HomeMy WebLinkAboutXR2023-1710 - Permit Application (3)Pint! Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of Newport Beach - Building Division 3 ync,
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F-Building r Grading
rDrainage r Elec r Mech r Plum Cu Yd cut Cu Yd Fill F_
Project Address (Not mailing address) F_ Flood r Fire r Liq r Landslide FN/A Floor Suite No
2124 E Ocean Blvd, Newport Beach F_ F_
Description of Work
Use F—Const Type
# StoriesF_ # Units (if Res)F---
EXTERIOR REMODEL CONSISTING OF THE REMOVAL OF (1) EXTERIOR DOOR
EXTERIOR WINDOW AND REPLACING
WITH A NEW FRENCH DOOR.
Valuation $
Material/Labor V �GGV
New/Add SFFo_
Remodel SF Fo-- Garage/New/Add F--
OWNER'S NAME
Last Rose First Alice
Owner's Address ow—oweadjer
Owner's E-mail Address
1911 HOLLY TREE LANE
alicekellyrose@gmail.com
City Santa Ana
State CA Zip 92705 Telephone 714-925-4396
APPLICANT'S NAME
Last First
Applicant's Address
Applicant's E-mail Address
City
State F_ Zip F_ Telephoned
ARCHITECT/DESIGNER'S NAME Last Scott First Eric Lic. No. C-35040
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
21164 Via Canon
Eric@esarc.co
City Yorba Linda
State CZipA 92887 Telephone 714-643-8494
ENGINEER'S NAME
Last First Lic. No.1
Engineer's Address
Engineer's E-mail Address
City
State F— Zip F Telephoned
CONTRACTOR'S NAME/COMPANY Lic No. F Class
Contractor's Address
Contractor's E-mail Address
City
State F_ Zip r— Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. AlfOWPP 1110
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. • %Pl
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $