE
Owner's Address Owner's E-mail Address
20141 RIVERSIDE DR demse.gratias@gmail.com
City NEWPORT BEACH State CA i Zip 92660 Telephone
APPLICANT'S NAME Last
Applicant's Address
9121 ATLANTAAVE.
City HUNTINGTON BEACH _ State CA
First
Applicant's E-mail Address
emarcoarchitect@g mai I. corn
Zip 92646 Telephone 714.473.6623
ARCHITECT/DESIGNER'S NAME Last DEMARCO First FHERYL Lic. No. P3865
Architect/Designer's Address
9121 ATLANTA AVE.
City HUNTINGTON BEACH State CA
Architect/Designers E-mail Address
�emarco.architect@gmaii.com
Zip 92646 Telephone 714.473.6623
ENGINEER'S NAME Last FqRBES—First DALE Lic. No. 30407
Engineer's Address
1800 E 16TH ST STE B
City SANTA ANA State
Engineers E-mail Address
dale@esifine.com
Zip 92701 Telephone 714.835.2819
F
CONTRACTOR'S NAME/COMPANY No. Lic. >
TBD IQ 75g7 Class
Contractor's Address
SSG C�7fdr 4t 2_`i
City rrx�t �1 VC4 I State
SETBACKS REAR lz�
SETBACKS LEFT s
USE ZONE %7— �—
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
Contractor's E-mail Address
Zip (�� TelephoneLit4_ )_T��
PERMIT NO. xZQu C)713,
PLAN CHECK NO.
PLAN CHECK FEES $ F/IYR
c[ C 17