HomeMy WebLinkAboutXR2022-2357 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I rResidential City of Newport Beach - Building Division 2 o a>
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[X7Building F_Grading
rDrainage j—Elec F_Mech
rPlum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood [" Fire j— Liq (— Landslide (-N/A Floor Suite No
1525 HIGHLAND DR
�- IF --
Description of Work
Use F—Const Type
REMODEL TO KITCHEN AND NEW BATHROOM
# StoriesF # Units (if Resf—
Valuation $ 72,000
Material/Labor
New/Add SF� Remodel SF goo Garage/New/Add F
OWNER'S NAME
Last FOIGELMAN
First LISA
Owner's Address
Owner's E-mail Address
525 HIGHLAND DR
City NEWPORT BEACH
State CA
Zip 2660 Telephone (949) 836-3289
APPLICANT'S NAME
Last FOIGELMAN
First LISA
Applicant's Address
Applicant's E-mail Address
1525 HIGHLAND DR
City NEWPORT BEACH
State CA —
Zip 2660 Telephone (949) 836-3289
ARCHITECT/DESIGNER'S NAME
Last
First F— Lic No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City
_.._ State
Zip—. Telephoned
ENGINEER'S NAME
Last 1HAKEMI
First FAHIM Lic Nof—
Engineer's Address
Engineer's E-mail Address
6982 MARBELLA
MKAKEMI@GMAIL.COM
City MISSIONVIEJO
State CA
Zip 2691 Telephone714-427-9778
CONTRACTOR'S NAME/COMPANY
Lic. No. F— Class
Contractor's Address
Contractor's E-mail Address
City �
State F_
Zip F-- Telephone
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.Lot??r
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. (tjpj2 • L20G
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $