HomeMy WebLinkAboutX2022-0149 - Permit Application_Print Form Worksheet for Combo Building
r Solar Permit Application
Comm'I & SodEw oRt
GZ Residential City of Newport Beach - Building Division
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMIT
9 UZ Grading RDrainage TAL R Elec jj,' Mech
[Z Plum Cu Yd Cut 72 Cu Yd Fill 140
Project Address (Not mailing address I-- Flood
1) f Fire �'Liq Landslide rN/A Floor
Suite No
10 ApOlena Avenue, Balboa Island
Description of Work
Demo Existing Dwelling. Construct New Three Story, Single -Family Dwelling with Junior Use FR yp
-AqConstT a -BNR
Way,Z ZS (f # Storiesr3 # Units (if Res)r1
J � O
New/Add a
Remodel SF� Garage/New/Add 400 sf Valuation $ Fs
5,000.00
Material/Labor
OWNER'S NAME
Last Burns
Owner's Address First Clint
1508 Balboa Avenue Owner's E-mail Address
cbums@thenextup.com
City FBalboa Island
State CA Zip 92662 Telephone 714-366-22 33
APPLICANT'S NAME
Last Architect
Applicant's Address ...—I
Applicant's E-mail Address
City r
State I —
ZIP r— Telephoned
ARCHITECT/DESIGNER'S NAME
Last Harrison First Ian
Architect/Designer's Address Lic. No. C-6947
220 Newport Center Drive, Suite 11-342 Architect/Designer's E-mail Address
Newport Beach State Cla n @ I an H arnsonArch itect.com
City A
Zip 92660 Telephone 949-723-1091
ENGINEER'S NAME
Last Gabriel First Michael
Engineer's Address Lic. No. 5-2939
483 East 20th Street Engineer's E-mail Address
mrgse@earthlink.net
City Costa Mesa
State CA Zip 92627 Telephone 949-646-6596
CONTRACTOR'S NAME/COMPANY
V lT,4RLL`%
Contractor's Address
City I �.L3�A I�litr.l!!) State I �/"
SETBACKS REAR SETBACKS FRONT
e�N�i�ttC; p.�Ik,.. ��$`(/$ Class
Contractor's E-mail Address
�1lTAcL'c�c caNsr�oererkr (6(vvAIL C,,
Zip 92.66 Telephone
`'14q- 6-77-k&77
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SETBACKS LEFT —� PERMIT NO. �(� 2Zi
SETBACKS RIGHT PLAN CHECK NO. O
USE ZONE � li'(p
DEVELOPMENT NO "DUZZ'Ot740 PLAN CHECK FEES $ `fFi1$ `��