HomeMy WebLinkAboutX2017-3715 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar permit Application
City of Newport Beach - Building Division
r Comm'1 r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
ech Glum Cu Yd Cut Cuvd Fill
rBuilding (-
Grading rDrainage )�Elec III
Flood j- Fire Li r Landslide rN/A Floorsuite
Project Address (Not mailing address) fg
464
of Work
NEW FRONT ENTRY ADDITION_ 2 _NEW POWDERa1L� ROM AT 151 uevec. �•
-
6. REMODEL BEDROOM. 7. MASTER BATH REMODEL.
New/Add SF 250 Remodel SF
OWNER'S NAME Last I DUQUE
. .nIcn
UseF_ ConstType P
# StoriesF # Units (if Res)F
B. REPLACE WINDOWS.
Valuation $
Garage/New/Add 410 Material/Labor[/ i I 0 D
First rBRENT & MEGAN
Owner's E-mail Address
Owner's Address
464 62nd STREET
j� Telephone 949-887-4195
City Newport Beach State CA Zip I —
APPLICANT'S NAME Last
First
Applicant's E-mail Address
Applicant's Address
richartdesign@sbcglobal.net
1041 W. 18th St, (A106)
State CA Zip 92627 Telephone 949-422-9191
city FCosta Mesa
ARCHITECTIDESIGNER'SLAAME Last Richert
First Jason Lic. No.
ArchitecVDesigners Address
Architect/Designees E-mail Address
1041 W. 18th St, (A106) richartdesign@sbcglobal.net
State rCA Zip 92627 Telephone 949-422-9
City Costa Mesa �
WANKET First
NEAL Lic. No. 68856
ENGINEER'S NAME Last
Engineer's E-mail Address
Engineer's Address
27537 COMMERCE CENTER DRIVE, STE. 208
State CA - p 92590 Telephone 951-506 6507
TEMECULA, CA Zl -�
City 22��L,,
_ Lic. No. Z Class
CONTRACTOR'S NAME/COMPANY (OY-eQ{� 1
T',;�'- 33a
Contractors Address
cState
city �-
SETBACKS FRONT
SETBACKS REAR
-BACKS LEFT SETBACKS RIGHT
Contractors E-mail Address P
C,
pep` Ri�yACoM
Zip �7,)%7E - Telephone -' (q"?;-Ii 7 eq72—
��- 0275
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $
-)NE
DEVELOPMENT NO