HomeMy WebLinkAboutXR2023-1052 - Permit ApplicationPrint Form ii Worksheet for Combo Building & Solar Permit Application��� arm
[- Comm1 (X Residential City of Newport Beach - Building Division [5�
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
IXBuilding [- Grading
[—Drainage DK Elec RMech
r Plum Cu Yd Cuts Cu Yd Fill F-
Project Address (Not mailing address) [- Flood [- Fire [- Liq r— Landslide [-N/A Floor Suite No
Description of Work
Use ConstType s
REMODEL3/BATHROOMS
# Storiess #Units (if Res)
Valuation $ F35,000.00
Material/Labor
New/Add SF� Remodel SF X �� Garage/New/Add
OWNER'S NAME
Last ROBINSON
First DAVID
Owner's Address
Owner's E-mail Address
SAME
A
City
State F
ZipF TelephoneF_
APPLICANT'S NAME
Last D d ��t j�q
First IJC�jtiJ /V ('
Applicant's Address
Applicant's E-mail Address
i S U)At?,)
Dew to ( S (�- A--vtT-1 uIjiSUtL IfS. f_,i
City I TX
State E
Zip ,���Cf'�- Telephone) ,P_
ARCHITECT/DESIGNER'S NAME Last D'AMBRA First DENNIS Lic. No. 281750
Architect/Designees Address
Architect/Designees E-mail Address
7752 WARNER AVE
DENNIS@ADDITIONBUILDERS.COM
City H.B,
State CALIF
Zip 92647 Telephone714/848-9668
ENGINEER'S NAME
Last �—
First Lic. No.s
Engineer's Address
Engineer's E-mail Address
N/A
city
State F
Zip F Telephone
CONTRACTOR'S NAME/COMPANY
D'MBRA,LNC.
Lic. No. 281750 Class
Contractors Address
Contractor's E-mail Address
7752 WARNER AVE
DENNIS@ADDITIONBUILDERS.COM
City H.B.
State CALIF
Zip 92647 Telephone 714/848-9668
SETBACKS REAR
SETBACKS FRONT
C
PERMIT NO. yQi2(/
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. 7�f(J3 OCtT7
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USE ZONE
DEVELOPMENT NO _
PLAN CHECK FEES $