HomeMy WebLinkAboutX2019-0234 - Permit ApplicationPrint Form w ,r
KComm'I j- Residential 0
uilding ading j
Project ress (Not
4700 Lido Sands Drive
of Work
area to be remodeled.
for Combo Building & Solar Permit Application
City of Newport Beach - Building Division,XS PLAN CK FEES AT TIME OF �r—���� SUBMITTni
New/Add SF 1,150
Remodel SFF�
OWNER'S NAME
4100 SAVP
Owner's Address
CoMMUNLast (Glaze
It'� A'SSOGt�j'/pN
Lido Sands Drive
City Newport Beach
Cu Yd
r
Garage/New/Add F —
First
Owner's E-mail Address
State CA
ZIP 92663 Tot—i
APPLICANT'S NAME
LaApplicant's Address r�-, l
Cu Yd Fill I O
rN/A Floor
Suite No
Use A-3 Const Type V�
# Storiesll # Units (if Res)[_
Valuation $ SV(OGyy
Material/Labor
(949) 306-8339
3•171 Via Lido, Suite 202 Applicant's E-mail Address
City Newport Beach eric@fularch.com —
State CA Zip F92663
AP,CHITECT/DESIGNER'S NAME Telephone (949) 838-4139
FULSAAJ G �2GGE `Tg Last Fulsang
Architect/Designer's Address First Eric
C7VRE.' 1A►C. Lic No. IC30715
3471 Via Lido, Suite 202 Architect/Designer's E-mail Address
City Newport Beach eric@fularch.com
State CA Zip 92663
Telephone (gqg
ENGINEER'S NAME ) 838-4139
�� i0 �4RCI i I TEC st Poole
First Richard
Engineer's Address �� 6) t"i Q Lic No. 71869
3471 Via Lido, Suite 202 Engineer's E-mail Address
City Newport Beach
CONTRACTOR'S NAME/COMPANY
Contractor's Address
Gad vlp a.*Oft- .E- ?4—,4 aYay
city I S rae�� cT tT
n k@fularch.com —
State CA Zip 92663
Telephone (g4g) 838-4139
State I Zip
SETBACKS REAR SETBACKS FRONT
SETBACKS LFFT
USE ZONE
— SETBACKS RIGHT
Lic. No. le71 /tV2,? Class�
Contractor's E-mail Address
A4.Ia
92-4-7,3 Telephone qy __Zg_ ,G
PERMIT NO.
PLAN CHECK N&
DEVELOPMENT NO T
PLAN
CHECK FEES $ � 11