HomeMy WebLinkAboutXR2023-0503 - Permit ApplicationF int Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
r Comm'I r Residential
,'�OTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
IX Building r Grading Drainage r Elec r Mech r Plum Cu Yd
Project Address (N ' ng address) f Flood F Fire r Liq r
20202 ORCHID St 3 7 3 b (--CA
Cu Yd Fill
[_N/A Floor Suite No
F-
Description of lVork
QFMO/RFrQNSTRI ICT GARAGE WITH ADDITION i IV StorIesF_ # Units (if Res)F_
New/Add SF 89.00000000 Remodel S ?��OD Garage/New/Add 28. 000000i
OWNER'SNAME Last IDUD
Owner's Address
20202 ORCHID St
City Newport Beach State CA
APPLICANTS NAME Last
Valuation $
2727 4 10 O
First IKELLY AND TOMS
Owner's E-mail Ad ss
�EIIYclu�ley�'y'M`a,,..CUVL� ���J.L
Zip 92660 Telephon 9yg 3o T S�/9cn
First
Applicant's Address Applicant's E-mail Address
1041 W. 18th St, (A106) Jason@richartdesign.net
City Costa Mesa State CA Zip 92627 Telephone 949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No r-�
ArchitectlDesigner's Address Architect/Designees E-mail Address
1041 W. 18th St, (A106) Jasonaa richartdesign.net
City Costa Mesa State CA Zip 92627 Telephone 949-422-9191
ENGINEER'SNAME Last JAMIL First BASHAR
Lic. No.F�
Engineers Address Engineer's E-mail Address
751 SHASTA DRIVE
City (CORONA State CA Zip 92881 Telephone 714-883-4124
CONTRACTOR'S NAME/COMPANY
Contractors Address
(� 7 FE CI, � JC fs Lic No. /O-) 99
2 Class
l y9IL04)_ Sk `�
City W1 e5 H State C,q
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
Contractor's E-mail Address
✓ Zip -TZ61Z7 TelephoneF-
PERMIT NO.
PLAN CHECK NO. `�re l �
PLAN CHECK FEES $
USE ZONE
DEVELOPMENT