HomeMy WebLinkAboutX2021-0181 - Permit ApplicationX 2ti 21 M L
Print Form Worksheet for Combo Building $ Solar Permit Application
r Comm'I 0? Residential City of Newport Beach -r'Y��A'''IA7t in Division
NOTE: PLAN CHECK FEES DUE A '(1CM&SUBMITTAL
6ZBuilding r Grading
rDrainage lec )CMechplum Cu Yd Cut uYd�Fill
Project Address (Not mailing address) [ Flood r Fir r Landslide [H Suite No
115 Via Waziers
12. �—
Description of Work
Us:M Const Type
REMODEL ENTIRE KITCHEN BY
REPLACING CABINETS, APPLIANCES AND FIXTURES AT SAME
nrnrinnl a ITW 6101P Q0I INTcnrnD
DDA40DRI /Dc LACK RAST€R-BATMAN'BATH
#Stories #Units (if Res)s
FIXTURES, VANITY CABINETS,
TOILETS AND TUB/SHOWER PER PLAN. 3: REMOVE/REPLACE STAIR
V AKIr1DAll -\AIITU ID(MI DA II IKIr_n__D_OfiNH/C/D,CDI ArC /CI\AIIND-MA/C CAKA f17C AT 11\/IAI(______
New/Add SFF_—
Remodel SF F55 _.. Garage/New/Add F
Valuation $
Material/Labor
OWNER'S NAME
Last Potter First Michael
Owner's Address
Owner's E-mail Address
115 Via Waziers
-
City Newport Beach
---- -
State CA Zip 159___
266Telephone
APPLICANT'S NAME
Last Rolando First Serrano
Applicant's Address
Applicant's E-mail Address
1041 W. 18th St. STE A-208
erranoarchl l@gmail.com
City Costa Mesa — _
State CA Zip92627 Telephone 323-508-6127
A /DESIGNER'S NAME `'r
�L�st Rolando First Serrano_ Lic. No. I
Architect/Designees Address
Architect/Designer's E-mail Address
SAME AS APPLICANTS
Iserranoarchl 1@gmaii.com
City
State CA Zip 92627 Telephone 323-508-6127
ENGINEER'S NAME
Last First Lic. No.1
Engineer's Address
Engineer's E-mail Address
City �—
State �— Zip I Telephoner
CONTRACTOR'S NAME/COMPANY RW Lewis Builders Lic. No.5ql wi Class
Contractor's Address
Contractor's E-mail Address
1863 Bayport Way
City Newport Beach
State CA zip 92660 Telephone 714-321-4126
SETBACKS REAR
SETBACKS FRONT PERMIT NO. `74921- V-'
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. Gf, j . r n_2_
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $