HomeMy WebLinkAboutX2021-2804 - Permit ApplicationV .--..- .! . . v
I Worksheet for Combo Building & Solar Permit Application
F Comm'l (X Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX—Budding f— Grading F—Drainage F Elec FMech
Address (Not mailing address) F Flood
105 Yacht Camilla, Newport Beach
Plum Cu Yd CutI Cu Yd Fill l
Fire F Liq F_ Landslide r -N/A Floor
ption of Work
a a 50' long wood fence 8' m height with a 58' long block wall 8 feet in height
New/Add SF(0 �':. Remodel5Fr0 �'. Garage/New/Add`
OWNER'S NAME Last
Owner's Address
1905 Yacht Camilla
City lNewport Beach State Ca
APPLICANT'S NAME Last
Applicant's Address
1905 Yacht Camilla
City lNewport Beach — State Ca
ARCHITECT/DESIGNER'S NAME
Last
First
Owner's E-mail Address
'imbo949@gmail.com
Zip 192660 Telephone
Suite No
Use Const Type s-
# Stories # Units (if Res)[_
valuation$ 10000
Material/Labor '
First James
Applicant's E-mail Address
imbo949@gmail.com
Zip 92660 Telephone 949-463-0277
First
Lic No.�
Architect/Designer's Address ArchitecUDesigner's E-mail Address
City _.. _ _. State F_ ZIP � Telephone[�,.
ENGINEER'S NAME Last jP001 Engineering First s--
Lic. No.f#74003
Engineer's Address Engineer's E-mail Address
1201 N. Tustin
KyleJ@pooleng.com'
City naheim State �& ZIP 92807
Telephonel714-630-6100
CONTRACTOR'S NAME/COMPANY
_... Lic No. F—,, Class
Contractor's AddressContractor's E-mail Address
I
City—�.��.._ _... State [_ Zip F_,,, Telephone _.
SETBACKS REAR SETBACKST �pI
SETBACKS LEFT SETBACKS RIGHIGH PERMIT NO.
T /J
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $