HomeMy WebLinkAboutX2022-0412 - Permit ApplicationPrint 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
FX Building r Grading
r-Drainage (- Elec r Mech r Plum Cu rd CutF Cu Yd Fill
Project Address (Not mailing address) F_ Flood j- Fire r Liq r Landslide FN/A Floor Suite No
263 WALNUT STREET I'
Description of Work
C21CIDn rt tO
Use FSFR ConstType VB
# Stories # Units (if Res)s
CU YO
Q ew
3.e
L
ew
Valuation $ *0C)7
Material/Labor
New/Add SF
Remodel SF Gara a/New/Add
9
OWNER'S NAME
Last MERZ First STEVE & ELAINE
Owner's Address
Owner's E-mail Address
263 WALNUT STREET
City NEWPORT BEACH State CA Zip I Telephone
APPLICANT'S NAME
Last Richart First Jason
Applicant's Address
Applicant's E-mail Address
1041 W. 18th St, (A106)
Jason@richartdesign.net
City Costa Mesa
State CA Zip 92627 Telephone 949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
1041 W. 18th St, (Al06)
Jason@richartdesign.net
City Costa Mesa
State CA Zip 92627 Telephone 949-422-9191
ENGINEER'S NAME
—
Last GHAZLANI First ANDY Lic.Nof
Engineer's Address
Engineer's E-mail Address
1021 E. CARSON ST. STE #5
City LONG BEACH
State CA Zip Telephone 562-253-2385
CONTRACTOR'SNAME/COMPANY I Lic.No.I ClassF—
Contractor's Address
Contractor's E-mail Address
City
State F_ Zip F— Telephones
SETBACKS REAR
SETBACKS FRONT PERMIT NO. , (�O�LZ--Gq I Z
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. IZ64 - Zug i
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ 5 3 $ r 33
ru*v - 03to ,earz2- ar,9ri �'1i