HomeMy WebLinkAboutX2020-2837 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
[ Comm'I [, Residential City of Newport Beach - Building Division y Z,) W _ tig S7
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[',Building [ Grading [!Drainage PX Elec rMech [, Plum Cu Yd cut F Cu Yd Fill
Project Address (Not mailing address) CI Flood [ Fire [ Liq [ Landslide [N/A Floor Suite No
106 DIANA LANE NEWPORT BEACH, CA 92660 F F
Description of Work
Use IR Const Type VB
Stories' # Units (if Res)F
KITCHEN BATHROOMS REMODELED NEW WINDOWS NEW LIGHTING AND CEILING FANS
i#
atom -bearing wall removal and new non-bearing walls
New/Add SF�I, Remodel SF 261 Garag a/New/Add—,
Valuation $ 2g 000
Material/Laborl
OWNER'S NAME Last EMMEL First CHRISSIE
Owner's Address Owner's E-mail Address
1721 Marlin Way Newport Beach, CA 92660-4329 chrissieemmel@gmail.com
City State �— ZipF Telephone949-285-3292
APPLICANT'S NAME Last Blackmore 1 First Pason
Applicant's Address Applicant's E-mail Address
2735 De Soto Ave, Costa Mesa, CA 92626 jjabdesign@gmaiLcom
City State Zip
--, , Telephone 949.274.6585
._ ---
ARCHITECT/DESIGNER'S NAME Last Same as applicant First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City I State I Zip F—j Telephone
ENGINEER'S NAME Last ;First —!I Lic. No. �1}�
Engineer's Address Engineer's E-mail Address
City State Zip Telephoned
CONTRACTOR'S NAME/COMPANY / / / z!rS Lic. No. /o /r�� Class'
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Contractor's Address Contractor's E-mail Address
660 "' , Sf #�ZU_ �Il c� phU, IGS Cdr
i State _ C[Telephone[
777Ci v��
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SETBACKS REAR SETBACKS FRONT PERMIT NO. d / i
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $