HomeMy WebLinkAboutX2021-0760 - Permit ApplicationF_ Comm'I r— Residential
fK— Building r7 Grading
Address
XMH
for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[X—' Elec fR< Mech rX-. Plum Cu Yd Cut Cu Yd Fill F
ddress) F-, Flood r—, Fire [7 Liq r Landslide )�N/A Floor
15 leeward Lane Newport Beach
of Work
(kitchen remodel/ add skylights at kitchen( between existing roof rafters) add 16 SQ.Ft at south ,
New/Add SFF16Sq.FT Remodel SF 352 SQ>FT Garage/New/AddF
OWNER'S NAME Last Packs I on First (Kristin
Owner's Address Owner's E-mail Address
Suite N
F7
Use it— " ti, Const Type
2115 Leeward lane lkdkjackson@yahoo.com
Ca
City INewport Beach State F Zip F—TelephoneF 714-293-0037
APPLICANT'S NAME Last
Applicant's Address
115 Leeward Lane
C Beach State
City Newport Ca
Applicant's E-mail Address
lkdkiackson@yahoo.com
Telephone 7
Zip F14-293-003
# Units (if
i/022)1,-�
ARCHITECT/DESIGNER'S NAME Last Motz First Gunther Lic. No. F1 7855
F
Architect/Designer's Address
18821 Ashcroft Ave.
City Fast Hollywood State Ca
Architect/Designer's E-mail Address
�MOt7@lx.netcom.com
Zip 1691Z Telephone310-859-8920
ENGINEER'S NAME Last First F Lic. No.F
Engineers Address
City State F
CONTRACTOR'S NAME/COMPANY
ISolt ani C - onstructu I io - n
Contractor's Address
118341 Sherman way # - 104 B
City Iresecla State FCA_
REAR SETBACKS FRONT
SETBACKS RIGHT
USE Z0)9E -7 ,
DEVELOPMENT NO
Engineer's E-mail Address
Zip Telephone[
703647 Class
Lic. No.F FB
--q �- ,
Contractor's E-mail AddressT5F:,2_&--4j_-�Y!) 16571
isoltanibuild@yahoo.com
Zip 91335 Telephone 1818-774-1972
PERMIT NO. Y -Z a�, I �
PLAN CHECK
PLAN CHECK FEES $