HomeMy WebLinkAboutXR2022-3056 - Permit ApplicationPrint Form Worksheet for Combo Building Solar Permit Application
]_ Comm I � Residential City of Newport Beach - BBuilding Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
IX building F Grading j—Drainage RElec
j—Mech JSC Plum Cu Yd cut
Project Address (Not malt in address) F Flood F Fire r Liq f Landslide
5 AMADOR —
scnption of Work
REMODEL 1ST FLOOR: (N)
1�
W/ FULL BATH TO REPLACE (E) BATH (SAME FIXTURE
& STAIR IN GARAGE. EXT. WORK LIMITED TO: (N) EXT. DOOR & WINDOW, (N) LANDING
New/AddSF�
OWNER'S NAME
Owner's Address
15 AMADOR
City INEWPORT C.
APPLICANT'S NAME
Remodel SF 255 Garage/New/Add F__E�--
Last
First IANDREW & LILA
Cu Yd Fill
FN/A�`Flloorr Suite No
IUse R-3 Const Type V-B
# Stories[ # Units (if Resf 7
Valuation $
Material/Labor ;z/ OV O
Owner's E-mail Address
.e@gmail.owbrowne@gmailcom
State A , lilangism
Zip 92657 (_—
Telephone
Last ILAWRENCE
Applicant's Address
117 RIVERSIDE AVE, SUITE A
City INEWPORT BEACH
ARCHITECT/DESIGNER'S NAME
First
Applicant's E-mail Address
robert@ la ndwo rks develop ments a rvi ces. corn
State CA Zip 92663 Telephone 949-633--9560
Last FLAWRENCE
Architec"Designer's Address
F117 RIVERSIDE AVE, SUITE A
City INEWPORT BEACH
State CA
First ROBERT Lic. No. C-21447
Architect/Designer's E-mail Address
robert@landworksdevelopmentservices. corn
Zip 92663 Telephone 949-633--9560
ENGINEER'S NAME
Last AGHI First SHUCRI
Engineer's Address
Lic. No. C 43205
112 E. CHAPMAN AVE, SUITED Engineer's E-mail Address
aghi-engine@li
City ORANGE ers ve.com
State CA Zip 92666 Telephone 714-997-9120
CONTRACTOR'S NAME/COMPANY
Contractor's Address
SETBACKS REAR
SETBACKS LEFT
USE ZONE
yam( t1A Lic No. Wcv—v Class —
Contractor's E-mail Address
State Imo' — Zip it1'elCr'y���1
� Tel
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.
DEVELOPMENT NO
PLAN CHECK FEES $
Z1.