HomeMy WebLinkAboutX2020-0216 - Permit ApplicationvvorKsneet Tor combo Building & Solar Permit Application
C Comm'I r, Residential
rBuilding r' Grading
Project Address (NI
1307 Bayside Drive
Description of Work
Interioro econsistingicc
existing walls and two bathri
New/Add SF 0 L'
OWNER'S NAME
Owner's Address
City of Newport Beach - Building Division I g� _Zo2v
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r!Drainage FX_ Elec r Mech X; plum
[- Fire
and exterior door replacement.
Remodel SF SU Garage/New/Add
Last !Campbell First
Cu Yd Cut Cu Yd Fill
F- Landslide FN/A Floor Suite No
I
n/a n/a
Use' ♦ Const Type VB
'tions # Stories�2 # Units (If Res)r1
� I Valuation $ 75,000
IV ' Material/Labor
Owner's E-mail Address
APPLICANT'S NAME Last
Applicant's Address
6131 Anacapa Drive
City Huntington Beach State CA
First
Applicant's E-mail Address
philnielsen0o@yahoo.com
Zip 92647 Telephone (714) 717-1418
ARCHITECT/DESIGNER'S NAME Last Nielsen ;First Philip Lic. No.
- 1
Architect/Designees Address
6131 Anacapa Drive
City Huntington Beach State CA
Architect/Designer's E-mail Address
1philnisisenOO@yahoo.com
Zip 92647 Telephone(714) 717-1418
ENGINEER'S NAME Last ii First F Lic. No.F
Engineer's Address
City State r—
Engineer's E-mail Address
i
Zip �� TelephoneF�
CONTRACTOR'S NAME/COMPANY Lic. No.
ejS, Class
Contractor's Address
city L"� _.. State
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
Zip Telephone TA/L:N_�o
PERMIT NO. 4�X2_0
PLAN CHECK NO. in 12 - w
PLAN CHECK FEES $
1703 Bayside Drive
n/a
City
Corona Del Mar 1.State 1111 111111111111CA
Zip 92625
Telephone (949) 681-7632
APPLICANT'S NAME Last
Applicant's Address
6131 Anacapa Drive
City Huntington Beach State CA
First
Applicant's E-mail Address
philnielsen0o@yahoo.com
Zip 92647 Telephone (714) 717-1418
ARCHITECT/DESIGNER'S NAME Last Nielsen ;First Philip Lic. No.
- 1
Architect/Designees Address
6131 Anacapa Drive
City Huntington Beach State CA
Architect/Designer's E-mail Address
1philnisisenOO@yahoo.com
Zip 92647 Telephone(714) 717-1418
ENGINEER'S NAME Last ii First F Lic. No.F
Engineer's Address
City State r—
Engineer's E-mail Address
i
Zip �� TelephoneF�
CONTRACTOR'S NAME/COMPANY Lic. No.
ejS, Class
Contractor's Address
city L"� _.. State
SETBACKS REAR
SETBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
Zip Telephone TA/L:N_�o
PERMIT NO. 4�X2_0
PLAN CHECK NO. in 12 - w
PLAN CHECK FEES $