HomeMy WebLinkAboutX2019-2845 - Permit ApplicationPint Form`,lWorksheet for Combo Building & Solar Permit Application oFm
Comm'I r Residehtiaf O I CI 5 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL"
j` Building f- Grading
J -`Drainage r Elec j- Mech j Plum Cu Yd Cuto Cu Yd Fill 10' TM
Project Address (Not mailing address) r Flood F Fire F- Liq F-. 1 -N/A Floor Suite No
405 40th Street
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Description of Work
Use SFR Const Type F_'
interior remodel kitchen, powder room and living room to relocate fireplace
# Stories(2 # Units (if Res)[ 1
Valuation $
New/Add SFr-��
Remodel SF 400 Garage/New/Add 10—
$30,000
Material/Labor
OWNER'S NAME
Last Robinson First Larry
Owner's Address
Owner's E-mail Address
405 40th Street
City Newport Beach StateCA Zip 92663 TelephonelLfqt,
APPLICANT'S NAME
Last walker First Barry
Applicant's Address
Applicant's E-mail Address
p.o. box 11658
bwarch.biz@gmail.co-m
City newport beach
State ca Zip 92658 Telephone 949.246.4085
ARCHITECT/DESIGNER'S NAME Last same First
77777 Lic. No. c-19637
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State Zip F Telephone) 11
ENGINEER'S NAME
Last none First I Lic No.��
Engineer's Address
Engineer's E-mail Address
City I
State F Zip Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. Class
rContractor's Address
Contractor's E-mail Address
City I_ _.
_ _ StateF Zip Telephoned'__.'-.,--..Y�
BKS REAR
SETBACKS FRONT PERMIT NO.Zg�l7s��
SETT )AKS LEFT
SETBACKS. RIGHT PLAN CHECK NO. j j •- (� A(f
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DEVELOPMENT NO PLAN CHECK FEES $