HomeMy WebLinkAboutX2021-1268 - Permit ApplicationyFnWorksheet for Combo Building & Solar Permit Application
F Comm'I j! Residential City of Newport Beach - Building Division Y 2,V21 • ( 2, 6
NOTE: PLAN CHECK F ES DUE A -IME OF SUBMITTAL
[XBuilding F Grading j -Drainage Elec Mech Avoepl..m 0 0
ct Address
1�1
3tion of Work
existing closet
-- _ Cu Yd Cut Cu Yd Fill
(Not mailing address) f- Flood r Fire r Liq Landslide FK -N/A Floor
rt. Newport Beach, CA 92660
brit.. N WA4ft �
iaungry room
New/Add SF F_
v Remodel SF 13 SF Garage/New/Add F —.
OWNER'S NAME Last
First
Suite No
Use R-2 Const Type Va
# StoriesT # Units (if Res)
Valuation $$10,000
Material/Labor
Owner's Address
Owner's E-mail Address
1 Park Newport jdiaZ@gb-a.com
City Newport Beach State CA p 92660 p
Zi Tele hone 1866) 931-0334
APPLICANT'S NAME Last Fuller Rachel
First
Applicant's Address
Applicant's E-mail Address
3750 Schaufele Ave. #150
Rachel@mgnsafearchitect.com
Lon Beach
City g
—'
State CA`
-
Zip 90808 Telephone 1562) 420-1035
ARCHITECT/DESIGNER'S NAME
Last�Grisafe
Mark First Lic. No. C28845
Architect/Designer's Address
Architect/Designer's E-mail Address
3750 Schaufele Ave. #150
Mark[7a mgnsafearchitect.com
City
Long Beach
State CA
Zip 90808 Telephone
X562) 420-1035
ENGINEER'S NAME Last I N/ First F� '
Lic. No.
Engineer's Address Engineer's E-mail Address
City �' State F Zip Telephone
CONTRACTOR'S NAME/COMPANY% re y,lha� /9,Art4L j , 1 U G Lic No. � 03 2 (9 p Class.
Contractor's Address lT r l Contractor's E-mail Address
31 VVv1vr 5*e _
City 1 1 1 1 State j'.__ _. Zip ��_. �_ Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $