HomeMy WebLinkAboutX2021-3310 - Permit ApplicationPrint Form_ I Wor et for Combo Building & Solar Permit Application Cal
r Comm'I F_ Residential City of Newport Beach - Building Division
1 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F_ Grading
rDrainage rElec rMech F- Plum CuYdCut F CuvdFill F
Project Address (Not mailing address) F_ Flood r Fir L r Landslide rN/A Floor Suite No
262 Walnut St Newport Beach Ca 92663�—
Description of Work
Use UonstTypeV
Repair to 120 Square feet of Water Damaged Beams
# Stories # Units (if Res)s,
Valuation
New/Add SF�
Remodel SFF— Gara a/New/Add �
9
Material/Labor C-II VW
OWNER'S NAME
Last Richard First lAlyce
Owner's Address
Owner's E-mail Address
62 Walnut St
City Newport Beach State Ca Zip 92663 Telephone 949-244-9811
APPLICANT'S NAME
Last Meese First PaMie
Applicant's Address
Applicant's E-mail Address
5908 Jasmine St Ste 6
info@powellandassoc.com
City Riverside
State Ca Zip 92504 Telephone 951-352-3588
ARCHITECT/DESIGNER'S NAME Last First F Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
City
State F_ Zip F_ Telephoned—'
ENGINEER'S NAME
Last Rivera First Mark P Lic. No. C66864
Engineer's Address
Engineer's E-mail Address
5908 Jasmine St Ste B
info@powellandassoc.com
City Riverside
State Ca Zip 92504 Telephone 951-352-3588
CONTRACTOR'S NAME/COMPANY /?. ` � i� 0. On Lic. No. 02DLOSID Class
�l -1
Contractor's Address
CCoCntractor's E-mail Address
195l ►J. Mows S+ T\% - Ari _Apra h. Cprn
J
City
State U. Zip q Telephone1p� OAC(
REAR Lj
SETBACKS FRONT 5 PERMIT NO.
VBILEFT�j
SETBACKS RIGHT 3 PLAN CHECK NO.
DEVELOPMENT NO PLAN CHECK FEES $' v '
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