HomeMy WebLinkAboutX2021-0226 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Pe?mit Applica i
r Comm'I r Residential City of Newport Beach - Building Division �mu �A 1
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL � ^
jX Building r Grading
rDrainage rX Elec FX_ Mech r Plum Cu Yd Cuty Cu Yd Fill
Project Address (Not mailing address) F_ Flood r Fire r Liq Landslide rN/A Floor Suite No
2133 Indian Springs Ln. F_
Description of Work
EXISTING 4 BEDRO M 3 BA H RO T CO RTED 3 B OROO IP BA HAND JUNIO ADU ITH 1 ROOM BAT
MAIN RESIDENCE REPLACE ALL WINDOWS. REMOVE EXISTING SIDING AND PROVIDE STUCCO REMODEL
t/Se Const Type V-B
BATHROOM AND KITCHEN.
I
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EXISTING MASTER
#StOfIES� #Units (if Res)
p y�
C NVERT LOWER LEVE BEDR MANDBATHROOM INTO AN JUNIOR ADD DIVIDE �1 aS onpf JJ
OFFICE TO CREATE CLOSET.
Valuation $ I l V
Material/Labor coo
New/Add SF�—
Remodel SF Garage/New/Add �—
OWNER'S NAME
Last MacDonald First Peter & &Stephanie
Owner's Address
Owner's E-mail Address
73 Limewood
—
pmacdona Id@ loandepot. com
City Irvine
State CA Zip 92614 Telephone 949-798- 3302
APPLICANT'S NAME
Last Fowers First Bradley'
Applicant's Address
Applicant's E-mail Address
382 Prospect Park
bradfowersdesign@gmail.com g @gmail.com
City Tustin
State CA Zip 92780 Telephone 714-366-1251
ARCHITECT/DESIGNER'S NAME
Last Fowers First Bradley Lic. No. 35779
Architect/Designers Address
Architect/Designers E-mail Address
382 Prospect Park
bradfowersdesign@gmail.com
City Tustin
State CA Zip 92780 Telephone 714-366-1251
ENGINEER'S NAME
Last Skudlarski First Jason Lic No. c67712
Engineer's Address
Engineers E-mail Address
9751 Olympic Dr
jason@jjsstructural.com
City Hundtington Beach
State CA Zip 92646 Telephone 714-496-6772 n, fyo �V ' 401
CONTRACTOR'S NAME/COMPANY Lic No. F9a �a73 ClassFF
Contractor's Address
Contractor's E-mail Address
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City M� �n
State �— Zip Ja-7 8\
� Telephone 59_933 —Sadt{
SETBACKS REAR
SETBACKS FRONT PERMIT NO. Q�W
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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