HomeMy WebLinkAboutX2021-3424 - Permit ApplicationPrint Form VY001heet for Combo Building & Solar Permit Application R>
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F Comm'I X Reside ial City of Newport Beach - Building Division o?Iz
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
5ZBuilding Fj? Gra ' Drainage 'f—Elec Mech -Plum cuvdCut 12 Fill F41
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Project Address (Not mailing address) Flood g Fire j- Liq f-- Landslide A Floor Suite No
1227 Berkshire Lane
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Description of Work
Use Const Type -B sprin
New 5 bedroom, 51/2 bath SFD with attached ADU
over the 3-car
garage.
# Stories[ # Units (if Res)r 2
aluation $ �y Syr
Material/Laboy �) 10% W o�
/
New/Add SF{�+� ✓ ✓ v Remodel SF
i
Garage/New/Add e i
OWNER'S NAME Last Rucker
First Lloyd
Owner's Address
ff () Newport Center Drive
Owner's E-mail Address
City Newport Beach State CA Zip 92660 Telephone 949-463-4509
APPLICANT'S NAME Last Rucker
First Lloyd
Applicant's Address
60 Newport Center Drive
Applicant's E-mail Address
City Newport Beach v State CA
Zip F2660 Telephone 49-463-4509
ARCHITECT/DESIGNER'S NAME Last Hernandez First oseph Lic. No. C-21038
Architect/Designer's Address
Architect/Designees E-mail Address
19092 Callaway Circle
Iouiegroup@aol.com
City Huntington Beach State CA m
Zip 92648 Telephone 14-374-7034
NGINEER'S NAME Last Hussey
First oshua Lic. No. 70494
Engineer's Address
17642 El Nopal Lane
Engineer's E-mail Address
oshua.hussey@gmail.com
ty Huntington Beach State CA
Zip F2647 Telephone 424-634-0128
CONTRACTOR'S NAME/COMPANY 6I� Lic Nof Class
Contractor's Address
Contractor's E-mail Address
City _ State `
Zip F_ TelephoneF _
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
E ZONE DEVELOPMENT NO
PLAN CHECK FEES $