HomeMy WebLinkAboutM2021-0076 - Permit Application�", i worksheet for Combo Building & Solar Permit A
F_ omml Application
F- Residential City of Newport Beach -Building Division
NOTE. PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
@-Building F— Grading F—Drainage F- Elec (- Mechj� �—
F- PIUm Cu Yd Cutl Cu Yd Fill
Project Address (Not mailing address f Flood
411 Edgewater PI r Fire F- Liq F— Landslide F_N/A Floor Suite No
Description of Work
Fm raenw Repair of facn36r rda aroi nd nerimr+to of t t Use Const Type
structural changes r`�2C'�tt t-. I fl t r e nn
t—u5�a B+ nrci s� # StoriesF_ # Units (if Res)
New/Add SFr Remodel SF 195.
Garage/New/Add r--- Valuation $
Material/Labor1,600
OWNER'S NAME
Last Bedrosian
FirstJanice
Owner's Address --........
411 Edgewater PI Owner's E-mail Address
Janice. bedrosian@bedrosians. com
City Newport Beach �`�
State CA Zip 92661
Telephone 949-548-9999
APPLICANT'S NAME
Last Bedrosian
Applicant's Address First Janice
411 Edgewater PI Applicant's E-mail Address
Janicebedrosian@bedrosians. com
City Newport Beach
State CA Zip F92661
Telephone 949-548-9999
ARCHITECT/DESIGNER'S NAME
Last
�—
Architect/Designer's First Designer's Address - Lic. No. F�
ArchitecUDesigner's E-mail Address
City�— Ip(F
Z
State I
Telephone I�
ENGINEER'S NAME -----_
Last �--
First r---- Lic. No,
Engineer's Address
—' Engineer's E-mail Address
Cityfr��
State � Zip I Telephoner_�
CONTRACTOR'S NAME/COMPANY
Apex Diving and Marine Services, Inc. Lic. No. 1006937
Contractor's Address - - Classr—•
15061 Sherman Way, Unit J Contractor's E-mail Address
_ dwain@apexdiving.com
City Van Nuys
State CA Zip 91405 Telephone 949-590-9966
REAR SETBACKS FRONT
�—
LEFT �
_ PERMIT NO. JJ�, �
SETBACKS RIGHT
�—"
DEVELOPMENT NO PLAN CHECK NO. � �!
J
--�-___
PLAN CHECK FEES $