HomeMy WebLinkAboutX2021-0004 - Permit ApplicationX�ak-oOC4
('at DMSIDE M
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
SUBSTANTIAL IMPROVEMENT COST DETERMINATION
PROPERTY ADDRESS: 621 PA'/QCE Qf. DATE: DI o �21
APPLICANTS NAME: RoRi` FOUBIS TffR
CONTACT NUMBER: lilf9 ---4�3& -ZlzC(o LICENSE#: CJ���
CONSTRUCTION COST DETERMINATION
Primary Description of Work Under the Pro osed Permit: Valuation
�l� SOD 2 ��
I (A1)$ E 7,O00
00eL-
Open Permit # Description of Work Valuation
1. 21yG�� C7�(� gf- K-17AW % 55H 2. CI.ok `fq&&:F (A2)$ ':�5 /00 0
2. 1399054 RE ploc;�1Q (A3)$ �00
3. X20ZO-IA f SCoi2E: �42 SF ICI Cr (A4)$ ( OO / OO O
/
4. (A5)$
c�
(A1+A2+A3+A4+A5=A6) Combined Valuation: (A6)$ 1 �a
MARKET VALUE DETERMINATION
A - Excellent
B-Good
C- Average
1. Value of Structure: $ 112-4r" ; c0 0
Condition
Condition
Condition
0-3 Yrs = 3%
0-5 Yrs = 3%
0-5 Yrs - 5%
1
5-10 Yrs = 7%
5-10 Yrs = 9%
2. Percent Depreciation: %
—��
10-15 Yrs = 11 %
10-15 Yrs = 13%
15-20 Yrs = 14%
15-20 Yrs = 18%
3. Depreciation Amount: $
20-25 Yrs = 17%
20-25 Yrs = 23%
pq 7
25 + Yrs = 20%
25-30 Yrs = 27%
4. (A7)Total Value: $ I I //
30 + Yrs = 30%
DETERMINATION (For Staff Use Only)
(A6) Combined Valuations >_ or <_ 50%
Maintenance /Repair
(A7)Total Value
Health & Safety
p /
(A6) 07 �jj (�J __ I b/
Not Substatial Improvement
/tL''Ji-Substantial Improve
����/-�--� l(/
nt
Approved By:
Date: 2 -1-
Forms:SubstantialimpmvementCostDetermination 3-13
Print Form Worksheet for Combo Build rl solar Permit Application'
O��` Comm'(g'
Residential INewport NOTE: PLAN CHECK ES DUE AT TIME OF (SUBMITTAL X�c - �J �� UG<„o51,
wilding F_ Grading F-Drainage F/Elec 7Mech
j Plum Cu Yd Cutl Cu Yd Fill
Project Address (Not mailing address) F— Flood (- Fire [_ Liq r Landslide F—N/A Floor Suite No
621 ?�AHsto-r- P2. N<-WP0(2 SC -ACC Aj CA, q7 6bo F_
Description of Work
Use (Zi ConstType v(�
IN . ;L12✓ATo21 1REM 00(-L AF &A-rm
2 6 SF1
#Stories #Units (if Res)
N. ST2tr�GL� CDR �. STr�-lK
New/Add SF�— Remodel SF I� L , Garage/New/Add
Valuation $
Material/Labor
J i
OWNER'S NAME Last h-1AL
First I 601CGSd�,)
Owners Address
-
Owner's E-mail Address
6?_N vt A`l StOE �2
GREGS6ni}tALI@ GMq %L.Co^ ,
City I,I N.-WvoQ,C 4tiA["1 State [R
Zip g26(oo Telephone J 0 -60 G
43 �
APPLICANT'S NAME Last 'Flo Qg1STV2_
First Roa-1
Applicant's Address
Applicant's E-mail Address
_
110o S. Go or St
Rap_-1 @ ��,sTL�flecl� ITCc ems. c
City LgG, N pc �tcACvk State
Zip !� Z6� 1 Telephone gy�_,,3�_2zg�
I
ARCHITECT/DESIGNER'S NAME Last �oJBS C�2
First IIZoR�-j Lic.No. Fe378}g
Architect/Designer's Address _
Architect/Designer's E-mail Address
110a 5 . CvgiT "w I c�� 3o0EF
Ro(L�(� oJl�IST�K A2C�t IT�C.rS _cy�.^
City FLAG v+vsk 9-r,WC, State C A
Zip 12 6 5 I Telephone �k cl _ 4 3 6 _ 21 9 6.
ENGINEER'S NAME Last iJAI[/
First Fto mAA Lic.No. 50�
Engineer's Address
Engineer's E-mail Address
151 kAUvrV S be lzcnG T140
-T-ONO2
City [o5=A M(�Sq State C(�
Zip g262b Telephone 6s:j-28q_64Co .
CONTRACTOR'S NAME/COMPANY
Lic. No. �— ClassF
Contractor's Address
Contractor's E-mail Address
City � State �
Zip Telephone[--
SETBACKS REAR SETBACKS FRONT
PERMIT NO. j ll - dV
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. UC5,
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $