HomeMy WebLinkAboutX2019-2376 - Permit ApplicationPrim t arm WorKsheet Tor Lompo timiding & Solar Permit Application o�`_
j� Comm'I J+ Residential City of Newport Beach - Building Division X2O I — 2! �w � 4
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL <aN�
Building (✓ Grading [—Drainage jW Elec (_ Mech
r Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F Flood F_ Fire F` Liq F-' Landslide rN/AFloor �Sui`teeNNo
3 Bridgeport I I —
Description of Work
Use I Const Type F�
# Stories[— # Units (if Res)[
Replace Existing Fireplaces, Replace Existing Stairs, Remodel Existing Bathroom
Valuation $
Material/Labor
New/Add SF10 Remodel SF 00 Garage/New/Add F—
OWNER'S NAME Last Brown
First Ryan
Owner's Address
Owner's E-mail Address
3 Bridgeport
City Newport Beach State Ca
Zip 2660 Telephone 6Q2-689-4546
APPLICANT'S NAME Last Melillo
First Dan
Applicant's Address
Applicant's E-mail Address
2901 W. Coast Hwy, Suite 200
�an@excelbuildingdesign.com
City rwport Beach State Ca
Zip 92663 Telephone 949-933-4293
ARCHITECT/DESIGNER'S NAME Last Melillo First Dan Lic. No. 555307
Architect/Designer's Address
Architect/Designer's E-mail Address
901 W. Coast Hwy, Suite 200
an@excelbuildingdesign.com
City Newport Beach State Ca
Zip 2663 Telephone 949-9334293
ENGINEER'S NAME Last De Cuir
First on Lic. No. -54914
Engineer's Address
Engineer's E-mail Address
901 W. Coast Hwy, Suite 200
City Newport Beach State Ca
Zip 2663 Telephone 310-849-2044
CONTRACTOR'S NAME/COMPANY I
Lic. No. �� Class F_
Contractor's Address
Contractor's E-mail Address
- — - - --
City State F___ _ - __
_.
Zip Telephone
SETBACKS REAR SETBACKS FRONT
PERMIT NO,
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $