HomeMy WebLinkAboutX2021-1371 - Permit ApplicationI=rint Form Worksheet for Combo Building & Solar Permit Application (r,1j,"6WR ,,r Comm'I I9 Residential City of Newport Beach - Building Division ltav WN
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �,'o
JRBuilding F— Grading F—Drainage j— Elec r Mech js Plum Cu rd Cut F' Cuvdrill F_
Project Address (Not mailing address) r Flood F-; Fire F' Liq r Landslide FN/A Floor Suite No
77 Veroli Court, Newport Coast, CA, 92657
Description of Work
Use Res Const Type �c
Replace like for Like- Vanity, Faucets, sinks, shower and tempreture and volume control in
a W'YtSItB[9'In-P8�3tep;— # Storiesl2 # Units (if Res) 64
maser ba
2nd bath and powder room.
New/Add SF— Remodel SF 300 Gara f 0 Valuation
�a/New/Add S
9 Material/Labor$15,000.00
OWNER'S NAME Last renpil First Kyhm
Owner's Address
11 Veroli Owner's E-mail Address
kpenfil@cox.net
City Newport Coast StateCA Zip 92657 Telephone949-887-9601
APPLICANT'S NAME Last Armony First Doron
Applicant's Address
Applicant's E-mail Address
15333 Culver Drive, Suite 340-154 idoronarmony@gmail.com
City Irvine StateCA Zip 92604 Telephone 9492285218
ARCHITECT/DESIGNER'S NAME Last
First �— Lic. No. r—
ArchitecUDesigner's Address Architect/Designer's E-mail Address
City I State r— Zip �— Telephoner,
ENGINEER'S NAME Last IScheppard First Steve
Lic. No. 55446
Engineer's Address Engineer's E-mail Address
28052 Camino Capistrano, Suite #201 Steve@sdcengineering.com
City Laguna Niguel State CA Zip 92692 Telephone 9498384198
CONTRACTOR'S NAME/COMPANY Eden Flooring and Construction Inc. - Doron Arli Lic. No. 895689 Class B, C-15
Contractor's Address Contractor's E-mail Address
15333 Culver Drive, Suite 340-154 doronarmon
Y@gmail.com
City Irvine State CA Zip 92604 Telephone9492285218
SETBACKS REAR SETBACKS FRONT PERMIT NO, A124,11 W 11NI)
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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