HomeMy WebLinkAboutM2024-0053 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
F- Comm'I Fx- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F_GradingF-Drainage F-Elec f—Mech F-PlumCu Yd Cut Cu Yd Filll
Project Address (Not mailing address) F Flood F- Fire F- Liq r Landslide rN/A Floor Suite No
433 HARBOR ISLAND DRIVE
r_ �—
Description of Work
Use s ConstType F_
lConstruct
approximately 898 square beet of concrete deck. 240 square
feet of which is
# Stories # Units (if Res)—'
cantilevered.
Valuation' l25,000.00New/Add
Material/Labor
SF — Remodel SF Garage/New/Add—;
OWNER'S NAME Last DOBSON
First TED
Owner's Address
Owner's E-mail Address
433 HARBOR ISLAND DRIVE
City NEWPORT BEACH State CA
Zip 92677 Telephone (714) 914-7514
APPLICANT'S NAME Last PETROV
First PLAMEN
Applicant's Address
Applicant's E-mail Address
28161 CASITAS COURT
CONSULTING@PMA-BG.COM
City LAGUNA NIGUEL State CA
Zip 92677 Telephone (714) 717-7542
ARCHITECT/DESIGNER'S NAME Last
First—' Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
Zip F Telephone
ENGINEER'S NAME Last PETROV -
First PLAMEN -- Lic. No. C66947 -
Engineer's Address
Engineer's E-mail Address
28161 CASITAS COURT
City LAGUNA NIGUEL State CA
Zip 92677 Telephone (714) 717-7542
CONTRACTOR'S NAME/COMPANY BURKHART BROTHER Lic. No.—, Class
Contractor's Address
Contractor's E-mail Address
1382 VALENSIA AVENUE, UNIT F
City TUSTIN State CA
Zip 92780 Telephone (949) 375-6725
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. Cam' `V
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $