HomeMy WebLinkAboutXR2023-0664 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I D? Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V
wilding j— Grading F-Drainage DZElec r Mech 5? Plum CuvdCut s CuvdFill s
Project Address (Not mailing address) l— Flood r Fire r Liq F_ Landslide F_N/A Floor Suite No
1930 PORT TRINITY PLACE
s
Description of Work
Use ConstType s
Kitchen
And Bath Room and Shower Remodeling.
# Storiess # Units (if Res)
Valuation $ / i ODU
Material/Labor
New/Add SF s Remodel SF 1600 Garage/New/Add
OWNER'S NAME Last O'CONNOR
First PAUL
u
pOwner's Address
Owner's E-mail Address
i 1930 PORT TRINITY PLACE
City NEWPORT BEACH State CA
Zip 92660 Telephone 949-887-3198
V APPLICANT'S NAME Last SADRI
First SAASAAN
i�
Applicant's Address
Applicant's E-mail Address
3601 JAMBOREE RD SUITE 22
am@myocflooring.com
p City NEW'PORT BEACH State CA
Zip 92660 Telephone 14-350-5154
—
�,� ARCHITECT,'DESIGNER'S NAME Last
First �— Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
City - - State F_
Zip F TelephoneF
ENGINEER'S NAME Last
First Lic. No.�
7
t
Engineer's Address
I
Engineer's E-mail Address
City State
Zip F— Telephoned
CONTRACTOR'S NAME/COMPANY sa
ing Lic. No. 777763 Class
,s�a�anlsadri/OC
Contractor's Address
Contractor's E-mail Address
3601 JAMBOREE RD SUITE 22
i
am@myocflooring.com
City NEWPORTBEACH State CA
Zip 92660 Telephone714-350-5154
� SETBACKS REAR SETBACKS FRONT
PERMIT NO. ✓ er) (�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.7OCZeZ�►
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $