HomeMy WebLinkAboutX2022-0766 - Permit Application12P" Form ; > y Worksheet for Combo Building & Solar Permit Application
Comm'I al
rl ResidX'Zp �y – 766 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[Building ❑Grading rDrainage F_ Flet
Project Address (Not mailing addrea
325 COLLINS AVE
F_'Mech ❑ Plum cu Yd
rl Flood r Fire i) Liq [—I Landslide
Description of Work
MFR (N) WINDOWS & RELOCATE DOOR, ENCLOSE DECKTO LAUNDRY RM (63 SF) *STOPWORK
�z�2gg*
J
New/Add SFF ___ 7—I Remodel SF 63 l Garage/New/Add
Cu Yd Fill
F—�N/A Floor Suite No
UseF7 ConstType�
# StoriesF7 # Units (if Res)
Valuation $ [17500
Material/Labor —
OWNER'S NAME Last BENDETTI First ROBERT &MICHELLE
Owner's Address Owner's E-mail Address
25 COLLINS AVE
City NEWPORT BEACH State F_77 Zip Telephoned
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
PO BOX 11658
City NEWPORT BEACH State Zip Telephone949-246-4085
ARCHITECT/DESIGNER'S NAME Last ALKERFirst BARRY
Lic. No. 19637
Architect/Designer's Address Architect/Designer's E-mail Address
City �— State F77 Zip �J Telephoned
ENGINEER'S NAME Last REZAEI First [FL I Lic. No. C-41068
Engineer's Address Engineer's E-mail Address
I
1
City State Zip Telephone 949-466-9394
_--------- -___
CONTRACTOR'S NAME/COMPANY Lic. No. F Class
Contractor's Address Contractor's E-mail Address
City State F Zip F Telephoned
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $