HomeMy WebLinkAboutX2017-1822 - Permit Application (4).z ,
Print Form Worksheet for Combo Building & Solar Permit Application ot-
NOTE` l
Comm'I � Residential City of Newport Beach -Building Division : PLAN CHECK FEES DUE AT TIME OF SUBMITTAL.'„F.
5C Building j—Grading (—Drainage F_Elec r. Mech F—Plum Cu vd Cut Cu yd Fill
Project Address (Not mailing address) r Flood F- Fire F- Liq F- Landslide 1!N/A Floor Suite No
1533 Miramar Drive, Newport Beach CA 92661 F
Description of Work
Use Const Type �—
F
ion ogr eve deck, kitchen a renovation, c o e modification, addition of
aneClo
of entry, new doors & windows and plaster finish
ge,elocation
# Stories #Units (if Res)
18N+22C 40 924
New/Add SF� Remodel SF� Garage/New/Add F—
Valuation $ $g10,000
Material/Labor
OWNER'S NAME Last Pence First Peggy
Owner's Address Owner's E-mail Address
1533 Miramar Drive ppence@symbionresearch.net
City Newport Beach State CA Zip 92661 Telephone 805-405-1567
APPLICANT'S NAME Last First
Applicant's Address Applicant's E-mail Address
City State F Zip r Telephoned
ARCHITECT/DESIGN ER'S NAME Last Torrey First Chris Lic. No. C-17881
ArchitecVDesigner's Address ArchitecUDesigner's E-mail Address
PO Box 1701 cdtorrey@sbcglobal.net
City Newport Beach State CA Zip 92659 Telephone 714-906-0559
ENGINEER'S NAME Last Ross First Scott Lic. NO.C-4$809
Engineers Address Engineer's E-mail Address
1800 E 16th Street, #B scott@esifine.com
City Santa Ana State CA Zip 92701 Telephone714-814-2119
CONTRACTOR'S NAME/COMPANY Lic. Nc ClassF_
® /3—go�yos
Contractor's Address OF 45gLleA- AQeV, Contractor's E-mail Address
4 s� treet 2305/� �cin L/e✓y ��iP2��v��.t�lBt�/l/I
City New ',#J%61_,W VI` State Zip- Telephone
45a drugz /G 471'1
SETBACKS REAR SETBACKS FRONT PERMIT NO. �921 -7
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SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. II' 17 d
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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