HomeMy WebLinkAboutPV2022-0342 - Permit ApplicationPrint Form ;I Worksheet for Combo Building & Solar Permit Application 11"E' 0"�
j- Comm'I r Residential
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c�[,F�pN�
r Building r Grading
rDrainage r Elec I.._` Mech r Plum Cu Yd Cutl 0 Cu Yd Fill
Project Address (Not
mailing address) F_ Flood r Fire F_ Liq r Landslide jxN/A Floor Suite No
One Park Newport. Newport Beach, CA 92660 [2_360_
Description of Work
Use R-2 ConstType Va
Revise existing closet to create laundry room
# StoriesF # Units (if Res)F
Valuation $ $10,000
New/Add SF 1 0
Remodel SF 13 SF Garage/New/Add F—
Material/Labor
OWNER'S NAME
Last Contact: Kim Corona
First Park Newport LP
Owner's Address
Owner's E-mail Address
1 Park Newport
kcorona@gb-a.com
city Newport Beach
State CA
92660 949 644-7333
Zip Telephone �)
APPLICANT'S NAME
Last Fuller
First Rachel
Applicant's Address
Applicant's E-mail Address
4609 E Anaheim St. #B
Rachel@grisafearchitecture.com
City I Long Beach
State C'4
Zip 90804 Telephone (562) 420-1035
ARCHITECT/DESIGNER'S NAME Last Frisafe
First Mark Lic. No. I C28845
Architect/Designer's Address
Architect/Designer's E-mail Address
4609E Anaheim St. #B
Mark@grisafearchitecture.com
City Long Beach
State CA
Zip 90804 Telephone (562) 420-1035
ENGINEER'S NAME
Last N/A
First Lic. NoF _----
Engineer's Address
Engineer's E-mail Address
City
State ��
Zip Telephone
CONTRACTOR'S NAME/COMPANY Tpm
Lic. No. LI Class�j
Contractor's Address
Contractor's E-mail Address
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City �y
ll'S
StateFf7'
Zip Telephone
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. 'Y,�Z�(iZ
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.ZE��iZ�' l Z�
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $
i Phnironn ( Works Mellor Combo Su^VmU~ng & Sohar Permit Application
-
City of Newport Beach - Building Division
F_ Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[-Building Grading f-Drainage F_ Elec Mech Plum Cu Yd Cut Cu Yd Fill F_
Project Address (Not MaHing address) F_ Flood Fire Liq f- Landslide F_N/A Floor Suite No
F_ .. . ..... .. ... . __ . .. .. .. ...
Description of Work
OWNER'S NAME Last
Owner's Address
Use [onstType
- #Stohed #Units(�R��
---c__
Valuation $
Garage/New/Add | Material/Labor
First|
Owner's E-mail Address
ENGINEER'S NAME Last First Lic. No.
Engineer's Address Engineer's E-mail Address
----------��'--------' - -�'' ---� _____�________________________
city [_____ State | � Zip/ _ _ Telephone|
____�-------
~
������000NTRACTOR'S" | K \ Lic�No. Class
/ ~7 / /
Contractor's Address Contractor's E-mail Address
-- ` � \ �) / J- / - -
city _ State | Zip| Telephone F-
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $