HomeMy WebLinkAboutF2020-0343 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application oRNPoRe
Comm'ICity of Newport Beach - Building Division ��rr
rX Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �[DO0
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fxBuilding {—Grading F -Drainage j4Elec rMach ( Plum CuvdCut CuvdRIF v
Project Address (Not mailing address) F— Flood r Fire r Liq F- Landslide rN/A Floor Suite No
611 Lido Park Dr. Unit 613
!16 3
Description of Work
Use MFR Const Type FIA
# StorieslS # Units (if Res)F—
Interior. ton -structural installation of new stackable washer anti
vent -I ss dryer new lighting
fixtures, and additional outlets. -
Material/Labor tot ZZ
New/Add SF{0 Remodel SF 10
Garage/New/Add F
OWNER'S NAME Last Rawlins
First Grant
Owner's Address
Owners E-mail Address
611 Lido Park Dr. Unit 6B
igrawlins@rbwire.com
City Newport Beach State CA Zip 92663 Telephone --
APPLICANTS NAME Last Rawlins
First Grant -
Applicant's Address
Applicant's E-mail Address
611 Lido Park Dr. Unit 6B
grawlins@rbwire.com
City Newport Beach State ICA
Zip 92663 Telephone�� _ `i��-7
ARCHITECT/DESIGNER'S NAME Last Jeannette
First Brion Lic. No. cso12
Architect/Designers Address
Architect/Designees E-mail Address
470 Old Newport Blvd.
info@bja-inc.com
City Newport Beach State CA
Zip 92663 Telephone949-645-5$54
ENGINEER'S NAME Last NIA
FirstF-- Lic. No.F
Engineer's Address
Engineer's E-mail Address -
city �— State �
Zip F Telephoner
CONTRACTOR'S NAME/COMPANY
Lic. No. F-- ClassF—
Contractors Address
Contractor's E-mail Address
City State—
Zip-- Telephone��
ETBACKS REAR SETBACKS FRONT
PERMIT NO. Jl(.r "— C (� CIO
-.TBACKS LEFT SETBACKS RIGHT
rr(til
PLAN CHECK NO.
=ZONE DEVELOPMENT NO
PLAN CHECK FEES $