HomeMy WebLinkAboutX2022-0553 - Permit ApplicationForm Worksheet for Combo Building & Solar Permit Application rD%_,e7k-
City of Newport Beach - Building DivisionNOTE:
F Comm'I j< Residential
PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
BuildingPrint
F_ Grading
j-`Drainage fX— Elec (X Mech iX Plum Cu Yd cut F Cu Yd Fill
Project Address (Not mailing address) I ._ Flood I— Fire f— Liq F— Landslide FN/A Floor No
12201 Channel Road
_. 1 r_..-..-v.._�..�.Suite
(
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Description of Work
Use RS-D Contt Type rVB
-CASITA BATH 1 SHOWER REMODEL ONLY -SECOND FLOOR BATH 2 FULL REMODEL
# Stories' # Units (if Res) 1
-SECOND FLOOR MASTER BATH
_
REMODEL OF SHOWER, VANITY/SINKS, AND TOILET ONLY
Valuation S $i 85 BBB
Material/Labor+
New/Add SF 0
Remodel SF 360 Garage/New/Add Fo _
OWNER'S NAME
Last Johnson First Kelly
Owner's Address
Owner's E-mail Address
2201 Channel Road _._.__
_ .-.-----keljohns7l@gmail.com
Newport
City Beach
State Ca Zip 92661 Telephone 626-375-4244 i
APPLICANT'S NAME
Last Almendarez First Oscar
Applicant's Address
Applicant's E-mail Address
31234 W. Nine Drive
Oz.almendarez@gmail.com
City Laguna Niguel
__--- _.... _ .....
State lCa Zip 92677 Telephone 951-990-4834
1
ARCHITECT/DESIGNER'S NAME Last Almendarez First Oscar Lic. No. IB9804�90
Arch itect/Designer's Address
Architect/Designer's E-mail Address
31234 W. Nine Drive
/ Oz.almendarez@gmail.com
City Laguna Niguel
State Ca Zip 92677 Telephone 951-990-4834
ENGINEER'S NAME Last N/A First N/A Lic. No���'
Engineer's Address Engineer's E-mail Address
City (' State F Zip TeiephoneF
CONTRACTOR'S NAME/COMPANY Showalter Construction Inc. Lic. No. 65 .1 Class j
Contractor's Address Contractor's E-mail Address
1791 Whittier Avenue Luke@showalterco.com
City Costa Mesa State 92627 Telephone�949-294-5545
Ca Zip
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
PERMIT NO. >6 LwLZ ' 0S6.3
PLAN CHECK NO. f) Gf-.) 7 . — 79/7�C
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $