HomeMy WebLinkAboutX2022-0393 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application wkr
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F-Buildingr Grading
F-Drainage li Elec (X Mech
Fx- Plum Cu Yd Cuts Cu Yd Fill F
Project Address (Not mailing address) f Flood
r Fire r Liq r Landslide FN/A Floor Suite No
01 Playa
I (—
Description of Work
Use s ConstType s
ater damage repair: 1st floor Replace drywall, kit cabinets, vanity
in powder. MEP's
# Stories # Units (if Res)s
1c
22IW,
r�"3cl1g1(
5000
New/Add SFF_
Remodel SFF—Garage/New/AddF-
Valuation $
Material/Labor
OWNER'S NAME
Last Farpenter
First rancy
Owner's Address
Owner's E-mail Address
01 Playa
City ewport Beach
State A
Zip 2660 Telephone 49-644-8199
APPLICANT'S NAME
Last Tidy
First rIlison
Applicant's Address
Applicant's E-mail Address
659 Pepperwood Ave
LLPERMITS@GMAIL.COM
City ONG BEACH
State F7A—
Zip 0808 Telephone 62-746-2714
ARCHITECT/DESIGNER'S NAME Last rURLEY
First ON Lic. No. F_
Architect/Designer's Address
Architect/Designers E-mail Address
4583 Cherry st
onhurley55@gmail.com
City Prighton
State F_
Zip 0602 Telephone 19-248-2673
ENGINEER'S NAME
Last Cave t4g0e
First T Lic. No. C ?ig73y
Engineer's Address
Engineer's E-mail Address
----
City
State 7—
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY estotech Water & Fire Lic. No. 71494 Class
Contractors Address
Contractor's E-mail Address
oilfield, Ste 300
City Irvine
State FA_
Zip 2618 Telephone 00-995-8988
SETBACKS REAR
SETBACKS FRONT
PERMIT NO, 4 Zo zz -6G 93
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. 015 3 - Z622-
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $ KZS r �t 3