HomeMy WebLinkAboutX2018-2026 - Permit ApplicationPrint Form Wo et for Combo Building & Solar Permit Application 004
City of Newport Beach - Building Division
r Comm'I r Residenti 1 O NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) f Flood (- Fir r Landslide F_N/A Floor Suite No
21157 Miramar Drive, Newport Beach, CA 92661
Description of Work
Use Const Type F_
# StoriesF2 # Units (if Res)F0
Replace existing exterior windows
and doors with New (like for like) and interior remodel of
kitchen
and bathrooms.
Valuation 0
Material/Labor
New/Add SFFO-
�
Remodel SFFqTO Garage/New/Add Io
OWNER'S NAME
Last Zelaya First Miguel and Briana
Owner's Address
Owner's E-mail Address Olt?
2157 Miramar Drive
City Newport Beach
State CA Zip 92661 Telephone 323.641.0250
APPLICANT'S NAME
Last Fortier First Curtis
Applicant's Address
Applicant's E-mail Address
3505 W. Pico Blvd.
curtis.fortier@gmail.com
City Los Angeles
State CA Zip 90019 Telephone 310.968.1649
ARCHITECT/DESIGNER'S NAME Lic. No.
Lag rts--- Firs
Architect/Designer's Address
Architect/Designer's E-mail Address
3505 W. Pico Blvd.
chris@legaspicourts.com
City Los Angeles
State CA Zip 90019 Telephone323.641,0250
ENGINEER'S NAME
Last - First F Lic. NoF
Engineer's Address
Engineer's E-mail Address
City -
State F_ Zip - TelephoneF�,��]�,
CONTRACTOR'S NAME/COMPANY Lic. No. - \0�v14l Class
Contractor's Address
Contractor's E-mail Address
City -
State I- Zip F_ Telephoner�..}},,
SETBACKS REAR
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SETBACKS FRONT PERMIT NO. V�1` J5 ^1Ac
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ 131,