HomeMy WebLinkAboutX2021-0444 - Permit Application (5)Print Form Worksheet for Combo Building & Solar Permit Application ar Comm'I F- Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL xOL,IJak
D?Building F- Grading F-Drainage F Elec F-Mech
r-Plum Cu vd Cut Cu Yd Fill
Project Address (Not mailing address)' F Flood
ire F_Liq Landslide [_N/A Floor Suite No
24 SANDY COVE
% 7
b
Description of Work
Use SFR Const Type VB
1. KITCHEN/FAMILY/ENTRY AND BATHROOM REMODEL 2. NEW M.BEDROOM ADDITION
# StoriesT # Units (if Res))
Lf-7 "7 Z l► l 3
0
-
Valuation$
New/Add SF r 2 6 Remodel SF 5i9 S 12 Garage/New/Add
i
219000
Material/Labor
OWNER'S NAME Last DELANOY
First MELANIE & DOUG
Owner's Address
Owner's E-mail Address
24 SANDY COVE
City NEWPORT BEACH State CA
Zip F Telephone 949-656-6554
APPLICANT'S NAME Last Richert -
First Jason
Applicant's Address
Applicant's E-mail Address
1041 W. 18th St, (At06)
Jason@richartdesign.net
City Costa Mesa State CA
Zip 92627 Telephone 949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richert First FJason Lic. No. F_
Architect/Designers Address
Architect/Designer's E-mail Address
1041 W. 18th St, (A106)
Jason@richartdesign.net
City Costa Mesa State CA
Zip 92627 Telephone 949-422-9191
ENGINEER'S NAME Last GHAZLANI
First ANDY Lic. No. 60867
Engineer's Address
Engineers E-mail Address
1021 E. CARSON ST. STE #5
City LONG BEACH, State CA
Zip 90807 Telephone 562-253-2385
CONTRACTOR'S NAME/COMPANY CbN5�/ /uG Lic No. <mo t� ClassF
9U�/h
Contractor's Address
Contractor's E-mail Address
�,Soq/ mooed ��F
1/{- Aollcw,r7 Lrw-
a
City Z,� U ICJA N (E7 it State F
Zip �?? Telephone[
SETBACKS REAR SETBACKS FRONT
PERMIT NO. x"ZI-'[
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ $Y