HomeMy WebLinkAboutX2019-2046 - Permit ApplicationPrint Form ' WorKsneet for C"ompo tsuiming & Solar Permit A Wicatlon
Y
Cit of Newport Beach - Building Division 011 _. I 04LO
Comm'I
Building
FX_ Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI AL
F Grading ("'Drainage F_Elec F- Mech F_Plum Cu Yd Cut Cu Yd Fill F
Proiect Address (Not mailing
Bridgeport
Description of Work
lemove exiting rear yard wi
F_ Flood
(r Fire r Liq
F_ Landslide
F_ N/A Floor
1 st
F_
Suite No
Use F ConstType F
and install new doors. Remodel Kitchen, Flooring &Paint.
# StoriesF #Units (if Res)
-7,917
New/Add SF[ --Remodel SF700
Garage/New/Add F
Valuation $
W,000 OQ
Material/Labor
OWNER'S NAME Last Brown
First
Ryan &Alex
Owner's Address
Owner's E-mail Address
3 Bridgeport
Frbrown@essentialbenefitplans.com
Beach
State CA
Zip 2660 Telephone 602--689-4546
city Newport
APPLICANT'S NAME Last
Melillo
First
Dan
Applicant's Address
Applicant's E-mail Address -
2901 W. Coast Hwy. Suite 200
j
-
an@excelbuildingdesign.com
City Newport Beach
---
State Ca
Zip 2663 Telephone 49-933-4293
ARCHITECT/DESIGNER'S NAME Last Melillo
First Dan Lic. No. 555307
Architect/Designer's Address
Architect/Designer's E-mail Address
901 W. Coast Hwy. Suite 200
- -
-_
City Newport Beach
State ��
Zip Telephone[
First Fon � Lic. No. -54914
ENGINEER'S NAME Last De Cuir
Engineer's Address
Engineer's E-mail Address
2901 W. Coast Hwy. Suite 200
'onericdecuir@gmaii.com
State CA
Zip 2663 Telephone 949-933-4293
Cit
Newport Beach
Lic. No. F_ Class
CONTRACTOR'S NAME/COMPANY
Owner/Builder
Contractor's Address
Contractor's E-mail Address
City F
State F__Zip
-_
[ Telephone
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.y�I
PLAN CHECK FEES $
USE ZONE
DEVELOPMENT NO