HomeMy WebLinkAboutX2022-0802 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application O4 E PoyT
j— Comm F_ Residential City of Newport Beach - Building Division V
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL .A X1O
j-Building F_ Grading
rDrainage rElec rMech
r—Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood r Fire r Liq r Landslide F_N/A Floor Suite No
203 BAY HILL DR
Description of Work
Use F—ConstType
REMODEL KITCHEN, NEW CABINETS, APPLIANCES, DEMOLISH WALL
TO OPEN KITCHEN.
# Stories[— # Units (if Res)F—
New/Add SFF_
Remodel SF F_ r Garage/New/Add I
Valuation $
Material/Labor
OWNER'S NAME
Last SOTO
First DEDE
Owner's Address
Owner's E-mail Address
03 BAY HILL DR
City NEWPORT BEACH,
State CA
Zip 92660 Telephone 714-343-8883
APPLICANT'S NAME
Last ALTON
First ENNIFER
Applicant's Address
Applicant's E-mail Address
18627 BROOKHURST ST #618
City FOUNTAIN VALLEY
State CA
Zip 92708 Telephone949-851-3080
ARCHITECT/DESIGNER'S NAME Last ALTON First JENNIFER Lic. No. C-033627
Arch itect/Designer's Address
Architect/Designer's E-mail Address
18627 BROOKHURST ST
#618
City FOUNTAINVALLEY
State CA
Zip 92708 Telephone 49-851-3080
ENGINEER'S NAME
Last BISHOFF
First RYAN Lic. No. --77753
Engineer's Address
Engineer's E-mail Address
3300 IRVINE #245
City NEWPORT BEACH
State CA
Zip F Telephone 949-862-8500
CONTRACTOR'S NAME/COMPANY
Lic. No. F Class F
Contractor's Address
Contractors E-mail Address
City
State F__
Zip F_ Telephoned
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $