HomeMy WebLinkAboutXR2022-2117 - Permit ApplicationInt Form Worksheet for Combo Building & Solar Permit Application
Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
ix Building Grading I Drainage �Elec �Mech ( Plum cwdcutF CuVdFill
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Project Address (Not mailing address) f Flood F_ Fire F Liq F_ Landslide F_N/A Floor Suite No
F
1618 Highland Dr Newport Beach
Description of Work
Use sfr Const Type I'b
# Stories # Units (if Res)
1. New Mud room & bathroom addition 2. Master bedroom addition & remodel 3. remodel
i e o e balcony 5 New California room
Valuation $
_
New/Add SF 588 Remodel SF 2,908 Garage/New/Add F
Material, Ubor
Id12DW
a
_
OWNER'S NAME Last Morehead First Justin
Owner's Address Owner's E-mail Address
1618 Highland dr jmorehead@crhmi.com
City Fewport Beach State CA Zip F— Telephone F9493944515
APPLICANT'S NAME Last Richart First Jason
Applicant's Address Applicant's E-mail Address _
1041 W. 18th St, (Al06) Jason@richartdesign.net
city Costa Mesa State CA Zip 92627 Telephone 949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
1041 W. 18th St, (Al06) Jason@richartdesign.net
City Costa Mesa State CA Zip 92627 Telephone 949-422-9191
ENGINEER'S NAME Last AA 2-1 First � Lic. No.r
r
Engineer's Address Engineers E-mail Address _
City State CA Zip TelephoneF
CONTRACTOR'S NAME/COMPANY y I ^ Lic. N r )ovp D g �,� Classt
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r\�AiWvC.1ov4n`txra/hctor—s
Contractors Address E--mail Address
City F State F_Zip � Telephoned
SETBACKS REAR SETBACKS FRONT PERMIT NO. 2-1 (q
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $