HomeMy WebLinkAboutX2021-2687 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm9 r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL U
fX Building r Grading j—Drainage (— Elec j- Mech F— Plum Cu Yd Cut
Cu Yd Fill
Project Address (Not mailing address) Flood (— Fire (— Liq r Landslide (—N/A Floor Suite No
47 LEMANS
Description of Work
PROPOSED UPSTAIRS BONUS ROOM Use FIR Const Type VB
REMODEL MASTER BATH SHOWER )2,Cri Lq 4a aAa # Stories2 # Units (if Res)( 7
r
New/Add SF q 4 Remodel SF 110 Garage/New/Add F— Valuation $ F1,
0,000
Material/Labor
OWNER'S NAME Last NIZAM
First BASEL & NELLIE
Owner's Address
LEMANS
City NEWPORT BEACH State CA
APPLICANT'S NAME Last Howell
Applicant's Address
20561 SUBURBIA LANE
City HUNTINGTON BEACH State CA
ARCHITECT/DESIGNER'S NAME
Last Howell
Owner's E-mail Address
basel. nizam@waldom. com
Zip 92657 Telephone
First
Applicant's E-mail Address
LIZ@SKYVI EWH OMES. COM
Zip 92646 Telephone (714)963-4600
First Elizabeth Lic. No. F—
Architect/Designer's Address Architect/Designer's E-mail Address
20561 SUBURBIA LANE
LIZ@SKYVIEWHOMES. COM
City HUNTINGTON BEACH State CA Zip 92646 Telephone (714)963-4600
ENGINEER'S NAME Last FORBES
First DALE Lic. No. C-30407
Engineer's Address
Engineer's E-mail Address
l800 EAST 16TH STREET, SUITE B
dale@esifine.com
City SANTA ANA State CA Zip 92701 Telephone (657) 335-4108
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City
SETBACKS REAR
SETBACKS LEFT
i
Lic. No. F Class
r Contractor's
—E-mail Address
State F Zip Il TelephoneF —
SETBACKS FRONT
PERMIT NO. X� " Z 6
USEZONE
SETBACKS RIGHT
DEVELOPMENT NO
PLAN CHECK NO.
PLAN CHECK FEES $