HomeMy WebLinkAboutX2021-2083 - Permit Application,it Form Worksheet for Combo Building & Solar Permit Application
Comm'I iK Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F Grading
rDrainage FX_Elec TX Mech (K Plum CuvdCutF-- CuYdFill F_
Project Address (Not mailing address) F_ Flood r Fire Liq r Landslide I —N/A Floor Suite No
50 Colton
Description of Work
Use R3 Const Type VB
new second floor master bedroom and bath and third floor bonus room and deck
# Stories 3 Units (if Res)f I
2- 27
Valuation $ 120,000 VV IA
Material/L bor
New/Add SF 747 sf
Remodel SF L3 1_ Garage/New/Add
OWNER'S NAME
Last DeFreitas First Iscott
Owners Address
Owners E-mail Address
50 Colton
�SC97I f� 066� i tJ ry l�� �G yn
City Newport Beach State CA Zip 92663 TelephoneFT
APPLICANTS NAME
Last Brown First Ken
Applicant's Address
Applicant's E-mail Address
9061 Modjeska Pk. Ln.
kenbrownarch@hotmail.com
City rabuco Canyon
State CA Zip 2679 Telephone 949 981 5106
ARCHITECT/DESIGNER'S NAME Last Brown First Ken Lic. No. C13410
Architect/Designees Address
ArchiteoUDesigners E-mail Address
ame as above
City
State F_— Zip F-- Telephoned
ENGINEER'S NAME
Last Brown First Ken Lic. No. 13410
Engineers Address
Engineers E-mail Address
ame as above
City
State F Zip F TelephoneF—
CONTRACTOR'S NAME/COMPANY Lic No. F_Class
Contractor's Address
Contractors E-mail Address
City
State F_ Zip F-- Telephoned
SETBACKS REAR
=TBACKS LEFT
=ZONE
SETBACKS FRONT
PERMIT NO.L(
SETBACKS RIGHT
PLAN CHECK NO.
DEVELOPMENT NO
PLAN CHECK FEES $