HomeMy WebLinkAboutX2022-1447 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division X aVa) _ ��4�
r Comm'I �, Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
ClBuilding [Grading rDrainage rElec rMech
[Plum CuvdCutF CuYdFill F
Project Address (Not mailing address) C Flood
r Fire r Liq r Landslide rN/A Floor Suite No
80 Newport Center Dr. Newport Beach, CA 92660
Description of Work
Use Const Type
—
wo rooms remove lead drywall from four walls in each room 7ft. high - Replace with new
# StoriesF # Units (if Res)
eplace existing flooring for aesthetic reasons.
1'925
385 Garage/New/Add PTA
New/Add SF Remodel SF F
Valuation $
Material/Labor
OWNER'S NAME Last otueh
First rhese
Owner's Address
Owner's E-mail Address
100 Newport Center Dr. sure 150
sutherland@burnhamusa.com
City ewport beach State
Zip 2660 Telephone 14-796-2566
APPLICANT'S NAME Last lguera
First ario
Applicant's Address
Applicant's E-mail Address
510 Cotner Ave.
higuera@radnet.com
os an geles
City State
0025 10-445-2850
Zip Telephone
ARCHITECT/DESIGNER'S NAME Last azerine
First Orman Lic. No. PT53
ArchiteaUDesigner's Address
Architect/Designer's E-mail Address
657 Wilshire Blvd. S210
lazerine@aol.com
s r' eles
City og State
2660 23-937-5474
Zip � Telephoned
ENGINEER'S NAME Last
First �— Lic. No.F
Engineer's Address
Engineer's E-mail Address
City State F777
Zip F7777 Telephone[
CONTRACTOR'S NAME/COMPANY aycon Corp
Lic. No. 038948 Class —
Contractor's Address
Contractor's E-mail Address
7216 Saticoy St. 402
arkhouledesigns@yahoo.com
City an Nuys State A
Zip 1406 Telephone 18-535-0911
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK N .
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $