HomeMy WebLinkAboutX2021-2382 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
Y'Comm'I F- Residential City of Newport Beach - Building Division \A -7,31Z v
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building r Grading rDrainage rElec rMech r- Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire F- Liq r, Landslide rN/A Floor Suite No
6904 West Coast Highway, Newport Beach CA 92663
Description of Work
Use Const Type IIIN-B
tructural repairs following a vehile impacf incuding like -kind replacement of one man door
# '
Stories # Units (if Res)
land 100 SF of perimeterCMU wall and associated cladding/finishes.
Valuation $ F4,730
Material/Labor
New/Add-S iFiO � Remodel SFGarage/New/Add—F—
OWNER'S NAME Last pohnston First Denise
Owner's Address Owner's E-mail Address
6904 West Coast Highway CatDefender@gmail.com
City Newport Beach State CA Zip 2663 Telephone 9-650-1232
APPLICANT'S NAME Last Pandstrom First Ryan
Applicant's Address Applicant's E-mail Address
10 W. Bay Street #6924 ryan.sandstrom@yaeservices.com
City Ihambra State CA Zip 1802 Telephone 09-240- 1189
ARCHITECT/DESIGNER'S NAME Last I Ti✓ Lic. No.�
Architect/Designees Address ArchitectIDesigner's E-mail Address a
1 S68 5 1..4iLMa
city trtC State c-�7_ Zip j1 7 10 Telephone q 3� 1.1 .11
ENGINEER'S NAME Last Sandstrom First Ryan Lic. No. 6364
Engineer's Address Engineer's E-mail Address
10 W. Bay Street #6924 ryan.sandstrom@yaeservices.com
Cityhambra State CA Zip 1802 Telephone 09-240-5189
CONTRACTOR'S NAME/COMPANY Group Lic. N Class
Contractor's Address Contractor's E-mail Address tbggo6y
1wx@l..firfltyge@F8WP-GGlT1_6136o 1 1-31-23
City WwpM Reach State 1- Zip [W 3 �', Telephonej949 6
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT RIGHT ®' PLAN CHECI -
-yam•SETBACKS
USEZONE V DEVELOPMENT NO PLAN CHECK FEES $