HomeMy WebLinkAboutXR2022-2992 - Permit ApplicationPrint Form
Comm'I
J Worksheet for Conlbo Building & Solar Permit Application
Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEFR nl IF AT T6AP nF si IannITTA1
Building FGrading F—Drainage F_Elec F_Mech Plum cuvdCut CuYdFill
Project Address (Not mailing address) F Flood f Fire f— Liq r Landslide F_N/A Floor Suite No
1014 whk Sails Way F- F—
Description of Work
Use 3 ConstType�
Remodel ex1S�i aUkdoolr {-ir lgce it add hcw ctfktch¢d o14.
# StoriesT # Units (if Res)F—
e�yu
�p,�
New/Add SF CCJJ Remodel SFI "T I Garage/New/Add �—
Valuation $
Material/Labor ld
OWNER'SNAME Last R-00" First rIQI�e�
Owner's Address 10Owner's E-mail Address
14 W4i►-k�c_Sails Way. hnl►aa+,°e@colleotrnoart.c�rh
_
-
City Corona bet Mar State F
CA- Zip 9%6 — — Telephone IrI�S/43l"ti001
APPLICANT'S NAME Last First Sara
Applicant's Address Applicant's E-mail Address
22 calr smkt_ Park, sviNt wo [same ebta. cam
City YrYI, State Zip 726I10 Telephone (gT9_95J 32-�L
ARCHITECT/DESIGNER'S NAME Last First—
Car1Qs Lic. No. C 114(13
Architect/Designer's Address Architect/Designer's E-mail Address
12 (gywite_QGgVjVi wo _ carIds @ 6*. cowl
city --
Y Zf r<Q State Zip p�L — (T") Z 347. -
�� P 72�p� Telephone
ENGINEER'S NAME Last �
X LQd First �hvn (� j� Lic. No. 1
Engineer's Address Engineer's E-mail Address
1�20 $rooklrwllaw Dr., Svi}e �{5 Chung@ ggxer�. com
City Saft A State I � Zip r9ilU Telephone (1I4)(0b2-a510
CONTRACTOR'S NAME/COMPANY tJ.� �7,
(. v/ua t (. i r� J Lic No. 'U� 7Class
Contractor's Address Contractor's E-mail Address
`%/)S
6rLL`
City I � pw (t State ��— Zip 9`Zn7j Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. �22 2�CJ7
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0. "C2{j�Z- ZifY
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $