HomeMy WebLinkAboutX2019-1470 - Permit Application (2),tForm Worksheet for Combo Building & Solar Permit Application
.omm'I fX Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX Building r Grading r—Drainage (X Elec r— Mech rX Plum Cu vd cut Cu vd Fill
Project Address (Not mailing address loos Fire Li �Cal,dslide FN/A Floor Suite No
1401 SEAWARD, UNIT 11 (�
Description of Work
Use F—Const Type F_
# StoriesF # Units (if Res)F
windows, egkwiar-deck, kitchen, master bedroom/bath. 46
Valuation $ / Z ��
Material/Labor
New/Add SFF7 Remodel SF 1,200 Garage/New/Add
OWNER'S NAME Last Kennedy
First David
Owner's Address
Owner's E-mail Address
401 Seaward Unit 11
david_c_kennedy@hotmail.com
City !Newport Beach State CA
Zip 92625 Telephone 805-796-4232
APPLICANT'S NAME Last (Same as Owner)
First
Applicant's Address
Applicant's E-mail Address
City State [_
Zip � Telephone[-
ARCHITECT/DESIGNER'S NAME Last Oldham First Ryan Lic. No. C-29715
Architect(Designer's Address _
Architect/Designer's E-mail Address
2651 E. Chapman Ave #110
ryan@oldham-architects.com
City Fullerton State (CA
Zip 92831 Telephone 714-482-8296
ENGINEER'S NAME Last Lothrop
First Shawn Lic. No. 55627
Engineer's Address
Engineer's E-mail Address
40810 County Center Drive
shaven@iseengineers.com
City Temecula State CA
Zip 92591 Telephone 951-600-0032
CONTRACTOR'S NAME/COMPANY 'S1.V1.A jlntiT RLt>T11M5 Lic. No. Class
ID5Sj0 I t]—
Contractor's Address
P_
Contractor's E-mail Address
ven� e fjUrtlCUn LT R2�3s. to''%
City r -)'3C-iNc4t State C O
Zip °'LG(o 3 Telephone O (Ljc) J''3D o) j'}
SETBACKS REAR SETBACKS FRONT
PERMIT NO. dQi — 70
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $