HomeMy WebLinkAboutX2018-3115 - Permit Applicationx2o►�- �( i5
Print Form Worksheet for Combo Building & Solar Permit Application ?
r Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL NIP
rBuilding rGrading
r9Drainage rElec rMech rPlum Cu Yd Cut CuvdFill60
Project Address (Not mailing address) f— Flood r— Fire Liq r° Landslide r—N/A Floor Suite No
417 E. BAY AVE
�— F_
Description of Work
Use R-3/1.1 Const Type VB-SPRK
DEMOLISHING EXISTING 2 BUILDINGS
ON SITE. BUILDING NEW 3-STORY,2 UNIT DUPLEX.
# Storiesl3 # Units (if Res)F2
Valuation $ F6S0,000
Material/Labor
New/Add SF 2,781
Remodel SF F Garage/New/Add 410
OWNER'S NAME
Last BDL -EQUITIES First
Owner's Address
Owner's E-mail Address
23832 HILLHURST DR
City LAGUNA NIGUEL
State CAZip 92677 Telephone
APPLICANT'S NAME
Last TEALE First MARK
Applicant's Address
Applicant's E-mail Address
2900 BRISTOL ST., BLDG A, SUITE 203 mteale@tealearchitecture.com
City COSTA MESA
State CAZip 92626 Telephone (949) 975-0123
ARCHITECT/DESIGNER'S NAME Last TEALE First PIARK tic. No. C-22162
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip F_ Telephoned
ENGINEER'S NAME
Last BURKE STRUCT ENGINEERS First.— Lic. No. S.E. #5088
Engineer's Address
Engineer's E-mail Address
151 KALMUS DR. E-140
TOM@LAWSONBURKE.COM
City COSTA MESA
State CA Zip 92626 Telephone(657) 289-0460
CONTRACTOR'S NAME/COMPANY 5 c_ 14 O I, F� S Lic. No. $20oZ lj6 Class 1 1�
Contractor's Address
Contractor's E-mail Address
'S050 SGoTr e gv t t.D(�✓L Ge M
City I Cps?A (zS
State I GA zip 5_z&2& Telephoner
SETBACKS REAR J' (YAI IltI
SETBACKS FRONT 1 (RAY) PERMIT NO. 2fl r J I f J
SETBACKS LEFT
SETBACKS RIGHT 5 PLAN CHECK NO.
USE ZONE P—
DEVELOPMENT NO `DZ(%►a' PLAN CHECK ES $
WU V ! L oI