HomeMy WebLinkAboutX2019-1005 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm'I r Residential City of Newport Beach - Building Division V019 - /005
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding rGrading rDralnagelec ,Meth Plum cuvdcutF cuvdFill
Project Address (Not mailing address) r Flood r Fire r Liq Landslide r,–N/A Floor Suite No
1911 Yacht Truant (� _0('V�v
F— F
Description of Work
Ussw�nst Type
Replacement of windows - same sizes in existing openings. Addition of (1) new window.
# Stories # Units (if Resf
',
Kitchen remodel, Master Bath Remodel, Powder Room remodel
Valuation $
Material/Labor
F
New/Add SF�— Remodel SF 350
Garage/New/Add y'
OWNER'S NAME Last Gill I Diehl
First Neil Susan
Owner's Address
Owner's E-mail Address
1911 Yacht Truant
suz.diehl@gmail.com
City Newport Beach State CA Zip 82660 Telephone (949) 402-7638
APPLICANT'S NAME Last Goubeaux
First Lisa
Applicant's Address
Applicant's E-mail Address
17710 Detroit Avenue
Igoubeaux@adaarchitects.cc
City Lakewood State OH
Zip 44107 Telephone(216) 521-5134
ARCHITECT/DESIGNER'S NAME La< AccI )
FirstFirst—Robert c. No. 6( 6
Li
Architect/Designees Address
DtdtxcVasigner s Ebail Ad as
17710 Detroit Avenue
Igoubeaux@adaarchitects. c
City Lakewood State OH
Zip 44107 Telephone (216) 521-5134
ENGINEER'S NAME Last i
First No.r
�Llic.
Engineer's Address
Engineers E-mail Address
City State F
Zip F Telephonel—
CONTRACTOR'S NAME/COMPANY ( r ,, Lic. No.tU TF 7G j ClassFT
^�
Contractors Address
Contractors E-mail Address
71, V7 _
J—rtme5 G��G ,�oQ
cityor C / State cell
4
Zip fZjP�G Telephone Yzl l/ yob
SETBACKS REAR SETBACKS FRONT
PERMIT NO. (^j • LDbs
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 0(,0 -
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ ls��