HomeMy WebLinkAboutXR2022-2332 - Permit ApplicationForm Worksheet for Combo Building & Solar Permit Application aw
Comm I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OFCI IRMITTAI
r Building F_ Grading
rDrainage (X Elec r Mech (K Plum Cu Yd Cutr Cu Yd Fill
Project Address (Not mailing address) F Flood r Fire r Liq r Landslide rN/A Floor Suite No
li Sundial
�—
Description of Work
UseF_ Const Type r-
# Stories # Units (if Res)r—
I pizza oven I g s ire I I nc oun an m
se I g u er
Valuation $
Material/Labor 18FOOO
New/Add SFr-�-
RemodelSF�—
Garage/New/Add—
OWNER'S NAME
Last Weaver
First
Owner's Address
Owner's E-mail Address
6 Sundial
City Newport Coast
State Ca
Zip 92657 Telephone 949.664.2019
APPLICANTS NAME
Last Ellison
First Paul
Applicant's Address
Applicants E-mail Address
24642 via raza
paul@dpspermits.com
City lake forest
State Ica
Zip 92630 Telephone 949.683.9861
ARCHITECT/DESIGNER'S NAME Last
First F_
Lic. No. r--
Architect/Designer's Address
Architect/Designers E-mail Address
City F
State F
Zip F_ Telephoner ---
ENGINEER'S NAME
Last Korntved
First Daniel Lic. No. 2541
Engineer's Address
Engineer's E-mail Address
2546 Montclair St
City San Diego
State Ca
Zip 92104 Telephone 619.841.8241
CONTRACTOR'S NAME/COMPANY Urban LaAdscape
Lic. No. 962251 Class rB —
Contractor's Address
Contractors E-mail Address
895 Dove St
•
City Newport Beach
State Ca
Zip 9266 , Telephone 949.254.5631
F2c22-o5Sq
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.41,02Z- Z33 &z2�7,i$
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. C OZZ_ Zl 76
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $