HomeMy WebLinkAboutX2019-2080 - Permit ApplicationPrint Form] Worksheet for Combo Building & Solar Permit Application
r Comm'I IZ Residential City of Newport Beach - Building Division X2019 -.2080 ; r
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL fS1$'Zolg
RBuilding 19 Grading
IRDrainage Ix Elec IR Mech R Plum cu Yd Cut270 CuvdFill 167
Project Address (Not mailing address) r Flood I- Fire r Liq i Landslide IWN/AF_ Suite No
`Floor
110 30TH STREETy NEWPORT BEACH 92663 I �—
Description of Work
Use Const Type FB
# Storiesr3 # Units (if Resf 2
15775Q.FF.0FuECK5
Valuation
New/Add SF 3,134
RemodelSFF® Garage/New/Add 467
5 500,000
Material/Labor
OWNER'S NAME Last ENGSTROM First BRENT (110 30TH STREET,LLC)
Owner's Address
Owner's E-mail Address
110 30TH STREET
brent@engstromgroup.com
City NEWPORT BEACH
State CA Zip 92663 Telephone (714) 469-6369
APPLICANT'S NAME
Last t -f -o" First I L -j 7—
Applicant's
Applicant's Address 2-6
t.i%J Applicant's E-mail Address
t2- (ED Si4yt4tal)HoCMFS, <6141
City
State Zip P Telephone 77963
1(1600
ARCHITECT/DESIGNER'S NAME Last POWELL First LIZ Lic. No.
Architect(Designer's Address
ArchitectIDesigner's E-mail Address
20561 SUBURBIA LANE
Liz@SkyViewHomes.com
City HUNTINGTON BEACH
State CA Zip F92646 Telephone 714-963-4600
ENGINEER'S NAME
Last SKUDLARSKY First JASON Lic. No. C67712
Engineer's Address
Engineer's E-mail Address
9751 OLYMPIC DRIVE
jason@psstructural.com
City HUNTINGTON BEACH
State CA Zip 92646 Telephone 714-496-6722
CONTRACTOR'S NAMEICOMPANY Lic. No. ClassF
Contractor's Address
Contractor's E-mail Address
City
� State F— Zip F_ Telephonel—
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. 441 k- l -zc�
PLAN CHECK NO.
PLAN CHECK FEES $