HomeMy WebLinkAboutX2021-1668 - Permit ApplicationForm
___ Print ___: II Worksheet for Combo Building &Solar Permit Application
F Comm'I r Residential City of Newport Beach - Building Division X
NOTE: PLAN CHECK FFFs 1711E AT TIRAF (117si iannrrTAi
rBuilding r Grading
r,Drainage r Elec r Mech n Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide I_N/A Floor Suite No
5 Long Bay Dr.
Description of Work
Use F Const Type I B
Powder Bath R&R of 1 sink, l toilet,l fan/light, l LED
recesssed light, 1 junction.
# Stories[2 # Units (if Res) '
Valuation $
Material/Labor $2,500
New/Add SFIO
Remodel SF 50 Garage/New/Add
OWNER'S NAME
Last Ryan � J First Gretta
Owner's Address
Owner's E-mail Address
5 Long Bay Dr.
- _ J 9rettalryan@gmaiLcom
City Newport Beach
State FC�A�, F626-353-61
I Zip 92660 Telephone01
___
APPLICANT'S NAME
Last Crockett First anner
Applicant's Address
_ _
Applicant's E-mail Address
18017 Sky Park Circle Ste. Q
rodu� filler-n-sons.com
P
City Irvine
State CA Zip 92614 Telephone (844)340-4300
�
ARCHITECT/DESIGNER'S NAME Last j�--
I First
�
_ Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
� I
_
City �—
State F Zip [ —� Telephone
ENGINEER'S NAME
Last First Lic. No.
L_ I 1I
Engineer's Address
Engineer's E-mail Address
City �—
State—i Zip Telephone'
CONTRACTOR'S NAME/COMPANYMiller & Sons Construction Lic. No. 1058366 Class fB
Contractor's Address
Contractor's E-mail Address
18017 Sky Park Circle Ste. Q
office@miller-n-sons.com
cityIrvine
State CA Zip 92614 Telephone(844)340 4300
SETBACKS REAR
SETBACKS FRONT PERMIT NO. Nod
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. U
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $