HomeMy WebLinkAboutXR2023-1017 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm'I F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
jX Building j— Grading rDrainage F Elec F Mech j— Plum Cu Yd CutF—Cu Yd Fill F_
Project Address (Not mailing address) f Flood r Fire F Liq r Landslide FN/A Floor Suite No
1801 BERYL LANE F_ F—
of Work
New/Ad F 3,228 en
Cn
OWNER'S NAME Last f lI
Owner's Address
1801 BERYL LANE
SFF_
First
Owner's E-mail Address
s2000ap1 @live com
Use sft ConstType vb
S
Units (if Res)F_
City Newport Beach State CA Zip 92660 Telephone —
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
1041 W. 18th St, (Al06) Jason@richartdesign.net
City Costa Mesa State CA Zip 92627 Telephone 949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No. F
Architect/Designer's Address ArchitecUDesigner's E-mail Address
1041 W. 18th St, (Al06) Jason@richartdesign.net
City Costa Mesa State CA Zip 92627 Telephone 949-422-9191
ENGINEER'S NAME Last CORE First— Lic.
Engineer's Address Engineer's E-mail Address
23172 PLAZA POINTE DR #145 INFO@CORESTRUCTURE.COM
City LAGUNA HILLS State CA Zip 92653 Telephone 9499547243
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City
SETBACKS REAR
SETBACKS LEFT
USE ZONE
Lic. No. F-- Class
Contractor's E-mail Address
State F— Zip F— Telephone�—
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO,
PLAN CHECK NO.
PLAN CHECK FEES $