HomeMy WebLinkAboutX2021-0213 - Permit ApplicationComm'I PZ Res de�nti� I 02`3 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F- Building r Grading
F -Drainage �?bec /Rech jy Plum CuYdutF Cu Yd Fill
Project Address (Not mailing address) F- Flood F- Fire r Liq Landslide [N/A Floor Suite No
4 Timor SeaNewport Coast, CA 92657 77
Description of Work
Use onstType —
onvert existing toilet to a small
kitchen . '
-- -- -.
# Stories # Units (if Res)F
Valuation $
Material/Labor[;
New/Add SFF
30
Remodel SF .25 Garage/New/Add Ir
OWNER'S NAME
Last Phing First Ping
Owner's Address
Owner's E-mail Address
4 Timor Sea
City Newportbeach
State PF-7Trp 82657 Telephone 1-714-345-1609
APPLICANTS NAME
Lasthanna First halini
Applicant's Address
Applicant's E-mail Address
Aprilla
tudiovision07O8@gmail.com
City Irvine
State CA Zip 92614 Telephone 9498727656
ARCHITECT/DESIGNER'S NAME Last Sharma First Shalini Lic. No.
Architect(Designer's Address
Architect/Designer's E-mail Address
Aprilla
City Irvine
State P�7 Zip 2614 Telephone 9498727656
ENGINEER'S NAME
Last First Lic. No.
Engineers Address
Engineer's E-mail Address
City
State [-7— Zip I TelephoneF—
CONTRACTOR'S NAMEICOMPANY imelesstouch remodeling Lic. No. 808818 Class
Contractor's Address
Contractor's E-mail Address
7071 Cabot Road suite 132
boydtthr@gmail.com
City Laguna hills
State CA Zip 92653 Telephone 9498425951
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO, ®LZa
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $