HomeMy WebLinkAboutX2021-2264 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I DZ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAI
DZ Building DZ Grading
DZDrainage DZ Elec DZ Mech DZ Plum Cu Yd Cut Cu Yd Fi°
Pro1ect Address (Not ma111n address Dz Flood r Fire DZ Li gdsli a N/A Floor "
Suite No
115 Emerald
Vat vubc
Description of Work
Use R3 ConstType V-B
# Storiesl3 #Units (if Res)
.
Valuation $ 1,200,000
Material/Labor
New/Add SF 2
l SF
modeGarage/New/Add 378
OWNER'S NAME
Last Bakshi First Robert
Owner's Address
Owner's E-mail Address
115 Emerald Ave
bob@goparkway.com
City Newport Beach
State CA Zip 92662 Telephone 661-904-1846
APPLICANT'S NAME
Last Bakshi First Bob
Applicant's Address
Applicant's E-mail Address
115 Emerald Ave
bob@goparkway.com
City Newport Beach
State CA Zip 92662 Telephone 661-904-1846
ARCHITECT/DESIGNER'S NAME Last Oldham First R an
Y Lic. No, c-29715
Architect/Designees Address
Architect/Designers E-mail Address
680 Langsdorf Drive #2026
ryan@odham-architects.com
City Fullerton
State CA Zip 92831 Telephone 714-482-8296
ENGINEER'S NAME
Last Xiao First Chung Lic. No. S 5289
Engineer's Address
Engineer's E-mail Address
1520 Brookhollow #45
chung@agxeng.com
City Santa Ana
State CA Zip 92705 Telephone 714-662-0510
CONTRACTOR'S NAME/COMPANY
Lic No. FG -7 73 7L)ClassF_�7
K O
Contractor's Address
Contractor's E-mail Address
�.R�=o���L Cs�d�,l.�on�l
City Gp 5 q
State C� Zip 1 Telephone 'il/G�
2�
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. O
USE ZONE
DEVELOPMENT NO Tyl/bl"k-OqU4 PLAN CHECK FEES $
l
M