HomeMy WebLinkAboutXR2023-2606 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o�Es�a>a
Comm'I Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G,•aa.''
FBuilding r Grading rDrainage r Elec i— Mech
r Plum Cu yd Cut Cu Yd Fill F_
Project Address (Not mailing address) F_ Flood
r Fire r Liq r— Landslide FN/A Floor Suite No
207 Garnet Ave, Newport Beach, CA 92662
1 1
Description of Work
Use F—ConstType
Demolition of property
#Stories #Units (if Res)
11
Valuation 5
New/Add SFF— Remodel SFF— Garage/New/Add F_
FOOO
Material/Labor
OWNER'S NAME Last guyen
First avid
Owner's Address
Owner's E-mail Address
17272 NewHope Street Ste K
avid@keystonedcs.com
City Fountain Valley State FA
Zip 92708 Telephone 714-791-3771
APPLICANT'S NAME Last Tang
First Natalie
Applicant's Address
Applicant's E-mail Address
17272 Newhope Street Ste 207
Natalie@keystonedcs.com
City Fountain Valley State FA
Zip F2704 Telephone 714-722-8430
ARCHITECT/DESIGNER'S NAME Last /A First F_ Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City State F
Zip F TelephoneF
ENGINEER'S NAME Last /A First F__ Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City State 7—
Zip Telephoned
CONTRACTOR'S NAME/COMPANY eystone DCS, Inc.
Lic. No. 01329$ Class and B
..JJ
Contractor's Address
Contractor's E-mail Address
17272 Newhope
avid@keystonedcs.com
City Fountain Valley State PA
Zip 92708 Telephone 14-791-3771
SETBACKS REAR SETBACKS FRONT
PERMIT NO. LL-W&
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECKNO. 'PC/IA23` U-1b
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $