HomeMy WebLinkAboutXR2023-0670 - Permit Applicationhurt Form :Worksheet for Combo Building & Solar Permit Application
i Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r..
rBuilding r Grading
(—Drainage FX_ Elec FX_Mech jX Plum CuYdCut n/a CuvdFill n/a
Project Address (Not mailing address) F_ Flood F— Fire r Liq F_ Landslide F_N/A Floor Suite No
388 MEADOW LANE
Description of Work
Use SFD Const Type VB
# Storiess # Units (if Res)s
INTERIOR REMODEL TO AN EXISTING
1 -STORY SINGLE FAMILY RESIDENCE WITH ATTACHFD 2-
CAR GARAGE.
Valuation$
New/Add SFF
Remodel SF 1,375 Garage/New/Add I �
10,000
MMaterial/Labor r$1
OWNER'S NAME
Last KAYNE First KOCINE & JON
Owner's Address
Owners E-mail Address
388 MEADOW LANE
City NEWPORT BEACH
State rCA Zip 92660 Telephone
APPLICANT'S NAME
Last BENSON First PIEFFIREY
Applicant's Address
Applicant's E-mail Address
234 BROADWAY
JB@BDANDARCH.COM
City I COSTA MESA
State CA Zip 92627 Telephone (949) 534-2724
ARCHITECT/DESIGNER'S NAME Last BENSON First JEFFREY Lic. No. C32268
Architect/Designees Address
Architect/Designees E-mail Address
234 BORADWAY
JB@BDANDARCH.COM
City COSTA MESA
State CA Zip 92627 Telephone (949) 534-2724
ENGINEER'S NAME
Last VOLPE First ROBERT Lic. No. CE25116
Engineers Address
Engineers E-mail Address
20321 LAKE FOREST DRIVE, SUITE D6 bob@rmvolpe.com
City ILAKE FOREST
State CA Zip 92630 Telephone F49) 305 4700
CONTRACTOR'S NAME/COMPANY TBD 1�qlh j r cc) C�5 Yu C ' jam» Lic No. �O9pf� 2 Class
Contractor's Address
Contracttor's E-mail Address
M
%C/YIJI C� �iChCh Gvlc-1 /r�J fl
city sc'-A cl Ai State i � Zip (72 707 Telephone 7/-'/ Z)
SETBACKS REAR
SETBACKS FRONT PERMIT NO. Q('�ZZ.�jL,,.7��j — ObgD
SETBACKS LEFT
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SETBACKS RIGHT PLAN CHECK NO."G S — (]S 6 1
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $