HomeMy WebLinkAboutX2022-0690 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit ApplicationQrsq-AO�
City of Newport Beach - Building Division >
j Comm'I (X Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL '� `����-�0 �;
rBuilding Grading F-Drainage F_ Elec r Mech
F- Plum CurdCut CuYdFill F
Project Address (Not mailing address) F_ Flood
F_ Fire r Liq r Landslide F_N/A Floor Suite No
CA
92663 IST
3706 CHANNEL PLACE NEWPORT BEACH,
Description of Work
Use Const Type
KITCHEN AND BATH REMODEL 1 ST FLOOR
# StoriesF2 # Units (if Res)r
Valuation $
r
New/Add SF � Remodel SF 9S0 Garage/New/Add I
F100,000
Material/Labor
OWNER'S NAME Last LEIFER
First LAWRENCE
Owners Address
Owner's E-mail Address
3706 CHANNEL PLACE
LAWRELEI@GMAIL.COM
City NEWPORT BEACH State CA
Zip 92663 Telephone949-290-2627
APPLICANT'S NAME Last LEIFER
First LAWRENCE CC
I V
Applicant's Address
Applicant's E-mail Address
3706 CHANNEL PLACE
LAWRELEI@GMAIL.COM
City NEWPORT BEACH State CA
Zip 2663 Telephone 49-290-2627
ARCHITECT/DESIGNER'S NAME Last FirstF Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
City State I—
Zip F Telephoned —
ENGINEER'S NAME Last HECHT, P.E.
First RANDALL Lic. No. 055637
Engineer's Address
Engineer's E-mail Address
19082 TANGLEWOOD LANE
RHECHTI@SOCAL.RR.COM
City HUNTINGTON BEACH State CA
Zip 92648 Telephone714-642-8621
CONTRACTOR'S NAME/COMPANY
Lic. No. I — ClassF_
Contractor's Address
Contractor's E-mail Address
City State F__
Zip F TelephoneF_
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
vi/
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $