HomeMy WebLinkAboutX2021-1445 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F-Comm'I Residential NOTE: PiLAN HE Kty of oF ES DUE ATTiMEOFng iSUBMITTAL Xdva'a'�sion �,�
5ZBuilding r Grading
F—Drainage r Elec rMech
(— Plum Cu yd Cut Cu Yd Fill F_
Project Address (Not mailing address) F_ Flood
r Fire r Liq F_ Landslide FN/A Floor Suite No
263 WALNUT STREET
I'
Description of Work
Use SFR Contt Type VB
1.KITCHEN AND BATHROOM REMODEL. 2.NEW BI-FOLD DOOR IN KITCHEN
# Stories #Units (if Res)
Valuation
New/Add SF F_
Remodel SF 250 Garage/New/Add
$
Material/Labor 45350
OWNER'S NAME
Last MERZ
First STEVE & ELAINE
Owner's Address
Owner's E-mail Address
263 WALNUT STREET
City NEWPORT BEACH
State CA
Zip F—TelephoneF
APPLICANT'S NAME
Last Richart
First Jason
Applicant's Address
Applicant's E-mail Address
1041 W. 18th St, (All 06)
Jason@richartdesign.net
City Costa Mesa
State CA
Zip 92627 Telephone 949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No. F__
Architect/Designer's Address
Architect/Designees E-mail Address
1041 W. 18th St, (A106)
Jason@richartdesign.net
City Costa Mesa
State CA
Zip 92627 Telephone 949-422-9191
ENGINEER'S NAME
Last GHAZLANI
First ANDY Lic No.F
Engineer's Address
Engineer's E-mail Address
1021 E. CARSON ST. STE
#5
City LONG BEACH
State CA
Zip F Telephone 562-253-2385
CONTRACTOR'SNAME/COMPANY
Lic. No. gZ�o�2 Class
Contractor's Address
Contractor's E-mail Address
City
State F_
Zip F_ Telephoned
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. 1AJI1—
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. It V I
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $ UL_