HomeMy WebLinkAboutX2019-3578 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
—I Residential City of Newport Beach - Building Divisionmry ���i �'
NOTE: PLAN CHECK FEES DUE / TIME OF SUB k
❑ Grading
Address (Not
200 Dove Street
of Work
New/Add SF 202
OWNER'S NAME
❑Drainage ❑ Elec
add
❑Mech E] Plum Cu Yd Cut I Cu Yd Fill
El Flood ❑ Fire ❑ Liq ❑L Landslide ❑N/A Floor Suite No
Use P77 Const Type 36
�� pp
# Stories 1❑ # Units (if Res)C
O
aG Valuation $ [307,0001
Remodel SF� Gara9gl(N�t1d Material/Labor
5
Last Church's Inc. First IThe Lost Bean
Owner's Address Owner's E-mail Address
2698 Newport Blvd bodierasmussen@gmail.com
City Costa Mesa I, State CA Zip 92626 Telephone—
i
APPLICANT'S NAME Last Choi I First Jefferson
Applicant's Address
17200 Red Hill Ave.
State
City
Irvine _ II
CA
Applicant's E-mail Address
ljchoi@synarcstudio.com
Zip 92614 Telephone 949-596-7362
ARCHITECT/DESIGNER'S NAME Last Choi First Jefferson
Lic, No. C31631
ArchitecVDesigners Address
17200 Red Hill Ave
City Irvine State CA
ArchitecUDesigners E-mail Address
jchoi@synarestudio. corn
Zip F2614 Telephone 949-596-7362
ENGINEER'S NAME Last Nour i First Saum ___j Lic. No. F26221
Engineers Address
3839 Birch Street
City Newport Beach State CA
Engineer's E-mail Address
snour58@gmail.com
Zip 92660 Telephone 949-852-8700
CONTRACTOR'S NAME/COMPANY Na -- Lic. No. L Class
Contractor's Address
City State C�
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
Contractor's E-mail Address
Zip �i Telephoned
PERMIT NO.
PLAN CHECK N6. V Zp
PLAN CHECK FEES $