HomeMy WebLinkAboutX2019-1816 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Applic `t olnQ
IX Comm'I r- Residential City of Newport Beach - Buildin Div'
i
NOTE: PLAN CHECK FEES DUE AT TIMg kon
E OF SUBMITTAL
IX'Building r Grading rDrainage r Elec
iect Address
137 Bayside Drive
ption of Work
Improvement o
F Mech r; Plum
r Flood F Fire r Liq r - Landslide
nernove and replace windows and doors. Replace fabric for existing
New/Add SFF — RemodelSFF�
Garage/New/AdFd—�---,'
OWNER'S NAME Last California Recreation Company First I
Owner's Address
1137 Bayside Drive
City Newport Beach
APPLICANT'S NAME
Last
Owner's E-mail Address
Cu Yd Fill
r -N/A Floor
Suite No
Use FB —Const TypeVB —
# Stories F2 # Units (if Res)F_
Valuation $
I
State CA Zi 2625
P Telephone 949.721.0111
Applicant's Address
3195-B Airport Loop Drive
City Costa Mesa State CA
ARCHITECT/DESIGNER'S NAME
First
Applicant's E-mail Address
alazar@rhainc.net
Zip F2626 Telephone 14.352.7552
Last Hill First ohn
Architect/Designer's Address Lic. No. 23553
3195-B Airport Loop Drive
ArchitecttDesigner's E-mail Address
hill@rhainc.net
City Costa Mesa State CA
Zip 92626 Telephone 14.825.8888
ENGINEER'S NAME Last
First �— Lic. No.
Engineer's Address
Engineer's E-mail Address
City
CONTRACTOR'S NAME/COMPANY
Contractor's Address
State �! Zip ' Telephoner'
Lic. No. F— ClassF—
Contractor's E-mail Address
City I State F_ ZIP �Telephoned—
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT �— PERMIT NO. _ &01,q 0 I
SETBACKS RIGHT
USE ZONE PLAN CHECK NO.
DEVELOPMENT NO If' 1
PLAN CHECK FEES $