HomeMy WebLinkAboutX2021-2628 - Permit ApplicationPrint Form WorKsheet for GOMM Builaing & bolar Permit Application ��'`"'"""m
Comm'I F- Residential City of Newport Beach - Building Division ;
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G.,.ow."
(x Building r Grading
F-Drainage fx— Elec (x Mech F- Plum Cu Yd Cuts Cu Yd Fill
Project Address (Not mailing address) F_ Flood r Fire F_ Liq r Landslide (x N/A Floor Suite No
100 Bayview Circle
5th 5600
Description of Work
Use IB Const Type I -A
# Stories # Units (if Res)F
_._, -
fI
Valuation $318,000
Material/Labor
bor
5"�
New/Add SF Remodel SF y
Gara a/New/Add
g F
OWNER'S NAME
Last Edwards
First Peannie
Owners Address
Owners E-mail Address
100 Bayview Circle, Suite
230
jedwards@graniteprop.com
City Newport Beach
State CA Zip 92660 Telephone 949-725-9900
APPLICANT'S NAME
Last Oi
First Dickson
Applicant's Address
Applicant's E-mail Address
100 Oceangate, P-200
dickson@environarch.com
City Long Beach
State CA
Zip 90802 Telephone 562-264-0433
ARCHITECT/DESIGNER'S NAME Last Oi First Dickson Lit. No. C-32277
Architect/Designer's Address
Architect/Designer's E-mail Address
100 Oceangate, P-200
dickson@environarch.com
City Long Beach
State CA
Zip 90802 Telephone 562-264-0433
ENGINEER'S NAME
Last—
First I Lic. No.F—
Engineers Address
Engineers E-mail Address
City
State f
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY
Lic. No. f Class
Contractors Address
Contractors E-mail Address
City I
State F_
Zip F_ Telephones
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. ��iCDZ� %ib Pi
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $