HomeMy WebLinkAboutX2021-0307 - Permit Application (2)Wo et for Combo Building & Solar Pel mitApli tion} (DIS Print Form` ,•
�`.� City of Newport Beach -Building Division o
r Comm'I r, Residenti I OTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �<, „arJ
rBuilding FGrading rDrainage rjElec IK:Mech IF Plum Cu Yd cut Cu Yd Fill
Project Address (Not mailing address) ri Flood r Fire r Liq r Landslide rN/A Floor Suite No
2214 Holly Ln, Newport Beach, CA 92663
F—i F_
Description of Work -%
z Use F_ Const Type
room addition. finished attic space to be converted into a bedroom.
remodel.
kitchen and bathroom
# StoriesF7 # Units (if Res)F-
- _-
New/A d SF 259 Remodel SF ��1
--_
- - -- Valuation $ 7 0 Cxx
Garage/New/Add —', Material/Labor [ f
OWNER'S NAME Last webb
First Chris
Owner's Address
Owner's E-mail Address
18011 Sky Park Circle, Suite E Irvine Ca 92614
cwebb@servcobuilders.com
City State—, Zip— Telephone (949) 689-9269
APPLICANT'S NAME Last blackmore
First Jason
Applicant's Address
Applicant's E-mail Address
5 de Soto ave, costa mesa, ca 92626
llabdelm
city State �—
zip Telephone949.274.6585
ARCHITECT/DESIGNER'S NAME Last
First
F [ic. No. F_
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
_ --__-_ _-.-----__ -_--- r' -J_._
City ---_-. -_ __---- State I '�,
---------.�
Zip r Telephone,
ENGINEER'S NAME Last Masoud
First Masoud Lic. No. s3812
Engineer's Address
Engineer's E-mail Address
23 ORCHARD, SUITE 250 LAKE FOREST, Ca 92630
city -
a.hekmat@wsase.com
city
Ci State
- 92 -
Zip rI Telephone 9492069929
CONTRACTOR'S NAME/COMPANYServco Builders
Lic. No. 6937164 Class
Contractor's Address
Contractor's E-mail Address
18011 Sky Park Circle, Suite E Irvine Ca 92614
City State
Zip �— Telephonel—
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $