HomeMy WebLinkAboutXR2023-1897 - Permit Application-Print Forrn J Worksheet for Combo Building & Solar Permit Application co °era
F Comm [Z Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL a
uilding rGrading
—Drainage —Elec (—Meth Plum cuvdCut F cuvdFill _
Project Address (Not mailing address) r Flood r— Fire r Liq r Landslide F N/A Floor Suite No
Chatham Ct.
�—
Description of Work
Use F—Const Type
Replace Shower Pan
- - -
# Stories[— # Units (if Resr—
New/Add SFF—
Remodel SF 7— Garage/New/Add F—
Valuation $ F50.00
Material/Labor
OWNER'SNAME
Last kVhelan First Daniel
Owner's Address
Owner's E-mail Address
2 Chatham Ct.
mnwhelantrust@gmail.com
City Newport Beach
State CA Zip F2660 Telephone 949-248-1098
APPLICANTS NAME
Last DiGiorgio First David
Applicant's Address
Applicant's E-mail Address
1671 W. Arrow Rte.
oastlinetileshower@yahoo.com
City Upland
State FA Zip 91786 Telephone 09-931-4550
ARCHITECT/DESIGNER'S NAME Last First', F—
Lic No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F Zip TelephoneF
ENGINEER'S NAME
Last , First Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F— TglephoneF--
CONTRACTOR'S NAME/COMPANY Coastline Tile and Shower Lic. No. 37001 Class 54, B
Contractor's Address
Contractor's E-mail Address
1671 W. Arrow Rte.
oastlinetileshower@yahoo.com
City Upland
State FA Zip 91786 Telephone 09-931-4550
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $