HomeMy WebLinkAboutX2020-2710 - Permit Application (2)_ Print Form WV/0IJ-k25h it G, oBUlibo 13"1I0 coHr11C; L?3 Sohf , [,I'ov(ln[Il [ to) pficLoltd n
IX Comm'I I-_ Residential City of Newport Beach - Building Division `,�
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI-I TAL
I't Building Grading -Drainage ( Plum Cu Yd Cutl Cu Yd Fill
� q I Draina e l [aec I- Mech --
Project Address ( of rr affiHc; N/A Floor
Suite No
F300__
Description of Work Use IB Const Type II-B
TI INCLUDING THE DEMOLITION OF EXISTING NON LOADING PARTITIONS AND MILLWORK ANF
# NEW PANTRY . NO EXTERIOR SCOPE. NO CHANGE IN OCCUPANCY TYPE Storiesl3 #Units (if Res)
New/Add SF 0 -
OWNER'S NAMF
Owner's Address
9200 SORENSEN ROAD
Remodel SF 12,070
aluation $ 73,485
Garage/New/Add 0 iv
Material/Labor
Last TANGRAM First
Owner's E-mail Address
City SANTA FE SPRINGS State ICA Zip 190670 Telephonel
APPLICANT'S NAME Last BLANK First [JOEL
Applicant's Address _ Applicant's E-mail Address
10474 SANTA MONICA BLVD. SUITE 302
City LOS ANGELES State CA Zip 90025 Telephone 310-415-1824
ARCHITECT/DESIGNER'S NAME Last BLANK First JOEL
Lic. No. C-25176
Architect/Designer's Address
10474 SANTA MONICA BLVD. SUITE 302
City ILOS ANGELES
ENGINErR'S NAME Last IN/A
Engineer's Address
i--- --- - — ---- - -
City
State CA
State I
Architect/Designer's E-mail Address
FJBLANK@MOZU.ORG
Zip 90025 Telephone 310-415-1824
First N/A Lic. No.(N/A
Engineer's Email Address
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- '�
Zip Telephone 0
CONTRACTOR'S NAME/COMPANY Lic. No. Class
Contractor's Address Contractor's E-mail Address
k- IN S (LT_.. N (AL C o v tz— su T 422
city Ir rt VA<.�4 State F Zip 4W60 Telephone 14q.(40.
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. 9 k—po — 2JO2 (``
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $