HomeMy WebLinkAboutX2015-3060 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Perm t pplication o4r�WP°R�m
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F Comm'I f vResidential City of Newport Beach - Building Division
NOTE: P N CHECK FEES DUE AT TIME OF SUBMITTAL '
f uilding F— Grading F`Drainage N lec ( Mech (`;Plum Cu Yd Cutl Cu Yd Fill
Project Address (Not mailing address) F_ Flood (` Fire [— Liq j— Landslide J�V_N/A Floor Suite No
1125 Kings Place
VILq
Description of Work
Use jR-3/U Contt Type VB ~
Remodel to an existing 2-story single family residence including
kitchen. No additional square
feetage added.
# Storiesr2 # Units (if Res)I
Valuation $ [$60,000
Material/Labor
New/Add SF �O Remodel SF 1169
Garage/New/Add �—
OWNER'S NAME Last Birkel
First Carrie
'
Owner's Address
f ° CIS-1
Owner's E-mail Address
125 Kings Place
City Newport Beach State �CA
Zip �92660 _ Telephone 1949-975-0123
APPLICANT'S NAME Last IMar� k
First Ifeale
Applicant's Address
Applicant's E-mail Address
12900 Bristol St., Bldg. A, Suite 203
jmteale@tealearchitecture.com
City Costa Mesa V State iCA
Zip 92626 Telephone�949-975-0123
ARCHITECT/DESIGNER'S NAME Last eale
First f Mark ��
Lic. No. IC-22162
Architect/Designer's Address
Architect/Designer's E-mail Address
City State �—
Zip Telephone
ENGINEER'S NAME Last Filson
First (KKalen Lic. No.,C-83753�
Engineer's Address
1371 Warner Ave., Suite A
Engineer's E-mail Address
City I ustin State ICA
Zip I92 0 Telephone 14-576-6524
, Lic. No. Class is
CONTRACTOR'S NAME/COMPANYIMT G�r��i Y�CTi ba�1
Contractor's Address_
Contractor's E-mail Address
City
C';-,v,S'f1rVC_X ( ov, v"
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State
Zip I fuze Telephone
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SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. Z c- _ -
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $