HomeMy WebLinkAboutX2022-0790 - Permit Application-)rm Worksheet for Combo Building & Solar Permit A p icat' �EWP°Rr
Jv Residential City of Newport Beach - Building Division ���r ����D
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBfiIITI'AL u;
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fX Building F_ Grading f ;Drainage f_x Elec fXMech fx Plum
Project Address (Not mailing address) F Flood I- Fire I- Liq
100 Bayview Circle
Description of Work
and finishes.
Cu Yd Cut F Cu Yd Fill
F Landslide f X N/A Floor Suite No
12 1220
New/Add SF Remodel SF 2,175 Garage/New/Add F�
Use B Const Type I -A
# Stories, # Units (if Res)F
Valuation $
Material/Labor $65,250.00
OWNER'S NAME Last Edwards First Jeannie
Owner's Address _
100 Bayview Circle, Suite 230 Owner's E-mail Address
iedwards@graniteprop.com
City Newport Beach State CA Zi 92660
P Telephone 818-265-7511
APPLICANT'S NAME Last Oi First Dickson
Applicant's Address Applicant's E-mail Address
3 Park Plaza
Dickson@oarchinc.com
City Irvine State CA Zip 92614 Telephone 949-292-2803
ARCHITECT/DESIGNER'S NAME Last Oi
First Dickson Lic. No. C32277
Architect/Designer's Address Architect/Designer's E-mail Address
3 Park Plaza Suite 480 Dickson@oarchinc.com
city Irvine State CA Zip 92614 Telephone 949-292-2803
ENGINEER'S NAME Last First'
Lic. No.F_
Engineer's Address ............ ___ Engineer's E-mail Address
City � ' State F Zip � Telephone[ —
CONTRACTOR'S NAME/COMPANY L=_��1 t` - v J '� jLic. No, i�' Class��
�... .. ti .... ....._... --il.. �.....-� b I 1► .
Contractor's Address Contractor's E-mail Address
City_' State Z.7 zip Telephone
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO. X%,0 Z�_ —01-10
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $