HomeMy WebLinkAboutX2021-2712 - Permit Application202 2
X - 1-l2
Print Form Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r.Building rGrading
rDrainage rElec (K.Mech rPlum CuYdCut 755 CuYdFill 43
1
Project Address (Not mailing address) rFlood r Fire r Liq r Landslide f N/A Floor Suite No
1459 GALAXY DRIVE �I
Description of Work
Use SFR Const Type R-3,U
# Stories # Units (if Res)r 1
NEW SFR WITH ATTACHED GARAGE & COVERED PORCH & PATIO
COVERED PORCH = 175 SQ. FT. COVERED PATIO = 706 SQ. FT.
Valuation$ Fs207,912
Material/Labor'
New/Add SF6,369
Remodel SF N/A Garage/New/Add 701
OWNER'S NAME
Last VON DER AHE First FGEOFF & DANIELLE
Owner's Address
Owner's E-mail Address
1459 GALAXY DRIVE
City I NEWPORT BEACH
State CA Zip 92660 Telephone 949-235-4382
APPLICANT'S NAME
Last rHAMPTON First CRAIG
Applicant's Address
Applicant's E-mail Address
5500 E. QUARTERSAWN STREET craig@craigshampton.com
City I BOISE
State ID Zip F83716 Telephone 949-209-8883
ARCHITECT/DESIGNER'S NAME Last HAMPTON First CP.AIG F'
Lic. No. N/A
Architect/Designer's Address
Architect/Designer's E-mail Address
5500 E. QUARTERSAWN
STREET craig@craigshampton.com
City I NEWPORT BEACH
State CA Zip 92660 Telephone 949-209-8883
ENGINEER'S NAME
Last I FORBES First DALE Lic No. CE30407
Engineer's Address
Engineer's E-mail Address
1800 E. 16TH STREET
City I SANTA ANA
State CA Zip 1 92701 Telephone 657-335-4123
CONTRACTOR'SNAMEXOMPANY Lic No. 411420 Class;
Contractor's Address
Contractor's E-mail Address
lot NA �9
City
State r Zip F , Telephone
SETBACKS REAR
SETBACKS FRONT PERMIT NO. "ZI
SETBACKS LEFT
SETBACKS. RIGHT PLAN CHECK NO. 2j�jj ,?,p'y�
USE ZONE
DEVELOPMENT NO �D�2' PLAN CHECK FEES $ 9� 5351-%