HomeMy WebLinkAboutX2020-2535 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
C4 f N B h
f— Comm'I JX' Residential I y o ewport eac -
Building Division �6 v
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMIT`l- L
F)ZBuilding F_ Grading F—Drainage (X; Elec F_ Mech x—. Plum
Project Address (Not mailing address) [_ Flood Fire jl Liq
100 Baycrest Road
Description of Work
Cu Yd Cut F
Cu Yd Fill
F_ Landslide [_'N/A Floor
73 S.F Kitchen and bedroom and living room remodel. 300 S.f. Covered porch addition at front
house. 26 S.F> addition at bedroom 3. Relocation and replacement of electrical panel.
New/Add SF 26 Remodel SF 73 Garage/New/Add F
OWNER'S NAME Last Davis First Jad
Owner's Address
12 100 Baycrest Road
City Newport Beach State CA
Suite No
F_
Use r Const Type IV-5
# StoriesF# Units (if Resf—':
Valuation $ 150,000.00
Material/Labor
Owner's E-mail Address
Zip 92660 Telephone 310.804.1033
IAPPLICANT'S NAME Last IvVisme11 r First Keith
Applicant's Address
601 E. Chapman Ave., Suite 116
City Fullerton State CA
Applicant's E-mail Address
lkwismer@wismera - rchitects.c om
Zip 92831 Telephone 1714.336.5445
ARCHITECT/DESIGNER'S NAME Last ismer First Keith
Lic. No. C-32253 Wry
Architect/Designer's Address
2601 E. Chapman Ave., Suite 116
City Fullerton State CA
Architect/Designer's E-mail Address
Fkwismer@wismerarchitects.com
Zip 92831 Telephone 714.336.5445
ENGINEER'S NAME Last I ' First I Lic. No.1
Engineer's Address
City � State
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City F State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Engineer's E-mail Address
Zip Telephone
Zip
` Lic.
Contractor's E-mail Address
Telephoner
Class
4 i4
PERMIT NO.
PLAN CHECK NO. i ��R �;` `i
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $