HomeMy WebLinkAboutXR2023-2798 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
F- Comm'I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding r Grading r-Drainage FX_ Elec
Project Address (Not mailing addrel
r Mech Plum Cu Yd Cut Cu Yd Fill
r Flood r Fire r Liq r Landslide rN/A Floor
ISLAND AVENUE, NEWPORT BEACH, CA 92661 1
of Work
A NEW ROOF DECK ADDITION TO AN EXISTING 3-STORY RESIDENCE
New/Add SF /�— Remod SF 131 Garage/New/Add �—
OWNER'S NAME Last (LAVAL First IJERRY
Owner's Address Owner's E-mail Address
306 ISLAND AVENUE
Suite No
Use R-3 ConstType V-B
# Stories # Units (if Res)F
Valuation F5O,000$
Material/Labor
City NEWPORT BEACH State CA Zip 92661 Telephone 949.862.6349
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
GB ARCHITECTURE: 17985 SKY PARK AVE., STE. G ADMIN@GB-ARCHDESIGN.COM
City IRVINE State CA Zip 92614 Telephone 714.486.3318
ARCHITECT/DESIGNER'S NAME Last GUINA First RICARDO Lic. No. 330161
ArchitectIDesigners Address
17985 SKY PARK AVE., STE. G
City
Architect/Designees E-mail Address
RICK@GB-ARCHDESIGN.COM
State ICA Zip 192614 Telephone1714.486.3318
ENGINEER'S NAME Last TRAN First JOHN Lic. No. 62653
Engineer's Address Engineer's E-mail Address
11251 GARDENAIRE ROAD JDTRAN07@GMAIL.COM
City GARDEN GROVE State CA Zip 92841 Telephone 714.815.2356
CONTRACTOR'S NAME/COMPANY g�s �w / . yti 111 Lic. No. 12� W-7 Class
Contractor's Address ,, aYr Contractor's E-mail Address
�LD � .4V `too t`d� rr`ao / �5�%� 11n� �ce Q 6A Seoe\4r-J1 b� c n �fo uN
City 6k ltLo e State Zip 726-7 Telephone 2l?-BSd1l00a'
BT 'a)0946 Zo
SETBACKS REAR SETBACKS FRONT PERMIT NO. alme IR
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. •
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $