HomeMy WebLinkAboutX2020-1724 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application �EWPORT
Comm'I Residential
City of Newport Beach - Building Division��
� IX
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
fX Building F -. Grading
nage j Elec r Mech r b�,�t Jr.d Fili
Project Address (Not mailing address) F' Flood j- Fire - Liq r Landslide QISSSuite No
1301 Poinsettia Ave.
ON
Description of Work
Use SFD Const Type VB
Interior remo del. window replacement,
and remodeled roof deck
�A ew roof
# StoriesF2 —#Units (if Res) 1
Valuation $
Material/Labor $235,000.00
A
Q4 fic,—
New/Add SF 0 Remodel SF 2,986.28
Garage/New/Add 0
OWNER'S NAME
Last Balden
First Chris &Wendy
Owner's Address
Owner's E-mail Address
I301 Poinsettia Ave.
info@BJA-INC.com
City jCorona Del Mar
_ — — — State �CA�
_ Zip I92625 Telephone __,_____ -5854
APPLICANT'S NAME
Last Bard
First (Martin
Applicant's Address
470 Old Newport Beach
Applicant's E-mail Address
�_.
MartinB@BJA-INC.com
City Newport Beach
State CA
94
Zip 92663 Telephone 9-645-5854 —
ARCHITECT/DESIGNER'S NAME Last Jeannette
First Brion Lic. No. C8012
Architect/Designer's Address
470 Old Newport Blvd.
Architect/Designer's E-mail Address
Brionj@bja-inc.com
City JNewport Beach
State CA
Zip 192663 _ Telephone1949-645-5854
ENGINEER'S NAME
Last lDeihimi
First lAmir Lic. No.IC78194
Engineer's Address
23172 Plaza Pointe Dr. #145
Engineer's E-mail Address
ramir@corestructure.com
Laguna
City !Laguna Hills
—� State �CA -
Zip I' TelephoneI(949) 954-7244
CONTRACTOR'S NAME/COMPANY --
�- Lic. No. Classy
Contractor's Address
Contractor's E-mail Address
City �
State ��—
Zip � ..._ Telephone
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $
1101