HomeMy WebLinkAboutX2021-1907 - Permit ApplicationXUUJ-,�Io�'
Worksheet for Combo Building & Solar Permit Application Of
Comml [Z Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
VZBuilding F_Grading Drainage 7Elec r—Mech GZ Plum Cu Yd Cut l Cu Yd Fill
Project Address (Not mailing
r Flood j` Fire r Liq r Landslide ['-••.N/Aj Floor
I Rue Fontainebleau, Newport Beach, CA 92660 I
Description of Work
Interior bathroom remodel at master and secondary bathroom. Repair of party wall as required.
New/Add SFF0__- Remodel SF 186� Garage/New/Add
OWNER'S NAME Last
First
Suite No
Use R3 , ConstType �VB
# StoriesFl # Units (if Res)F _1I
Valuation $ F0000
Material/Labor
Owner's Address Owner's E-mail Address
38 Rue Fontainebleau kathieharris@me.com
City Newport Beach State CA Zip 92660 Telephone 949-322-5947
APPLICANT'S NAME Last
Applicants Address
11 1541 W. Amerige Ave.
City Fullerton Stare (CA ~
First Maxwell
Applicant's E-mail Address
imaxwelldesigned@gmaii.com
Zip 92833 Teiephoue714-803-6C5.
ARCHITECT/DESIGNER'S NAME Last McCann First Maxwell I
, Lic. No. F__
Architect/Designer's Address
1541 W. Amerige Ave.
City Fullerton State CA
Architect/Designer's E-mail Address
Fmaxwelidesigned@gmail.com
Zip 92833 Telephone 714-803-6954
ENGINEER'S NAME Last McCann First Maxwell !. Lic.No.C77614._ -__
Engineer's Address Engineer's E-mail Address
1541 W. Amerige Ave. maxwelldesigned@gmaiLcom
City Fullerton State CA Zi 2833 Tele honelr714803 6954^,
CON TRACTOR'S NAME/COMPANY Lic. No. 57060 Class B
le Construction
Contractor's Address
6 Montreal
City liso Viejo State CA
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
lampleconstruction@gmaii.com
Zip 92656 Telephone 714-900-3697
PERMIT NO. T Ul IX
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $