HomeMy WebLinkAboutX2022-1449 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application �EWPORr
City of Newport Beach - Building Division
F- Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT�
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D<Building [- Grading [—Drainage [- Elec Mech Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) I� Flood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
Commodore Rd., Newport Beach, CA 92660 F �+
015
Description of Work
Use Const Type F_
Replace siding and paint black, smooth stucco, add wood paneling to the gables, trim
# Stories #Units (if Res)r1
he eaves. Exterior work only.
6 Valuation$ oo
New/Add SF /A Remodel SF /A Garage/New/Add /A
BD ''
Material/Labor
OWNER'S NAME Last kan Daele
First Preg
Owner's Address
Owner's E-mail Address
015 Commodore Rd.
regvandaele@gmail.com
City ewport Beach State rA
Zip 2660 Telephone 949) 556-5490
APPLICANT'S NAME Last �an Daele
First reg
Applicant's Address
Applicant's E-mail Address
015 Commodore Rd.
�regvandaeie@gmail.com
City lNewport Beach State PA
Zip F2660 Telephone 949) 556-5490
ARCHITECT/DESIGNER'S NAME Last agy
First sombor Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
031 Orchard Drive, Suite 100
Fnagy@bassenianiagoni.com
City Newport Beach State FA
Zip F2660 Telephone 949) 553-9100
ENGINEER'S NAME Last /A
First /A Lic. NoF
Engineer's Address
Engineer's E-mail Address
City � State F_
Zip Telephone��
CONTRACTOR'S NAME/COMPANY
Lic. No.� Class
Contractor's Address
I
Contractor's E-mail Address
City State F_
F
Zip Telephoner v
14 �ZOZz•�45
SETBACKS REAR SETBACKS FRONT
PERMIT NOXZAZ:
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 132„2—�
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $