HomeMy WebLinkAboutX2021-0523 - Permit Application (3)'t�rm Worksheet for Combo Building & Solar Permit Application
r Comm'I City of Newport Beach - Building Division
r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading rDrainage r Elec r Mech r; Plum
Address (Not mailing address) r Flood r Fire F Liq
Cu Yd Cut Cu Yd Fill
r Landslide 4h1A Floor
805 Glenwood Lane I
of Work
Remodel; Kitchen, Laundry, Bathroom 2&3, Powder room per plans. Re -frame roof above
Vindows throughout. I vertical board exterior finish front of house. New skylights at kitchen.
Suite No
Use R3 ConstType VB
# StoriesF- # Units (if Res)F_
Valuation 5
New/Add SF 4 Remodel SF 2,560 Garage/New/Add r— Material/La 24
OWNER'S NAME Last De Sigio First Julian & Neda
Owner's Address Owner's E-mail Address
1805 Glenwood Lane ndesigio4@gmail.com
City Newport Beach State Ca Zip 92660 Telephone 949-929-8356
APPLICANT'S NAME Last Ilmendarez First
Applicant's Address
24361 Conejo #3
City Laguna Hills State Ca
Applicant's E-mail Address
Oz. almendarez@gma i L com
Zip 92656 Telephone 951-990-4834
ARCHITECT/DESIGNER'S NAME Last Almendarez First Oscar Lic. No, B980490
Architect/Designer's Address
24361 Conejo #3
City Laguna Hills State Ca
Architect/Designees E-mail Address
Oz. almendarez@gmail.com
Zip 92656 Telephone 951-990-4834
ENGINEER'S NAME Last Ventocilla First Pose Lic. No. C47942
Engineer's Address
24636 Cresta Court
City Laguna Hills State Ca
Engineer's E-mail Address
felichin@cox.net
Zip 92653 Telephone 949-910 0942
tONTRACTOR'S NAME/COMPANY TBD—,-AP40Q Lic. No. qd 3G3 Class Pri
Contractor's Address
3
City CC�#^ PQZ(Q State c� _
SETBACKSREAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
Zip �Z6�6 Telephone �l
PERMIT NO. IV W W9
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $