HomeMy WebLinkAboutX2018-3868 - Permit ApplicationPrint Form Worksheet for Combo Building &`Solar Permit Application
i Comm'I j Residentialo` � 1jvity of Newport Beach - Building Division +x -2 S�
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 4<F
( building (yGrading'rainage Elec tK Mech &Z Plum Cu Yd Cutl Cu Yd Fill J
Project Address (Not mailing address) F-! Flood rj Fire rXLiq [_ Landslide r_N/A Floor Suite No
Bay Island`;
Description of Work
DIED IN THE FORM OF 1 CART GARAGE (200 S.F.). HOME TO INCLUDE AN ELEVATOR, NEW
Use R-3, U Const TypeV�B
# Stories3 nits (if Res)r 1
�- Valuation $ ��
New/ SF 503 Remodel SF Garage/New/Add 4�,(1 Material/Labor
OWNER'S NAME .....�..�_ ._:...
Last MARTIN First BRIAN
Owner's Address
6021 Atlantic Ocean Drive
City LAKE FOREST State CA
Owner's E-mail Address
[brian@rsd.net
Zip P639 Telephone
APPLICANT'S NAME �/
Last RILEY Vl
First BRUCE
Applicant's Address
14 . ....
City State
Applicant's E-mail Address
Fucerielly@aol.com
Zip Telephone 9�49.887.6233
ARCHITECT/DESIGNER'S NAME Last HUDGINS First SCOTT
Lic. No. r�
Architect/Designer's Address
1107 S. COAST HWY
City LAGUNA BEACH �! State CA
Architect/Designer's E-mail Address
SCOTT@HUDGINSDESIGN.COM
Zip 2651 Telephone 49.322.7922
ENGINEER'S NAME Last FMANI First ROBERT Lic. No. 803 ___
Engineer's Address
NICE
City LAGUNA NIGUEL State A
Engineer's E-mail Address
robert@robertarmani.net
Zip 2677 Telephone 14.329.9876
CONTRACTOR'S NAME/COMPANY �r.�yq,�� Lic. No. Class
Fs
Address
t0(�O i
City FN_ _ State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
br► . .wc._Q'.-I k..e
Zip i�66D Telephone 45pQ-d�7-62�3 p
i.,
97-Z;?io 7Ji 1.
PERMIT NO. xfh` $ • 30*0
PLAN CHECK NO. 23 01. 910
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $