HomeMy WebLinkAboutXR2023-0952 - Permit Application,t Form! Worksheet for Combo Building & Solar Permit Application F&§-rg-
ResidentialCity of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
X'Building r Grading
[-Drainage OZ Elec 0? Mech R Plum CuYdCut s cuYdHIT '_
Project Address (Not mailing address) l_ Flood r"",' Fire F Liq r-'. Landslide rN/A Floor Suite No
119 and 119.5 40th Street F—', F
Description of Work
Use R2 ConstType VB
remove unpermitted work within
garage, transfer living space from rear to enclose fron decks
level, FeV19P WiAdOws,
Fefflaelel bath kitchen ii; 119. install
# Stories #Units (if Res) r 2
and enly new reRteF SLIPPGFt
tauway with floating treads on 119 only, raise front third level balcony and remove roof above,
.. ........... ..ice.,, ,....,.,.,.n.
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New/Add SF 2
-
Remodel SFF5"0`4////Z'` ara a/New/Add
F_ g
Valuation $
Material/LaborF000
OWNER'S NAME
Last Carli and Rod First Derfield
Owner's Address
Owner's E-mail Address
119 and 119.5 40th street
City newport each
Sca State _. _ Zip 92663 _ Telephone 7lq, ZS 5 -72,
APPLICANT'S NAME
Last manzer First bruce
Applicant's Address
Applicant's E-mail Address
4275 Ponchartrain Lane
bruce@manzerandassociates.com
City Lake Forest
State ca Zip 92630 Telephone 14-720-4394
ARCHITECT/DESIGNER'S NAME Last manzer + Associates �.. First I Lic. No. F_
Architect/Designer's Address
Architect/Designees E-mail Address
ame as applicant
City I
State I Zip F TelephoneF
ENGINEER'S NAME
Last Murphy First Nicholas Lic. No.71600
Engineer's Address
Engineer's E-mail Address
857 Birch Street - 9282
City ewport beach
City
State ca Zip 92660 Telephone
NAME/COMPANY Lic No. F Class
Contractors Address
Contractor's E-mail Address
City �
State F— Zip F—• Telephones-,...
SETBACKS REAR
SETBACKS FRONT PERMIT NO. IWTOUlj
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. G d
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $