HomeMy WebLinkAboutX2021-3369 - Permit Applicationpp `EWP°Rr
Print Form Worksheet for Combo Building&Solar Permit Application
F_ Comm'I FX_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 9<rFpaNP
rX Building F_ Grading [—Drainage IVElec FVMech
M Plum Cu Yd Cut Cu Yd Fill F
Project Address (Not mailing address) I Flood r Fire r Liq F_ Landslide F_N/A Floor Suite No
LIDO SOLID
F
�31118 VIA
(-
Description of Work
Use Res Const Type VB
# Stories 2 #Units (if Res)f 1
Interior Benovation & Addition. removal of attic space on 2ndli=
and add living sPace above
garage, new kitchen, new bed & bath, removal of elevator.
New/Add SF 335 Remodel SF 12,66 W0 Garage/New/Add
Valuation $
Material/Labor
OWNER'S NAME Last Malis
First Andrea
Owner's Address
Owner's E-mail Address
318 Via Lido Soud
agmalis2@gmail.com
City Newport Beach State CA
Zip 92663 Telephone 520-638-6911
APPLICANT'S NAME Last Kabbany
First Giselle
Applicant's Address
Applicant's E-mail Address
17011 Beach Blvd, Ste 900
giselle.kabbany@gmail.com
City Huntington Beach State CA
Zip 92647 Telephone 714-872-0386
ARCHITECT/DESIGNER'S NAME Last Kabbany First Giselle Lic. No. C 35765
Architect/Designer's Address
Architect/Designer's E-mail Address
17011 Beach Blvd, Ste 900
Fselle.kabbany@gmail.com
City Huntington Beach State CA
Zip 92647 Telephone 714-872-0386
ENGINEER'S NAME Last Forbes
First Dale Lic. No. C 30407
Engineer's Address
Engineer's E-mail Address
1800 E. 16th Street, Ste B
emily@esifine.com
City Santa Ana State CA
Zip 92701 Telephone 714-835-2800
�h �� ,r^dN Lic. No. ���� Class
CONTRACTOR'S NAME/COMPANY i7ff
Contractor's Address
Contractor's E-mail Address
City State � �
Zip I 92�(lj� Telephone ?f1%(0/ZS-_/S2!!`/
SETBACKS REAR SETBACKS FRONT
PERMIT NO. YX U2( -�j Oj
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $