HomeMy WebLinkAboutX2021-2775 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o4 `""!2
F-I Comm'I IX Residential
City of Newport Beach - Building Division F
NOTE: PLAN CHECK FEES DUE ATTIME OF SUBMITTAL
Building F". Grading
r Drainage r Elec r Mech F` Plum Cu Yd Cut N/A Cu Yd Fill N/A
Project Address (Not mailing address) C Flood I— Fire F` Liq r Landslide F'-N/A Floor
�S`ui`teNNoo
Newport Beach, CA 92661
1813 E Balboa Blvd,
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Description of Work
Use FU j Const Type VB
Replace al I winnows and dnors.
remodel a round floor bathroom. and add Butler Pantry at
#Stories #Units (if Res 1
former dining area. Remove
Kai pond, Jacuzzi, and rebuild exterior barbeque.
Valuation $
New/Add SFFo
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IV Remodel SF . Garage/New/Add F0
$200
Material/Labor 000
OWNER'S NAME
Last Ostoich First Mark &Liz
Owner's Address
Owner's E-mail Address
1813 E Balboa Blvd
lizostoich@yahoo.com
City Newport Beach
State CA Zip F92661 Telephone 951.288.5828
APPLICANT'S NAME
Last Hatrak First Karl
Applicant's Address
Applicant's E-mail Address
P.O. Box 424
khatrak@gmaiLcom
City Rancho Mirage
State CA Zip 92270 Telephone 760.774.8188
ARCHITECT/DESIGNER'S NAME Last Guerrero '.. First rGreg Lic. No. FC 18095
Architect/Designer's Address
Architect/Designer's E-mail Address
13782 Hawthorne Blvd.
gregory.g.guerrero@gmaiLcom
City Hawthorne
State CA Zip 90250 Telephone 310.675 6672
ENGINEER'S NAME
Last see Architect First —'_ Lic No.r
Engineer's Address
Engineers E-mail Address
City
! State F Zip �—; Telephone[
CONTRACTOR'S NAME/COMPANY Innovative Building Design / IBD '- Lic. No. 799036 Class
Contractors Address
Contractor's E-mail Address
P.O. Box 424
khatrak@gmaii.com
City Rancho Mirage
State CAZip 92270 Telephone 760.774 8188
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REAR
SETBACKS FRONT PERMITNO.LEFT
E
SETBACKS RIGHT PLAN CHECK NO.
DEVELOPMENT NO PLAN CHECK FEES $