HomeMy WebLinkAboutXR2023-1191 - Permit ApplicationPrint Form IWorksheet for Combo Building & Solar Permit Application
f Comm'I r Residential City of Newport Beach - Building Division o 4
NOTF' PI AN r.HFCK WPrC ni is AT Tmeo 1
VIII IML v
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FBuilding i— Grading rDrainage r Elec r Mech
r Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) i— Flood I— Fire j— Liq (— Landslide rN/A Floor Suite No
_Z C s F I—_
Description of Work
Use ConstType�
# Stories[ # Units (if Res)r—
ValuatiRemodel
/La$
bor /& G (J
SF�— SF�Garage/New/Add
�ateriaonNew/Add
OWNER'S NAME Last
First
r
Owner's Address
/� tt
Owner's E-mail Address
City J v"� State/��
/ �. r
I �
Zip I ZC-� .� Telep hone- � C_
APPLICANT'S NAME Last First
Applicant's Address
Applicant's E-mail Address
city �YG/State �—
zip /" Telephone
ARCHITECT/DESIGNER'S NAME Last First F— Lic. No. �—
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City - State �—
Zip r Telephone[—
ENGINEER'S NAME Last
First , t 4 Lic No. 2C S7
Engineer's Address
Engineer's E-mail Address
City °✓ 7„�� State'j
CJ_G-f
GI C.
zip
P Z�S Telephone
7�s-
CONTRACTOR'S NAME/COMPANY
I
Lic. No. F_ Class F—
Contractors Address
�l ra
Contractor's E-mail Address
`
City State �—
ZIP �— Telephone
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
t PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
Print Form
�✓ Worksheet for Combo Building & Solar Permit Application 0. m
Comm'[l� Residential City of Newport Beach -Building Division
(- ' \ NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL boa
rBuilding F-Grading F-Drainage F—Elec rMech
rPlum CuvdCut CuYdFill
Project Address (Not mailing address) f Flood
j- Fire r Liq r Landslide FN/A Floor Suite No
2401 Bayshore Dr
F_ �—
Description of Work
Use R3 Const Type VB
# Stories� #Units (if Res)F
Minor additions aDd addition of JADU. interior remodel. replace windows
and ext. doors. new
exterior finish and roof
Valuation $
New/Add SF 330 Remodel SF 546 Garage/New/Add 140
125,000
Material/Labor
OWNER'S NAME Last Moinfar
First Mike
Owner's Address
Owner's E-mail Address
2401 Bayshore Dr.
cgtmike@gmail.com
City Newport Beach State CA
Zip 92662 Telephone 619-572-6561
APPLICANT'S NAME Last Austin
First Pat
Applicant's Address
Applicant's E-mail Address
Cynthia Childs, Architect, 2732 E. Coast Hwy., Suite B
austinpl@aol.com
City Corona del Mar State Ca
Zip 92625 Telephone 949-718-3528
ARCHITECT/DESIGNER'S NAME Last cHILDS First Cynthia Lic. No. C-22985
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
Architect, 2732 E. Coast Hwy., Suite B
cchilds@ccarchitect.com
City Corona del Mar State CA
Zip 92868 Telephone 949-718-3528
ENGINEER'S NAME Last Tran
First John Lic. No. 62653
Engineer's Address
Engineer's E-mail Address
11251 Gardenaire Lane
idtran07@gmail.com
City Garden Grove State CA
Zip 92841 Telephone 714-815-2356
CONTRACTOR'S NAME/COMPANY
Lic. No. F-- Class
Contractor's Address
Contractor's E-mail Address
City State F
Zip F Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $