HomeMy WebLinkAboutXR2023-0032 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
Comm'I Residential City of Newport Beach - Building Division
rX NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL %�,���3 �b13
',Building r Grading
rDrainage �',Elec (—'Mech F- Plum cuYdCut l CuvdFill F_:
Project Address (Not mailing address) F Flood r Fire f_— Liq F-, r N/A Floor Suite No
22 CORAL "E.
�—
Description of Work
Use R-3/U ConstType V B
1 st flr. : kitchen remodel & bath 2 non-structrual remodel. -- second
# Stories! # Units (if Resk 2
3, Z0)o
New/Add SFFo------
Remodel SF y,Ql, Garage/New/Add F__'
Valuation $
Material/Labor '
OWNER'S NAME
Last HAVIKEN First MIKE
Owners Address
Owner's E-mail Address
22 CORAL AVENUE
mrhaviken@gmaiLcom
City NEWPORT BEACH
State CAL. Zip 2662 Telephone ( 949 ) 632-2888
APPLICANT'S NAME
Last CARO First PAMES
Applicant's Address
Applicant's E-mail Address
14 -. GUMWOOD
AS-CARO@COX.NET
City IRVINE
State CAL Zip 26112 Telephone ( 949) 500-2208
ARCHITECT/DESIGNER'S NAME Last CARD ', First AMES
Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
14 GUMWOOD
JAS-CARD@COX.NET
City IRVINE
State CA. Zip 2612 Telephone ( 949) 500-2208
ENGINEER'S NAME
Last - First F--- Lic No.F:
Engineers Address
Engineer's E-mail Address
City
-,_ State r--_�- Zip Telephone)
CONTRACTOR'S NAME/COMPANY Lic No.—, Class[-7i'i
Contractor's Address
Contractor's E-mail Address
City
State Zip �— Telephone��
SETBACKS REAR
SETBACKS FRONT PERMIT NO. X�/c'2a03 - DD z
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK ND..�Y, �L3_l:�
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $