HomeMy WebLinkAboutX2021-2509 - Permit Applicatione int Farm Worksheet for Combo Building & Solar Pert Appv
lication
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F_ Comm'] FT Residential ty o Newport Beach - Building Division /l
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBM A "/ V
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Project Address
(Not mailing address) [i Flood [ j Fire F_ Liq r Landslide f_N/A Floor
8 Surfspray Bluff, Newport Beach, CA 92657 I
of Work
Interior remodel of (e) S.F.R., work includes new interior finishes, Kitchen Remodel and
replacement of (e) exterior double glass door and sidelites with new bi-folding glass door.
Valuation $ 100,000
Material/Labor
Suite No
Use R3 Const Type VB
# Stories[ # Units (if Res)F'
New/Add SFFo— Remodel SF3,622 Garage/New/Add
OWNER'S NAME Last
First
Owner's Address Owner's E-mail Address
8 Surfspray Bluff zimmermann@CONSULTZ.COM
City Newport Beach StateCA Zip 92657 Telephone(312)810-8008
APPLICANT'S NAME Last
First 1Bob
Applicant's Address Applicant's E-mail Address
4265 Conant street bvillanueva@ko-al.com
City Long Beach State CA Zip 90808 Telephone 562-597-8760
ARCHITECT/DESIGNER'S NAME Last Kollin FirstMichael Lic. No. C21173
Architect/Designer's Address Architect/Designer's E-mail Address
4265 Conant street mkollin@ko-al.corn
City Long Beach State CAZip 90808 Telephone 562-597-8760
ENGINEER'S NAME Last FirstF Lic No.
Engineer's Address Engineer's E-mail Address
City State F, Zip F Telephone
CONTRACTOR'S NAME/COMPANYQ vt Lic. No. Class
57
L) 73 IqI F
Contractor's Address
20 v /7 FE -Z 2 �) -
City t�i71°� ¢/i'L�5 Sl ate Zip
_2—_5'L,_ 4 1 !
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractor's E-mail Address
SSC 1� Z /� (70 IK_ .
Telephone �/77 2T3 2-T7 c`
PERMIT NO. X W_(7_A ZS0�
PLAN CHECK NO. Q 6 zoe—z�
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $