HomeMy WebLinkAboutX2022-0618 - Permit ApplicationZ022. ovIt3
Print Form W eet for Combo Building & Solar r �" plication
F— Comm'I r Residential City of Newport Beach -Building Division °��, a a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rlBuilding F _ Grading Drainage 76lec yt',Mech °Plum Cuvdclit� CuvdFill
Project Address (Not mailing address) rl Flood r Fire XLiq r, Landslid"LA "?Y Floor Suite
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601 Lido Park Dr. #7F; Newport Beach, CA 92663 Yy� 7F
Description of Work
Use �! Const Type
Master Rath a. Guest bath _ romndal new vanitieq fixtures- tile. Powder room. new fixturac R
# StoriesF87' # Units (if Resf 40
vanity. Kitchen - new sink.
Valuation $
'. Garage/New/Add—
New/Add SFr Remodel SFVOLT
Material/Labor
OWNER'S NAME Last Bortnik First Folga
Owner's Address Owner's E-mail Address
601 Lido Park Dr. #7F olgabortnik7@gmail.com
City Newport Beach i, State CA Zip 92663 Telephone 310-702-5610
APPLICANT'S NAME Last Lee First Shan
Applicant's Address Applicant's E-mail Address
8941 Atlanta Ave #330 shanleera@mail.com
City Huntington Beach State CA Zip 92646 Telephone 612-790-6803
ARCHITECT/DESIGNER'S NAME Last F First F' Lic. No. r--:
Architect/Designer's Address Architect/Designer's E-mail Address
City State—, Zip F Telephoned
ENGINEER'S NAME Last Zaslaysky First Yury Lic. No. C-43622
Engineer's Address Engineer's E-mail Address
1600 Dove St # 460 yury@aeeengineers.com
City Newport Beach State CA Zip 92660 Telephone (949) 553-0853
CONTRACTOR'S NAME/COMPANY Shan Lee Creative Build Inc Lic. No. 1031805 Class'.
Contractor's Address Contractor's E-mail Address
8941 Atlanta Ave #330 shanleera@mail.com
City Huntington Beach State CA Zip 92646 Telephone (612) 790-6803
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ 11,196egg