HomeMy WebLinkAboutXR2023-2578 - 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 110
rBuilding rGrading
rDrainage r—Elec j—Mech
rPlum Cu vd cuts Cu Yd Fills
Project Address (Not mailing address) F_ Flood
i— Fire r- Liq j— Landslide rN/A Floor Suite No
921 E. Balboa, Newport Beach
I I —
Description of Work
Use s ConstType s
Lmnlition of the existing 1.400-
square foot 2-story duplex residence,
# Storiess # Units (if Res)s
New/Add SF
�
Remodel SF IV Garage/New/Add
Valuation $ $25,000
Material/Labor
OWNER'S NAME
Last Shaoulian
First Emanuel
Owner's Address
Owner's E-mail Address
PO Box 3237
shaoulian918@bja-inc.com
City Newport Beach
State CA
Zip 92659 Telephone (949) 233.6606
APPLICANT'S NAME
Last Bard
First Martin
Applicant's Address
Applicant's E-mail Address
470 Old Newport Blvd.
shaoulian918@bja-inc.com
City Newport Beach
State CA
Zip 92663 Telephone 949-645-5854
ARCHITECT/DESIGNER'S NAME Last Jeannette
First Bnon Lic. No. 88012
Architect/Designer's Address
Architect/Designer's E-mail Address
470 Old Newport Blvd.
shaoulian918@bja-inc.com
City Newport Beach
State CA
Zip 92663 Telephone 949-645-5854
ENGINEER'S NAME
Last
First Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F— Telephoned
CONTRACTOR'S NAMEKOMPANY RI -Carroll General Contractors, Inc., Ron Carroll Lic. No. B682756 Class
Contractor's Address
Contractor's E-mail Address
20 Goodwill Ct.
City Newport Beach
State CA
Zip 92663 Telephone (714) 749-0622
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $