HomeMy WebLinkAboutX2020-1264 - Permit ApplicationPint Form Worksheet for Combo Building & Solar Permit Application i4`Vgw "'a
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Comm'I rx Residential City of Newport Beach -Building Division X20,20- I X614 a z
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �'4 vU nY�f
rBuilding r Grading ("-Drainage [_ Elec r Mech
r Plum cuvdCut F Cu Yd Fill
Project Address (Not mailing address) (— Flood
r Fire r Liq [— Landslide rN/A Floor Suite No
F_
127A-25-th st
Description of Work
Use R1 Const Type VB
# Stories # Units (if Res)F_
iLegalined Master Bedroom infill and roof deck addition Also changerailing
ailing�systemc along roof
deck and 2nd Story deck, and change spiral staircase, like for like.
Valuation $
Material/Labor FR D
New/Add SF164 Remodel SF125 Garage/New/Add i
OWNER'S NAME Last Gbdenberg First Jay
Owner's Address
Owner's E-mail Address
127 J25 th St
jay.goldenberg@icloud.com
City Newport Beach State ca
Zip 92663 Telephone(949)468-8345
APPLICANT'S NAME Last Corona
First Benito
Applicant's Address
Applicant's E-mail Address
1100 E. Orangethorpe Ave Suite 20OR
bcndesigner@sbclobal.net
City Anaheim State CA
Zip 92801 Telephone (714)371-7176
ARCHITECT/DESIGNER'S NAME Last I
First F Lic. No.
Architect(Designer's Address
ArchitecUDesigner's E-mail Address
7—
1
City �0 State �
Zip TelephoneF_
ENGINEER'S NAME Last McHantaf First Kamal Lic. No. 51050
Engineer's Address
Engineer's E-mail Address
1100 E. Orangethorpe Ave Suite 200R
City Anaheim State CA
Zip 92801 Telephone(949)307-6346
CONTRACTOR'S NAME/COMPANY
Lic. No. �— Class
Contractor's Address
Contractor's E-mail Address
City State ��
Telephone
Zip �— uFuZ( 4
iiu<
Aug,
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. ��I✓I5 •��
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $