HomeMy WebLinkAboutXR2023-2074 - Permit Application (3)Print Form I Worksheet for Combo Building & Solar Permit Application
r Comm'1 FX- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rXBuilding r Grading
rDrainage r Elec r Mech r Plum CuvdCut F CuydFill F
Project Address (Not mailing address) F_ F_ Fire F_ Liq F- Landslide I —N/A Floor Suite No
717 Balboa Blvd Newport Beach I I
west
Description of Work
Use sfr ConstType vb
# StoriesF_#Units (if Res)
Replace windows replace roofing replace exterior siding and fascia
Valuation S
New/Add SF �
Remodel SF� Garage/New/Add F—
5,000
Material/Labor
OWNER'S NAME
Last Robinson First Scott
Owner's Address
Owner's E-mail Address
17 W Balboa BLVD
City Newport Beach
State CA Zip 92660 Telephone 492800416
APPLICANTS NAME
Last Richert First Jason
Applicant's Address
Applicant's E-mail Address
1041 W. 18th St, (A106)
Jason@richartdesign.net
City Costa Mesa
State CA Zip 92627 Telephone 949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
1041 W. 18th St, (A106)
Jason@richartdesign.net
City Costa Mesa
State CA Zip 92627 Telephone 949-422-9191
ENGINEER'S NAME
Last Iwanket First neil Lic. No.F-
Engineer's Address
Engineer's E-mail Address
City
State CA Zip F Telephone[
CONTRACTOR'S NAME/COMPANY Lic. No. Class
Contractor's Address
Contractor's E-mail Address
City
State F_ Zip F TelephoneF_
SETBACKS REAR
SETBACKS FRONT PERMIT NO. 9' W *
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NOO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $