HomeMy WebLinkAboutXR2022-3018 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o EW°°qr
r Comm'I 6Z Residential City of Newport Beach - Building Division
,e,-,,NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
DZBuilding r Grading
(-Drainage Elec F_Mech r' Plum CuvdCut s CuVdFill s
Project Address (Not address) I- Flood r Fire Liq r Landslide rN/A Floor Suite No
5 White Pine, Newport Coast, CA 92657
Description of Work
Use R-3 ConstTypeN-B—
Addition of 204 s.f. on first floor and 41 s.f. on second floor consisting of enlargment of existing
# Stories[ # Units (if Res s
second floor with addition of new bathroom connecting to existing bedroom no. 4
Valuation $ /`q 9, 5�{D
New/Add SF 245 s.f.
Remodel SF /I Garage/New/Add
Material/Labor 0,000
OWNER'S NAME
Last Beri �� First jay
Owners Address
Owner's E-mail Address
5 White Pine
jay@ajayberi.com
City Newport Coast
State CA Zip F2657 Telephone 714-863-8900
APPLICANTS NAME
Last Ray First lAlan
Applicant's Address
Applicant's E-mail Address
80 Explorer Street, Unit B
rayarch1262@gmail.com
City Brea
State CA Zip P2821 Telephone 714-493-1262
ARCHITECT/DESIGNER'S NAME Last Ray First Ian Lic. No. F25029
Architect/Designees Address
Architect/Designer's E-mail Address
580 Explorer Street, Unit B
rayarch1262@gmail.com
City Brea
State CA Zip 2821 Telephone 14-493-1262
ENGINEER'S NAME
Last FirstLic. No. e--gja (o
Engineer's Address
Engineer's E-mail Address
City
State F Zip F_ Telephone7—
CONTRACTOR'S NAMEXOMPANY Lic. No. Class
Contractors Address
Contractors E-mail Address
City
State �— Zip Telephones
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO C2UZO- f-97q
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $