HomeMy WebLinkAboutX2022-0676 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
r Comm'I r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FK Building r Grading rDrainage r Elec
Project Address (Not mailing
170 Newport Blvd
of Work
j— Mech r Plum Cu Yd Cut Cu Yd Fill
r Flood F— Fire r Liq r Landslide FN/A Floor
Demo interior walls, finishes, flooring, ceiling, light fixtures, rest. fixtures, doors, windows.
New/Add SFF_ Remodel SF 3,700 SF (Demo) Garage/New/Add r
OWNER'S NAME Last
Owner's Address
36I 13th C
City Hermosa Beach
First
Owner's E-mail Address
V
Suite No
Use A 2 ConstTyperV B—
# Storiess # Units (if Res)F_
Valuation $ F5OOO
Material/Labor
State CA ZiPp 90254 Tele hone 310.374.3964
APPLICANT'S NAME Last FHallimore First
Applicant's Address Applicant's E-mail Address
3195 B Airport Loop hallimore@rhainc.net
City Costa Mesa State CA Zip 92627 Telephone 951.337.7012
ARCHITECT/DESIGNER'S NAME Last Hill First John Lic. No. C23553
Architect/Designer's Address
3195 B Airport Loop
City Costa Mesa
ENGINEER'S NAME Last
Architect/Designer's E-mail Address
State CA Zip 92627 Telephone 714.825.8888
First
Lic. No.F—
Engineer's Address Engineer's E-mail Address
City I State F_ Zip F_ Telephones —
CONTRACTOR'S NAME/COMPANY Joe Hobi Lic No. 904930 Class
Contractor's Address Contractor's E-mail Address
703 Pier Ave. Suite 297 stdconstruction@me.com
City Hermosa Beach State CA Zip 90254 Telephone 310.648.4547
SETBACKS REAR SETBACKS FRONT PERMIT NO.
I , zY 0(116_
SETBACKS LEFT SETBACKS RIGHT m PLAN CHECK NO. 05&15- • 2O1Y_
USE ZONE DEVELOPMENT NO 11�A7�' a) l� PLAN CHECK FEES $