HomeMy WebLinkAboutXR2023-0511 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
Comm'I Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
)XBuilding rGrading rDrainage F_Elec r—Mech
F_ Plum Cu Yd cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood
j— Fire F_ Liq F Landslide F_N/A Floor suite No
14 Wild Goose
Description of Work
Use ConstType F
# Stories[— # Units (if Res)r—
(-onclo interior Kenovation of Floor i, cleCKexpansion.
Valuation `
Material/Labor �-CJ�CJ�
New/Add SFr— Remodel SF 1,903 Garage/New/Add F_—
OWNER'S NAME Last Hanson
First Paul , 5 Z Z(4 O
Owner's Address
Owner's E-mail Address �~ t
18301 Von Karman #330
phanson@byebyehouse.com
City Irvine State ca
Zip F_ Telephone 801-735-9119
APPLICANT'S NAME Last Bell
First kason
Applicant's Address
Applicant's E-mail Address
1601 W. Macarthur Blvd. #11d
q�JOf1C L, t1 +
Wl g1g11. c
City Santa Ana State Pal0✓Yl
Zip 92704 Telep ne (714)
ARCHITECT/DESIGNER'S NAME Last bell
First Jason Lic. No. r—
Architect/Designer's Address
Architect/Designer's E-mail Address
1601 w. Macarthur Blvd. #11d
aasonebell@gmall.com
City Santa Ana State ca
Zip 92704 Telephone (714)206-7244
ENGINEER'S NAME Last Black
First Pan Lic. No.F__
Engineer's Address
Engineer's E-mail Address
1301 Dove, Suite 960
ian@blackstrucutrual.com
City Newport Beach State ca
Zip 92660 Telephone 714-514-4125
61
CONTRACTOR'SNAME/COMPANY CAL. STK\E_ Lic. No. 2212 Class 5J .
Contractor's Address
Contractor's E-mail Address
c�3Z S .UvE W_'FDk.
CALS�A�eCOt.1�Ao1 «EOM
City State
Zip Q`lTelephone 7
Q
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
76
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