HomeMy WebLinkAboutXR2023-1381 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application
Comm'I F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
%Building I— Grading [`Drainage CElec fv Mech Plum CuYdCut CuydFill
Project Address (Not mailing address) F_ Flood f" Fire F- Liq r- Landslide f-N/A Floor Suite No
428 Orchid Avenue
(----
Description of Work
Use Const Type I v V
Remodel of 2 Bathrooms
# StoriesT # Units (if Res)rT
Valuation $ �''' / �-yry
Material/Labor 4J/4/_ /✓_�
New/Add SFF 0 Remodel
SF 240 Garage/New/Add r
OWNER'S NAME Last
Mani6calehi First I Rose and Tony
111CdIhG�i�t
Owner's Address
Owner's E-mail Address
428 Orchid
Rose4homes@gmail.com
city j Corona Del Mar
State F Ca
I ZIP 92625 Telephone 949 4�67 4867
APPLICANT'S NAME Last
Smithlin First FDean
Applicant's Address
Applicant's E-mail Address
32565 B Goldern Lantern
#104 I Dscincoffice@gmail.com
City Dana Point
State I Ca Zip 92629 Telephone1 949 689 7228
ARCHITECT/DESIGNER'S NAME
Last N/A First Lic. No. F_
Architect/Designer's Address
Architect/Designer's E-mail Address
City
StateW Zip Telephone[
ENGINEER'S NAME Last
N/A First Lic No f
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip [ Telephoned
CONTRACTOR'S NAME/COMPANY
Dean Smithlin Company Lic. No. 896691 Class
Contractor's Address
Contractor's E-mail Address
32565 B Goldern Lantern #104
Dscincoffice@gmail.com
city Dana Point Ca
State Ca Zip r 92629 Telephone] 949 689 7228
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 17riv 2,2: _ 2
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $