HomeMy WebLinkAboutX2017-3530 - Permit Applicationrintnt Worksheet for Combo Building & Solar Permit Application
F- Comm I r Residential XZU� 1' ✓iS920 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[X—Building F_ Grading rDrainage j--', Elec rMech (X', Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) ❑ Flood f— Fire rLiq r! Landslide I�.N/A Floor Suite No
216 Garnet Ave, Newport Beach, CA 92662
Description of Work
Use F—Const Type F
Replace water heater and water closet repair/replace portions of DWV system
# Stories , # Units (if Res)rl
Add outdoor access panel for tub trap access. f}
a uatio
Material/Labor I✓
New/AddSFF Remodel SFFo—, Garage/New/Add 0
OWNER'S NAME Last Pier Family Trust First
Owner's Address Owner's E-mail Address
1403 Bayview Heights Drive doroth YP ier@ mac.com
City Los Osos State CA Zip 93402 Telephone 805-528 1613
APPLICANT'S NAME Last Pier rst Steve
Applicant's Address Applicant's E-mail Address
1216 Garnet Ave lrok--sjp@yahoo.com
City Newport Beach State CA Zip 92662 Telephone 1949-673-1604
ARCHITECT/DESIGNER'S NAME Last First Lic. No. F_
Architect/Designer's Address Architect/Designer's E-mail Address
City State F Zip Telephone
ENGINEER'S NAME Last First F Lic No f
Engineer's Address Engineer's E-mail Address
City F State Zip Telephone
CONTRACTOR'S NAME/COMPANY Lic NoT Class
Contractor's Address Contractor's E-mail Address
City F State F Zip ��---- Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. 1�0 17 -7rj -3 b
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $