HomeMy WebLinkAboutX2019-0727 - Permit ApplicationPint Form Worksheet for Combo Building &'Solar Permit Ap�`ationn2
F- Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
F - Building r- Grading
F -Drainage (-Elec FMech F -Plum Cu Yd cut F,Cu Yd Fill I
Project Address (Not mailing address) F_ Flood r Fire F_ Liq F- Landslide F_N/A Floor Suite No
1202 Bayside Drive
F_ �-
Description of Work
Use F_ Const Type F—
# StoriesF—# Units (if Res)F_
ISlopp repair within an area that
by heavy
hm gurficoal failurp/ems'nn In the lower portion of the rear slope
caused precipitation.
Valuation$
Material/Labor L-� c 6o0Co
New/Add SF FO—
Remodel SFrO Garage/New/Add Fo_
OWNER'S NAME Last Pilliamson (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 Telephone 714-404-9393
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 Telephone949-645-5854
ARCHITECT/DESIGNER'S NAME Last Jeannette First FBrion 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 80199
Engineers Address
4or,
Engineer's E-mail Address��, J V\
Geofirm, 801 Glenneyre St., Suite F zwang@stoneymiller.com C-0 bZbS
City Laguna Beach
State CA Zip 92651 Telephone 949-497-0270Q
CONTRACTOR'S NAME/COMPANY KAZ Construction Lic. No. f 7ClassF_
L
Contractor's Address
Contractor's E-mail Address
14712 Franklin Ave., SuiteC
shady@kaz-int.com 640
City Tustin
State CA Zip 92780 Telephone 909-33'-5881-670
O6�
SETBACKS REAR
SETBACKS FRONT - PERMIT NO. YT -D 0l — 0-7Z-7
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
n Q
DEVELOPMENT NO� / 1� -C) 7) PLAN CHECK FEES $