HomeMy WebLinkAboutXR2023-1066 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application r o4,Y
Comm] F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
RBuilding r—Grading j—Drainage DZElec GZMech
Plum CuvdcutF-- cuvdFill F_
Project Address (Not mailing ad r Flood
r Fire r Liq r Landslide I —N/A Floor Suite No
1404 West Bay Avenue
Description of Work
Use FFR ConstType -B NR
Remodel Existing Single -Family Two -Story Dwelling. Remodel Existing Kitchen and Master
# StoriesF # Units (if ResF
Siding and Roofing, Living Room Doors with New Sliding Doors, All
Windows and FAU System.
D.,. 1- All AAA AL.•.• D..•.F •..••.. W:a:.... D-.I�......
Valuation
New/Add SF� Remodel SF 680 sf Garage/New/Add
$760,000.00
bor
Material/Labor
OWNER'S NAME Last Pilalas
First Froy
Owner's Address
Owner's E-mail Address
1404 West Bay Avenue
tpilalas@earthlink.net
City I Newport Beach State CA
Zip F92661 Telephone d-M-`n-SCO-70
APPLICANT'S NAME Last Architect
First
Applicant's Address
Applicant's E-mail Address
City State F—
Zip F—TelephoneF
ARCHITECT/DESIGNER'S NAME Last Harrison First Ian Lic. No. C-6947
Architect/Designer's Address
Architect/Designer's E-mail Address
20 Newport Center Drive, #11-342
Ian@lanHarrisonArchitect.com
City Newport Beach State CA
Zip F92660 Telephone 949-887-4534
ENGINEER'S NAME Last Rezaei
First Ali Lic. No. 41068
Engineer's Address
Engineer's E-mail Address
18021 Skypark Circle, E2
ali@rce-eng.com
City Irvine State CA
Zip 92614 Telephone 949-723-1091
CONTRACTOR'S NAME/COMPANY O.krEin+e �Sta'^ NaMeb•.,Iu� .kC,Lic.No. F9q7Y9q Class F13
Contractor's Address
Contractor's E-mail Address
219 ^GL(ln-2 S(-Lz�e_ tF
�0.C�jQLJO o:nlCwg{e�m,C-0_ .
City I N e alj,:>C4- Oe c c I State FET_
Zip 9 T6 Telephone ti 7)
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. `-" L
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
6
�I
LPent Form Worksheet for Combo Building & Solar Permit Application o�EwPCaa
j"- Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding I- Grading F-Drainage r Elec F-Mech
r Plum CuYdCut F CuvdFill F
Project Address (Not mailing address) r- Flood
(- Fire r Liq F Landslide rN/A Floor Suite No
Description of Work
Use ConstTypeF__
# StoriesF— # Units (if Res)F—
Valuation $
Material/Labor
New/Add SFF— Remodel SFF— Garage/New/Add F--
OWNER'S NAME Last �/�� �(� First
Owner's Address
Owner's E-mail Address
A(� q /
City v� State
Zip rTelephone - [
APPLICANT'S NAME Last First
Applicant's Address
Applicant's E-mail Address
City I V��J State
Zip Z5W(P neill ILk
ARCHITECT/DESIGNER'S NAME Last
First F Lic. No. F—
Architect/Designer's Address
Architect/Designers E-mail Address
City State F—
Zip F_ Telephoned
ENGINEER'S NAME Last
First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City State F
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANYv/I 4„ ;� ` �4 -� Lic. No. �{7 Class Til
Contractor's Address
Contractor's E-mail Address
c2c��T�-1
City State
�� � �
Zip (� Tele hone
I Z l p t�{-�j�l-S�ZCd�
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $