HomeMy WebLinkAboutU2025-0004 - Permit Applicationpant Form Worksheet for Combo Building & Solar Permit Application
jK Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
GO
Building rGrading
rDrainage F_Elec F_Mech j—Plum Cu vd Cut Cu Yd Fill
Project Address (Not mailing address) f Flood (— Fire j— Liq r Landslide FN/A Floor Suite No
120250 SW Acacia Street Newport Beach CA 92660 F-
Description of Work
Use F—Const Type
Install 3' high and 6' high wrought
iron fence T away from the property line
# StoriesF # Units (if Res)
Valuation 5 $7,000
Material/Labor
New/Add SFF
Remodel SF7_ Garage/New/Add Ir
OWNER'S NAME
Last Kurematsu First Toshinobu
Owner's Address
Owner's E-mail Address
20250 SW Acacia St. #100
kurematsu@west-wing.com
City Newport Beach
State CA Zip 92660 Telephone 949-250-7075
APPLICANT'S NAME
Last Morisawa First Miho
Applicant's Address
_ Applicant's E-mail Address
20250 SW Acacia St. #245
miho@studioforestbeach.com
City Newport Beach
State CA Zip 92660 Telephone 714-916-3729
ARCHITECT/DESIGNER'S NAME Last Morisawa First Miho F
Lic. No.
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
20250 SW Acacia St. #245
miho@studioforestbeach.com
City Newport Beach
State CA Zip 92660 Telephone 7 44-916-3729
ENGINEER'S NAME
Last First [_ Lic. No.F—
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F Telephoned
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. of 2oZS - (x(D 4
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. J)C W12ag. (pMs-
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $