HomeMy WebLinkAboutX2022-0401 - Permit ApplicationX202ti-1000
Worksheet for Combo Building & Solar Permit Application
F7 Comm'I F- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FX -Building [-Grading [—Drainage riElec ❑Mech Plum cu yd cut Cu Yd Fill
Project Address (Not mailing address) F1 Flood n Fire Liq r Landslide ❑N/A Floor Suite No
2100 Baycrest Rd
Description of Work Use
Revision
Const Type
Revision to replace decking and concrete steps A /
# StoriesF7 # Units (if Res)1_I
FI Valuation $ 5 500
New/Add SF � Remodel SF 300 J Garage/New/Add Material/Labor '
OWNER'S NAME Last I Davis
Owner's Address
First I Jed
Owner's E-mail Address
100 Baycrest Rd
City Newport Beach State CA Zip Telephone�J
— - - ----
APPLICANT'S NAME Last I Wismar
Applicant's Address
I
City L State
First
Applicant's E-mail Address
Zip Telephoned
ARCHITECT/DESIGNER'S NAME Last Wismar - First Keith Lic. No. 32253
Architect/Designer's Address
City State
Architect/Designer's E-mail Address
Zip -- Telephone— --� ---- --
ENGINEER'S NAME Last �— FirstF Lic No.
Engineer's Address
City State
Engineer's E-mail Address
Zip Telephoned J
CONTRACTOR'S NAME/COMPANY Lic. No. �� Class
Contractor's Address
City �— _ - _ State F
SETBACKS REAR
SETBACKS LEFT
USEZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
Contractor's E-mail Address
Zip F— Telephone��
Zd 20
PERMIT NO. )( 20 2if-`GY01
PLAN CHECK NO. P Vv) 2Z - OZ`t.
PLAN CHECK FEES $