HomeMy WebLinkAboutX2022-1470 - Permit ApplicationG' Print F6EJ Worksheet for Combo Building & Solar Permit Application
ri Comm'I jX Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME nF cl iRneiTTni
IX!Building [, Grading j-;Drainage r!Elec rX!Mech j- Plum cuydcut ' Cu Yd Fill F
Project Address (Not mailing address) ❑ Flood f- Fire r- Liq r- Landslide SIN/A Floor Suite No
1846 leeward lane
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Description of Work ��
Use R3/U1ConstType F_
master bedroom
remodeling
# Stories # Units (if ResF 1
Valuation
aP;1000
Material/Labor
New/Add SFRemodel SFs— 185 —j
Garage/New/Add �-
OWNER'S NAME Last Valcek
First justln
Owner's Address
Owner's E-mail Address
18461eeward lane---- -
ivaicek@icloud.com
city newport beach state Catzip F026130 Telephone 49-230-589
:9
APPLICANT'S NAME Last wen
! First frank
Applicant's Address
A licar"s E-mail Address
1691 westcliff drive
frank@jwmarchitecture.com
city newport beach State ca
zip 92660 Telephone 949-642-5212
ARCHITECT/DESIGNER'S NAME Last wen First frank -Lic. No. c21825
Architect/Designees Address
ArchitecUDesigner's E-mail Address
same as above
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-- --- - --.. -. -- -------I City State—�
Zips Telephoned_ -- ---
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ENGINEER'S NAME Last hwsh Iand
I
_ First mike Lic. No. p0 2283
Engineer's Address
-
Engineer's E-mail Address
15 Studebaker
mhoushmand@gouvisgroup.com
city irvine state ca
Zip 92618 Telephone 949-752-16121
CONTRACTOR'S NAME/COMPANY owner /builder
Lic. No. Class;
Contractor's Address
Contractor's E-mail Address
City State
-- - - -- -
Zip[— Telephone
- 4rz
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. Lv
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $