HomeMy WebLinkAboutX2021-0054 - Permit Applicationi=rintForm Worksheet for Combo Building & Solar Permit Application 0_1i
City of Newport Beach - Building Division
F-Comm'I (- Residential NOTE: PLAN CHECK FEES DU TIME OF SUBMITTAL
Elec F_ Mech
Plu Cu Yd Cut... Cu Yd Fill
Building r Grading J-Drainage r
Project Address (Not mailing address) F_ Flood
F- Fire F_ Liq F_ Landslide F_N/A Floor Suite No
F
1116 w Ocean Front
Description of Work
Use F-77; ConstType S
#Stories #Units (if Res)
Interior remodel of Bathrooms &Kitchen
Valuation $
or ater
Mial/Lab
��� --�
New/Add SF, Remodel SF .f-i' ,garage/New/Add
JW
r�i.
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OWNER'S NAME Last
First F—
Owner's Address
Owners E-mail Address
Rob McKinley
City 1116 ��� State CA
Zip F— TelephoneF—
APPLICANT'S NAME Last Sandoval.
First Lech
Applicant's Address
Applicant's E-mail Address
5252 Long Beach
Lsandoval@Lbdesigners.com
City Long Beach State CA
Zip 90805 Telephone 310-749-3195
ARCHITECT/DESIGNER'S NAME Last `%.C'L. First �Q L, ��\ Lic. No F
Architect/Designer's Address
Architect/Designer's E-mail Address
City F State ..
Zip [_ Telephone[ —
ENGINEER'S NAME Last n/a
'. First �— Lic. No.F—.
Engineer's Address
Engineer's E-mail Address
City [—. State F_
zip �— Telephoner
Lic. No. F_ Class7�.
CONTRACTOR'S NAME/COMPANY
Contractor's Address
Contractor's E-mail Address
�— State F
Zip �— Telephone�J
City
SETBACKS REAR SETBACKS FRONT
PERMIT NO. ''(7� ✓ I - UL��y
SETBACKS LEFT I SETBACKS RIGHT
PLAN CHECK NO. () (,'4`1 — Z-0Z-
USE ZONE '� DEVELOPMENT NO
PLAN CHECK FEES $