HomeMy WebLinkAboutXR2023-0457 - Permit ApplicationPnnffortn' Worksheet for Combo Building & Solar Permit Application
r Comm] (Z Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5.,.�.."
DZBuilding r— Grading
rDrainage r— Elec r Mech
r Plum CuvdCut s CuYdFill
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
04 Anade Ave, Newport Beach, CA 92661
F_ �—
Description of Work
Use FFR ConstType VB —
Seismic
IV oluntary Retrofit per
LADBS Standard Plan Detail #7
# StoriesF— # Units (if Res)
Valuation $ ,500
Material/Labor
New/Add SFs— Remodel SFs Garage/New/Add F—
OWNER'S NAME
Last Layton
First Laurie
Owner's Address
Owner's E-mail Address
304 Anade Ave
City Newport Beach
State CA
Zip F2661 Telephone 266170476
APPLICANT'S NAME
Last Hernandez
First ordin
Applicant's Address
Applicant's E-mail Address
16116 Leadwell St
permits@goldenretrofit.com
City an Nuys
State CA
Zip 1406 Telephone 183513558
ARCHITECT/DESIGNER'S NAME Last �—
First Lic. No. F_
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
City
State F_
Zip I TelephoneF—
ENGINEER'S NAME
Last I
First F_ Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City
State F—
Zip Telephones
CONTRACTOR'S NAME/COMPANY Golden Retrofit
Lic No. 1036102 Class
Contractor's Address
Contractor's E-mail Address
16116 Leadwell St
permits@goldenretrofit.com
City kan Nuys
State FA —
Zip 91406 Telephone 183513558
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. AJ1813 - 0 1 S
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. 1 c 2OZ3-0383
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $