HomeMy WebLinkAboutX2018-3360 - Permit Applicationr tForr'. Worksheet for Combo Building & Sour Permit Application
r Comm'I `X Residential City of Newport Beach -Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
XBuilding [-Grading [—,Drainage Elec jAjMech 6IPlum cuydcutF7 cuydFill F
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Project Address (Not mailing address) r. Flood r Fire ) Liq r Landslide rN/A Floor Suite No
36 Via Lido Nord
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Description of Work
se FR 7 Const T e �I
emodel existing two sty + basemen home. New exterior finishes, replace
# Stories # Units (if Res)
Valuation $
b ^ pj ! °Garage/New/Add
New/Add S 06' t tM S t Remodel SF _ rj
Material/Labor 00,000.
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OWNER'S NAME Last Harder First tephen and Cindy
Owner's Address Owner's E-mail Address
36 Via Lido Nord
City ewport Beach State �i Zip Pi660 Telephoned
APPLICANT'S NAME Last . J. Light Associates First cott Schaffer
Applicant's Address Applicant's E-mail Address
401 Quail Street. Suite 120. Cott@cjlight.net
City Newport Beach State FA Zip P560 Telephone 49-851-8345
ARCHITECT/DESIGNER'S NAME I
Last lght First hris Lic. No. 234
Architect/Designer's Address ArchiteaUDesigner's E-mail Address
FZ Quail Street. Suite 120. cott@cjlight.net
City ewport Beach State FAZip2660 Telephone 49-851-8345
ENGINEER'S NAME Last Iskudlarski First Fason Lic. No.
Engineer's Address Engineer's E-mail Address
751 Olympic Drive jason@jjsstructural.com
City untington Beach State FA Zip F2646 Telephone 14 496 6772
CONTRACTOR'S NAME/COMPANY MR Construction Lic. No'..; Class�l
Contractor's Address Contractor's E-mail Address
25 W Main St. hris@pmr-construction.com
City ustin State"' Zip 2780 Telephone 14-231-7272
SETBACKS REAR S t SETBACKS FRONT �U � W47:'e PERMIT NO. i
SETBACKS LEFT SETBACKS RIGHT r �_T PLAN CHECK NO. 2.1 tot) . �,o I b
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USE ZONE t_^ j DEVELOPMENT NO PLAN CHECK FEES $ 20A k- 010
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