HomeMy WebLinkAboutX2021-1703 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application *"11
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading
rDrainage r Elec r Mech
r Plum CuydCut F CuYdFill F
Project Address (Not mailing address) r— Flood j— Fire r Liq F— Landslide FN/A Floor Suite No
11 N. Bay Front, Balboa Island 92662
1 1—
Description of Work
Use F—ConstType
Replace two sliding glass doors
at lower level family room; northerly
side of house
# Stories #Units (if Res)
New/AddSF�
RemodelSFF— Garage/New/AddF_
Valuation$
450
Material/LaborIS,
OWNER'S NAME
Last Childs Family LLC
First
Owner's Address
Owner's E-mail Address
611 N. Bay Front
mchilds@viageos.us ; blakechilds55@gmail.com
City Balboa Island
State CA
Zip 92662 Telephone (949) 244-3395
APPLICANTS NAME
Last Childs
First I Michael
Applicant's Address
Applicant's E-mail Address
611 N. Bay Front
h cht\rA�OVtuos+tiS l blcfrecl� kRi��ec�w�,l.t
City Balboa Island
State CA
Zip 2662 Telephone (949)244-3395
ARCHITECT/DESIGNER'S NAME Last
First F
Lic No.F_
Address
Architect/Designer's E-mail Address
City
State F_
Zip F TelephoneF
ENGINEER'S NAME
Last
First F Lic. No.1
Engineer's Address
Engineer's E-mail Address
City
State F__
Zip I Telephoned
CONTRACTOR'S NAME/COMPANY Bill Dalke/ Rancho Laguna Builders Lic. No. 6678520 Class(B
Contractor's Address
Contractor's E-mail Address
1433 Coral Drive
wmbdalke@aol.com
City Laguna Beach
State CA
Zip 2651 Telephone (949) 422-0892
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. — 1703
03
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.' es
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $