HomeMy WebLinkAboutX2021-1908 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
Comm'] Residential City of Newport Beach - Building Division �/^ OM
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL (v d0�\�\ 1
XBuilding rGrading FDrainage XElec RMech rlPlum CuYdCut CuYdFill
Project Address (Not mailing address) [ i Flood r Fire I- Liq j— Landslide FN/A Floor Suite No
07 Spring Tide Dr. F^ F_
ption of Work Use Const Type,
melift interior elevator y ti tz . Accessible rom existing st story laundry room an
2nd story master bedroom I I
# StoriesF— # Units (if Res)r 1
Valuation $ New/Add SFF— Remodel SF 2� Garage/New/Add 1 I Mate al/Labor 500
OWNER'S NAME Last
Owner's Address
First
Owner's E-mail Address
07 Spring Tide Dr. am@waminteriordesign.com
City ewport Beach State A Zip 2660 Telephone 14-283-0694
APPLICANT'S NAME Last cCann First axwell
Applicant's Address
11. 541 W. Amerige Ave.... _
City ullerton State
Applicant's E-mail Address
axwelidesigned@gmaii.com
Zip 2833 Telephone 14-803-6954
City Fullerton State; Zip 2833 Telephone 14-803-6954
ENGINEER'S NAME Last cCann� First axwell Lic. No 77614��
------------- 1 ... i
Engineer's Address
541 W. Amerige Ave.
City ullerton State FA
Engineer's E-mail Address
axwelldesigned@gmaii.com
Zip 2833 Telephone 14-803-6954
CONTRACTOR'S NAME/COMPANY att Evers / Evers Construction Lic. No. 22419 Class',,
Contractor's Address
3091 Elisa Dr.
City P.ana Point State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
Fversc;onstruction@gmaii.com
Zip F2629 Telephone 49-337 3092
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $