HomeMy WebLinkAboutX2022-0256 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application SalF_ Comm'I � Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F_Grading
rDrainage rElec DtMech
Plum CurdCut CuYdFill
Project Address (Not mailing address) F_ Flood r Fire r Liq r Landslide I —N/A Floor Suite No
1515 Antigua Way
�—
Description of Work
Use F—Contt Type
New Type V Detached 262 s.f. ADU with dedicated sewer and water.
# Stories # Units_( Res)f 1
Valuation $ 100 000
Material/Labor
New/Add SF 262 Remodel SF Garage/New/Add �—
OWNER'S NAME
Last Kaufman
First Carter
Owner's Address
Owner's E-mail Address
1515 Antigua Way
arter@carterkaufman.com
City Newport Beach
State CA
Zip F2660 Telephone 949-294-6411
APPLICANTS NAME
Last agorarakis
First Denise
Applicant's Address
Applicant's E-mail Address
778 Lorenzo Ave
enise@xagdesigns.com
City Costa Mesa
State CA
Zip 92626 Telephone 949-422-4364
ARCHITECT/DESIGNER'S NAME Last agorarakis
First Denise Lic. No. F37154
Architect/Designer's Address
Architect/Designer's E-mail Address
778 Lorenzo Ave
enise@xagdesigns.com
City Costa Mesa
State CA
Zip 92626 Telephone 949-422-4364
ENGINEER'S NAME
Last Silva
First Christina Lic. No.37201
Engineer's Address
Engineer's E-mail Address
4482 Muela
morzdt@gmail.com
City Mission Viejo
State CA
Zip F2869 Telephone 49-795-6256
CONTRACTOR'S NAME/COMPANY BD
Lic. No. Class
Contractors Address
Contractor's E-mail Address
City
State F_
Zip F— TelephoneF_
SETBACKS REAR
SETBACKS FRONT 4d4
PERMIT NO. q 24i I i
SETBACKS LEFT
140 SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $