HomeMy WebLinkAboutX2021-0135 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application &SUBMITTAL
Comm'I OZ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE ATTIME OF F.
ow+
DZBuilding PZGrading GZDrainage DZElec DZ Mech GZplum CuvdCut 72 CuvdFill 140
Project Address (Not mailing address) PZ Flood r Fire [Z Liq r Landslide rN/A Floor Suite No
16 SAPPHIRE AVENUE, BALBOA ISLAND�—
Description of Work
Use FR Contt Type B-NR
Demolish Existing Dwelling. Construct New Three
-Story, Single -Family Dwelling with Attached
# Storiesl3 # Units (if Resf 1
Valuation $F$520'000.00
New/Add 5 Remodel Ga dd
,IJMaterial/Labor
OWNER'S NAME Last Perry First Daniel
Owner's Address - -
Owner's E-mail Address
26073 Shadow Rock Lane
�perry@riversidecompany.com.
City Valencia State CA Zip 1381 Telephone 818-749-4139
APPLICANT'S NAME Last Architect First
Applicant's Address Applicant's E-mail Address
City _ State r Zlp F_____— TelephoneFs
ARCHITECT/DESIGNER'S NAME Last Harriso _ First Ian Lic. No. C-6947
Architect/Designer's Address Architect/Designer's E-mail Address
220 Newport Center Drive, Suite 11-342 Ian@lanHarrisonArchitect.com -
City Newport Beach State CA Zip r92660 Telephone 949-723-1091
GINEER'S NAME Last Gabriel First Michael Lic No. s-2939
Engineer's Address Engineer's E-mail Address
483 East 20th Street mrgse@earthlink,net
City Costa Mesa State CA Zip 92627 Telephone 949-646-6596
CONTRACTOR'S NAME/COMPANY Lic. No. F— Class
Contractor's Address Contractor's E-mail Address
city State F_ Zip Telephoned
SETBACKS REAR SETBACKS FRONT PERMIT NO.Xi,514- 0135 X IA2I-013b
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO 1 ^ PLAN CHECK FEES $