HomeMy WebLinkAboutXR2023-1503 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application Moo),
7- Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FFFS nI IF AT TIKAF Or: ci 1MRA rA1
FxBuilding rGrading rDrainage rElec r'Mech rPlum CuYdCut CuydFill
Project Address (Not mailing address) r Flood r Fire F_ Liq r Landslide rN/A Floor Suite No
I 96,01
r- �-
Description of Work
Use RM Const Type VB
# Stories # Units (if Res) 1
TiOUP �1iE1�1DIILE�7r
PV Fr
Valuation $ g0,000
Material/Labor
New/Add SFIO Remodel
SF 330 Garage/New/Add r0 —
OWNER'S NAME Last MATHIS First SUE
Owner's Address
Owner's E-mail Address
27 COVENTRY
SUE2005@MSN.COM
City NEWPORT BEACH
State CA Zip 92660 Telephone (949) 922-8848
APPLICANT'S NAME Last
Powell First Elizabeth
Applicant's Address
Applicant's E-mail Address
20561 SUBURBIA LANE
LIZ@SKYVIEWHOMES.COM
City HUNTINGTON BEACH
State CA Zip 92646 Telephone (714)963-4600
ARCHITECT/DESIGNER'S NAME
Last Howell First Elizabeth Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
20561 SUBURBIA LANE
LIZ@SKYVIEWHOMES.COM
City HUNTINGTON BEACH
State CA Zip 92646 Telephone (714)963-4600
ENGINEER'S NAME Last
FORBES First DALE Lic. No. C-30407
Engineer's Address
Engineer's E-mail Address
1800 EAST 16th St. SUITE B
dale@esifine.com
City SANTA ANA
State CA Zip 92701 Telephone (657) 335-4108
R'S NAME/COMPANY
��// // Lic. No. 5j^jy�_vt ClassF
/�cTa,2 &-Z
ddress
/
Fontractor's
ontractor's E-mail Address
�
State — Zip v/ G(� L/ Telephone 7/ Al- 30 5 ��
SETBACKS REAR
SETBACKS FRONT PERMIT NO. '2093 T�
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.� -/
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $