HomeMy WebLinkAboutX2019-1816 - Permit Application (3)MCI- t $! IP
Print Form Worksheet for Combo Building & Solar Permit Application
FX_ Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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ra mg I—Drainage I—Elec rMech I Plum Cu Yd Cut I Cu Yd Fills
Project Address (Not mailing address) F_ Flood r Fire [_Liq F_ Landslide F_N/A Floor Suite No
1137 Bayside Drive
Description of Work Use _ Const Type t 6
Exterior Improvement only. Remove and replace windows and doors. Replace fabric for existing
awning
# Storiesl2 # Units (if Res)I—
Valuation S $30,000
New/Add SFI—' Remodel SF F_Garage/New/Add Material/Labor
OWNER'S NAME Last (California Recreation Company First
Owner's Address Owner's E-mail Address
1137 Bayside Drive
City Newport Beach State CA Zip 2625 Telephone 949.721.0111
APPLICANTS NAME Last
Applicant's Address
13195-B Airport Loop Drive
City jCosta Mesa State CA
ARCHITECT/DESIGNER'S NAME Last Hill
Architect/Designer's Address
3195-B Airport Loop Drive
City Costa Mesa State CA
First (Valeria
Applicant's E-mail Address
Salazar@rhainc.net
Zip 92626 Telephone 14.352.7552
First Fohn Lic. No. 23553
Architect/Designer's E-mail Address
Ihill@rhainc.net
Zip 92626 Telephone14.825.8888
ENGINEER'S NAME Last First 7 Lic. No.F—
Engineer's Address Engineer's E-mail Address
City State Zip Telephone
CONTRACTOR'S NAME/COMPANY I Lic. No. F Class
Contractor's Address
Contractor's E-mail Address
City State F—. Zip �— TelephoneF—
SETBACKS REAR SETBACKS FRONT PERMIT NO. XZ(J1 i'Yj I W
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1,�/ •t
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $