HomeMy WebLinkAboutX2020-1200 - Permit ApplicationP.,eint.Form.. ` Worksheet for Combo Building & Solar Permit Application
r Comm'I R Residential City of Newport Beach - Building Division Xa�a�
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
RBuilding r- Grading r;Drainage RElec RMech OZ. Plum CuvdcutF7 Cu YdFill F
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide CN/A Floor Suite No
1504 WESTCLIFF DRIVE
�I
Description of Work UseConst Type
REMODEL THE EXISTING KITCHEN, TWO BATHROOMS AND LAUNDRY ROOM. REMOVE AND
REPLACE EIGHT (9) EXISTING WIPIDGW5 (LIKE FQR LIKE) R9MQ4F THF FXISTIAIG 1391101 R FRONT #Stories
DOOR AND REPLACE w/ WINDOW -REPLACE LAUNDRY ROOM DOOR w/ NEW ENTRY DOOR ' #Units (if Res)r4
Valuation $ $35,000-
New/Add SFF Remodel SF 377 Garage/New/Add F Material/Labor
OWNER'S NAME Last PALLEY First REN NICK
Owner's Address Owner's E-mail Address
1504 WESTCLIFF DRIVE
City NEWPORT BEACH State FCA Zip 92660 Telephone 949-683-8009
APPLICANT'S NAME Last I JEHEBER
Applicant's Address
410 32nd STREET, SUITE 202
City I NEWPORT BEACH State FCA
First I ROD
Applicant's E-mail Address
rajeheber@gmail.com
Zip 92663 Telephone 949-723-4393
ARCHITECT/DESIGNER'S NAME Last JEHEBER First ROD Lic. No.
F_
Architect/Designer's Address
410 32ns STREET, SUITE 202
City I NEWPORT BEACH State FCA
Architect/Designer's E-mail Address
rajeheber@gmail.com
Zip F92663 Telephone 949-723-4393
ENGINEER'S NAME Last First F� Lic. No.F—
Engineer's Address
City I State I
Engineer's E-mail Address
Zip Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. F� Class F
Contractor's Address
City State �—
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
Zip I - - Telephoned
PERMIT NO. x2"
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $