HomeMy WebLinkAboutX2021-0990 - Permit ApplicationPrint Form I worKsneet for Combo 13ullatng & Solar Hermit AppllCation OW
City of Newport Beach -Building Division /yj— Comm I (Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building F_Grading
(—Drainage f—Elec f—Mech j—Plum Cu Yd Cut Cu Yd Fill
Project Address (Not
mailing address) Flood f— Fire r— Liq r Landslide CN/A Floor Suite No
2424 Holly Lane
Description of Work
Use R3 ConstType t 6
Convert existing bedroom to master
bathroom & laundry room. Add new master bedroom and
# Stories[) # Units (if Res)F
walkn eleset.
Valuation $
New/Add SF 324
Remodel SF 156 Garage/New/Add F
85,000.00
Material/Labor
OWNER'SNAME Last Gohl First ITracy
Owner's Address
Owner's E-mail Address
1862 Seaside Lane
City Huntington Beach
State Ca Zip P2646 Telephone 949 500-3920
APPLICANT'S NAME
Last Montoya First Perry
Applicant's Address
Applicant's E-mail Address
3517 Deerford street
kellsunl3@aol.com
City Lakewood„
State Ca Zip 90712 Telephone562331-4673
ARCHITECT/DESIGNER'S NAME Last Montoya First erry Lic. No.
Architect/Designer's Address
ArchitectfDesigner's E-mail Address
3517 Deerford street
kellsunl3@aol.com
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cityLakewood
State CA Zi 90712 Tele hone 62 331-4673
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ENGINEER'S NAME
Last Rahman First Moksud Lic. No. c69263
Engineers Address
Engineer's E-mail Address
6939 Schaffer ave. Suite D-170 moksud.rahman@gmail.com
City Chino
State Ca Zip 91710 Telephone 213 400-8078
CONTRACTOR'S NAME/COMPANY B.D, v �� l� CGS Lic. No. To6wassIg
Contractor's Address
e 0 UK-/b(o l(
Contractor's E-mail Address
-S-S u (}nt(aa & L, !U-Y,
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CityI IV V
Stat¢ I Zip �T-k/ Telephone' /"
SETBACKS REAR
SETBACKS FRONT PERMIT NO. xa a' -0; V
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. o9 n -?oa J
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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