HomeMy WebLinkAboutX2016-4076 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application o
j Comm'I FX_ Residential City of Newport Beach - Building Division xA ��
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI lU
Building r Grading f-Drainage (X Elec r Mech j�
r Plum \Cu vd curl Cu Yd Fill F
Project Address (Not mailing address) r Flood F_ Fir r4 Li � Landslide j—N/A Floor Suite No
2561 Bayshore Drive
F F—
Description of Work
Use RS-D Const Type VB
1 091 sf of Intarior r mod 1 of xi<tino
Kith en -Entry. Living Room Breakfast and bloQk. And
# StoriesF2 # Units (if Res)
129 sf. of addition to existing Entry and Guest Bedroom.
Valuation $ [150,000
Material/Labor
New/Add SF 129 Remodel
SF 1,091 Garage/New/Add a/New/Add IO---
9
OWNER'S NAME Last Frank First rRichard & Tiffany
Owners Address
2561 Bayshore Drive
Owner's E-mail Address �� " l �3 - l
City Newport Beach
State CA Zip 92663 Telephone 214-683-5632
APPLICANT'S NAME Last Yoon i st Steve
Applicant's Address
Applican mail Address
2732 East Coast Hwy. Ste. B
r56sky@gmail.com
City Corona del Mar
State CA Zip 92625 Telephone 949-718-3528
ARCHITECT/DESIGNER'S NAME
Last Childs First Cynthia Lic. No. C-22985
Architect/Designer's Address
Architect/Designer's E-mail Address
2732 East Coast Hwy, Ste. B
cchilds@ccarchitect.com
City Corona del Mar
State CA Zip 92625 Telephone 949-718-3528
ENGINEER'S NAME Last Sheppard First Steven Lic. No. S 5446
Engineer's Address
Engineer's E-mail Address
28782 El Mio Lane
steve@sdc-engineering.com
City Mission Viejo
State CA Zip 92692 Telephone 949-481-9669
CONTRACTOR'S NAME/COMPANY
\ \ fin_ Lic. No. 3[(vl� Class
Contractor's Address
Contractor's E-mail Address
City �
State �— Zip Tellephone
SETBACKS REAR (� r
SETBACKS FRONT / O r PERMIT NO. f ZUl b 10
SETBACKS LEFT 3
SETBACKS RIGHT 3 PLAN CHECK NO. Z- ) 6 - M b
USE ZONE �-
DEVELOPMENT NO PLAN CHECK FEES $ I Yi�