HomeMy WebLinkAboutX2021-0858 - Permit Applicationr__PH_nt_Form_j Worksheet for Combo Building & Solar Permit Application
F_ Comm'I r Residential _ City of Newport Beach - Building Division iF
�� TE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r Building Grading
fir Elec rMech r Plum Cu vd Cur Cu Yd FmProject
Address (N��Dramage
address) �[FIOOd r Fire iq r Landslide �N/A Floor Suite No
607 36th St.
Description of Work
Use R-3 ConstType V-B
# StoriesF2 # Units (if Res)F
Int./ Ext. remodel to (E) SFD w/
attached 2 car garage. Includes landscape, hardscape, bbq, new
awning extension, replacedoors/ windows, roof other ea ena s. New int. stair, fireplace
appliances, kitchen, materials,
fixtures, appliances, & minor wall demo. NO added sq. footage.
I
New/Add SFFo—
Remodels _ Garage/New/Add OF
Valuation $ 0
Material/Lab $
OWNER'S NAME Last Brunner First I Robert
Owners Address
Owner's E-mail Address
607 36th St.
brunnerr@pacbell.net
City Newport Beach
State CA Zip 92663 Telephone (213) 840-7555
APPLICANTS NAME
Last Same as Owner First
Applicant's Address
Applicants E-mail Address
City
State ��— Zip Telephoned
ARCHITECT/DESIGNER'S NAME Last Meddock First Chnsto her
p Lic. No. C 35215
Architect/Designer's Address
Architect/Designees E-mail Address
42 Seabird Ct.
chris@meddockarchitects.com
City Newport Beach
State CA Zip 92663 Telephone F949) 510-4059
ENGINEER'S NAME
Last Burke First Thomas Lic. No. 5088
Engineers Address
Engineer's E-mail Address
151 Kalmus Dr., Bldg. E-140
Tom@BurkeSE.com
City Costa Mesa
State CA Zip 92626 Telephone (657) 289-0460
CONTRACTOR'S NAME/COMPANY TBD Lic. No. ClassF
Contractors Address
Contractors E-mail Address
city I
State F Zip F Telephonel
STBACKS REAR
SETBACKS FRONT PERMIT NO.
SETACKS LEFT
A
SETBACKS RIGHT PLAN CHECK NO. •r .
f/
USE -ONE
DEVELOPMENT NO PLAN CHECK FEES $