HomeMy WebLinkAboutXR2023-1355 - Permit ApplicationPrint Form
F Comm'I
Worksheet for Combo Building & Solar Permit Application 0111
Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTALS,,.aa+
FC Building F_ Gr ing r inage V Elec rX Mech
r Plum Cu Yd CutF Cu Yd Fill F
Project Addlres aping address) Flood
j Fire Liq F_Landslide �N/A Floor Suite No
7200 Pembroke Lane
�—
Description of Work
Use R3 ConstType VB —
Remodel/addition to existing residence. Remove all walls and leave existing slab. Add to slab
# Stories #Units (if Res)
Valuation
New/Add SF 1,011 Remodel SF 1876 Garage/New/Add 81
$ 25,000
Material/Labor
/0v /
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OWNER'S NAME Last Legacki
First Lauren and John
Owner's Address
Owner's E-mail Address
1200 Pembroke Lane
City Newport Beach State CA
Zip 92660 Telephone
APPLICANT'S NAME Last Ismith
First Craig
Applicant's Address
Applicant's E-mail Address
1041 W. 18th St., Suite A-208
craig@csmitharch.com
City Costa Mesa State CA
Zip 92627 Telephone 49-764-0010
ARCHITECT/DESIGNER'S NAME Last Smith First Crai 9 Lic. No. C20154
Architect/Designer's Address
Architect/Designer's E-mail Address
1041 W. 18th St., Suite A-208
craig@csmitharch.com
City Costa Mesa State CA
Zip F27 Telephone 949-764-0010
ENGINEER'S NAME Last Shucri
First aghi Lic. No. C43205
Engineer's Address
Engineer's E-mail Address
112 E. Chapman Ave., Suite D
City Orange State CA
Zip F66 Telephone 14-997-9120
CONTRACTOR'S NAME/COMPANY
Lic. No. �— Class F—
Contractor's Address
Contractor's E-mail Address
City State [--
Zip F__ Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO. ,V/' py> " �
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. QG11�_1411%
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $