HomeMy WebLinkAboutX2017-1963 - Permit ApplicationPrint Form W t for Combo Building & Solar Permit Application
r Comm'I jR Residenti I O 2 City of Newport Beach - Building Division Z'
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building r Grading
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[–Drainage [Elec r Mech r Plum Cu Yd cut F Cu Yd Fill
Project Address (Not mailing address) r– Flood r Fire Liq r Landslide [-N/AFllo"or No
Ave
('Suite
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311 Anade
I
Description of Work
Use F- Const Type FB
# StoriesF # Units (if Res)
DITION .2. KITCHEN REMODEL.3. NEW ROOF DECK .4. NEW ELEVATOR .
1. NE�2-CARTANDEM
5. NEGARAGE .
'
Valuation$ to
Material/tabor
SF 1202Remodel
SF 44S Garage/ a /Add 40
cNew/Add
l
OWNER'S NAME
Last OLSWANG First KEVIN
Address
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Owner's
Owner's E-mail Address �L
311 Anade Ave
City Newport Beach State CA Zip F Telephone 949-310-6814
APPLICANT'S NAME
Last Richart First Jason
Applicant's Address
Applicant's E-mail Address
1041 W. 18th St, (A106)
richartdesign@sbcglobal.net
City Costa Mesa
State CA Zip 92627 Telephone 949-422-9191
—
ARCHITECTIDESIGNER'SNAME Last Richart First Jason Lic. No. F_
Architect/Designers Address
Architect/Designers
Architect/Designees E-mail Address
1041 W. 18th St, (A106)
F richartdesign@sbcglobal.net
city Costa Mesa
StateCA Zip 92627 Telephone 949-422-9191
ENGINEER'S NAME
Last JAMIL First BASHAR Lic. No f
Engineer's Address
Engineers E-mail Address C__--
751 SHASTA DRIVE
City CORONA, CA State CFA — Zip 92881 Telephone 714-883-4124
CONTRACTOR'S NAME/COMPANY Lic. No. F_ Class F—
Contractors Address
Contractors E-mail Address
City I�
State FZip F Telephone
PERMIT NO.
SETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. ?
USE ZONE
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DEVELOPMENT NO PLAN CHECK FEES $