HomeMy WebLinkAboutX2019-1178 - Permit Applicationprint Form; Worksheet for Combo Building & Solar Permit Application orEW�am
F_ Comm'I F Residential City of Newport Beach - Building Division a( ZOjGi - (j 7
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G „oarP
'Building r Grading
rDrainage [X_ f)Z Mech r, Plum Cu Yd Cut Cu Yd Fill F _—
Project Address (Not mailing address) r Flood r Fire r Liq r, Landslide r,N/A Floor Suite No
1756 E. OCEAN BLVD. NEWPORT BEACH
Description of Work
Use Const Type F
INTEROR KITCHEN REMODEL
# Stories # Units (if Res)F-
--.
Valuation $
Material/LaborF_:�70
New/Add SFF`
Remodel SF 130 Garag a/New/Add F—
OWNER'S NAME
Last ELLIOT First STEVE
Owner's Address
Owner's E-mail Address
1756 E. OCEAN BLVD
City NEWPORT BEACH State FCA. Zip F---! Telephoner
APPLICANT'S NAME
Last FHARRISON First ROBERT
Applicant's Address
Applicant's E-mail Address
935 S.ISAHO # 201
rwhconst@aol.com
City LA HABRA
State FZA. Zip r9O631 Telephone 2-755-1705
56
ARCHITECT/DESIGNER'S NAME
Last First Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
N/A
City
State r Zip F Telephoner
ENGINEER'S NAME
Last First Lic. No.r
Engineer's Address
Engineer's E-mail Address
N/A
City �—
State F Zip I Telephoned
CONTRACTOR'S NAME/COMPANY
RWH CONSTRUCTION Lic. No. Fii93 Class C-1
Contractor's Address
Contractor's E-mail Address 04 LGYI/j
P O BOX 2291
whconst@aol.com ! )
City LA HABRA
State CA. Zip .._90631 Telephone\t
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $