HomeMy WebLinkAboutX2019-0727 - Permit Application (2)Print Form Worksheet for Combo Building &'Solar Permit Anp�plication ov°`°°are
F Comm'I Residential City of Newport Beach -Building Division ���G—u� `L� ,
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G<,.oa.�.
rBuilding F_ Grading
rDrainage r Elec (- Mech r Plum Cu Yd Cut r Cu Yd Fill F
Project Address (Not mailing address) F_ Flood r Fire r Liq F- Landslide rN/A Floor Suite No
1202 Bayside Drive
I F -
Description of Work
Use F— ConstType
15lopp repairwithin an area that has surficial failure/erosion In the lower portion of the rear slope
by heavy
# StoriesF_ # Units (if Res)r—
caused precipitation.
Valuation a tO ff.
Material/Labor 2 e+ ico
New/Add 5F F_
Remodel SFIO — Garage/New/Add
OWNER'S NAME
Last Williamson (1202 Bayside, LLC) First Roger
Owner's Address
Owner's E-mail Address
704 Canyon Rd.
4rogerw@gmail.com
City Boulder City
State NV Zip 89005 Telephone714-404-9393
APPLICANT'S NAME
Last Bard First Martin
Applicant's Address .
Applicant's E-mail Address
470 Old Newport Blvd.
martinb@bja-inc.com
City Newport Beach
State CA Zip 92663 Telephone 949-645-5854
ARCHITECT/DESIGNER'S NAME. Last Jeannette First Brion Lic. No. C8012
Architect/Designer's Address
Architect/Designer's E-mail Address
470 Old Newport Blvd.
brionj@bja-inc.com
City Newport Beach
State CA Zip 92663 Telephone 949-645-5854
ENGINEER'S NAME
Last Wang First Zi Lic. No. RCE 50199
Engineer's Address
Engineer's E-mail Address
Geofirm, 801 Glenneyre St.,
Suite F zwang@stoneymiller.com
City Laguna Beach
State CA Zip 92651 Telephone949-497-0270
CONTRACTOR'S NAME/COMPANY KAZ Construction Lic. No. F_ ClassF_
Contractor's Address
Contractor's E-mail Address
14712 Franklin Ave., SuiteC
shady@kaz-int.com
City Tustin
State CA Zip 92780 Telephone 909-358-1670
SETBACKS REAR
SETBACKS FRONT PERMIT NO. )CZ k ci I - Q_7 Z7G
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 010 _ �1
USE ZONE
�7^ Q
DEVELOPMENT NO� /, \S —D� ) PLAN CHECK FEES $