HomeMy WebLinkAboutX2022-0470 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
f Comm'I [5Z Residential City of Newport Beach - Buildin D'
FX Building
NOTE: PLAN CHECK FEES DUE AT TIMEE OF (SUBMITTAL
vson
f Grading
F-Drainage r Elec F Mach r Plum
Cu
Project Address (Not mailii
1819 W. Bay Avenue Apt. B
of Work
address) F Flood F Fire r Liq F Landslide
-uvrb wim same dimensions as
Cu Yd Fill
F-N/A Floor
2&3
Suite No
(User ConstType
�—
# StoriesP_ # Units (if Res)
New/Add SF N/A Remodel SF N/A Garage/New/AdValuation $ $9,000
d N/A Material/Labor
OWNER'S NAME Last Janik
First Lois
Owner's Address
1819 W. Bay Ave. Apt. B Owner's E-mail Address
City
loismjanik@gmail.com; rbartholome@sbcglobal.net
Newport Beach
State CA ZI 92663
p Telephone 951-318-1310
APPLICANT'S NAME Janik
Last First Lois
Applicant's Address
1819 W Bay Ave. Apt. B Applicant's E-mail Address
loismjanik@gmail.com; rbartholome@Sbcglobal.net
City Newport Beach
CA
State Zip 92663 Telephone 951-318-1310
ARCHITECT/DESIGNER'S NAME
Last F7,AFirst �—
Architect/Designer's Address Lic. No. �—
Architect/Designer's E-mail Address
City I State F— Zip Telephone F�
ENGINEER'S NAME Last N/A
First F� Lic. No.F —
Engineer's Address
Engineer's E-mail Address
City I State F--
Zip F' Telephone F�
CONTRACTOR'S NAME/COMPANY All American Door Inc.
Lic. No. 810993 Class F_
Address
2025 W Commonwealth Ave. Contractor's E-mail Address
greg@allamericandoorinc.com
Fullerton
City State C'°` Zip 92833 Telephone 714-430-8692
L 21^ Z80'f
LSETB:ACKS
TBKS REAR SETBACKS FRONT J
PERMIT NO. I�ZG�2, 04-70
LEFT SETBACKS RIGHT ZE —�_ PLAN CHECK NO oq I ! — Z02- z
DEVELOPMENT NO PLAN CHECK FEES $