HomeMy WebLinkAboutXR2023-0036 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application a4yni,
Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
IX —Building r Grading F-Drainage [X— Elec r Mech
r Plum Cu vd cuts Cu yd Pill F
Project Address (Not mailing address) F_ Flood
F_ Fire F_ Liq F_ Landslide F_N/A Floor Suite No
2560 Bungalow
Description of Work
Use R-3 ConstType r B '
interior residential remodel including removal of gas fireplace and
wall and replace with beam
kitchen, bathroom bathroom, Feplace
existing lighting, add
# Stories # Units (if Res)s
remade! rsastei: and seeeRdaFy
lighting, replace tank water heater with tankless.
WoJ
Valuation $
New/Add SFs— Remodel SF 334 Garage/New/Add
50,000
Material/Labor
OWNER'S NAME Last Peterson
First Greg
Owner's Address
Owner's E-mail Address
560 Bungalow
City Newport Beach State CA
Zip TelephoneF_
APPLICANT'S NAME Last Lawrence
First Robert
Applicant's Address
Applicant's E-mail Address
177 Riverside Avenue PO Box 2325
robert@landworksdevelopmentservices,com
City Newport Beach State CA
Zip 92663 Telephone 9496339560
ARCHITECT/DESIGNER'S NAME Last Same as above First �— Lic. No. IC21447
Architect/Designer's Address
Architect/Designees-ail Address
City F State
Zip Telephones
ENGINEER'S NAME Last Faghi
First Shucri Lic. No.C43205
Engineer's Address
Engineer's E-rT?T ddress
112 E Chapman Avenu Suite
City Orange State CA
Zip 92866 Telephones�—
CONTRACTOR'S NAME/COMPANY ndrew Bigalke
Lic. No. 1031869 Class IB
Contractor's Address
Contractor's E-mail Address
1835 Whittier Avenue, Suite A-1
costa. installations.inc@gmail.com
City Costa Mesa State CA
Zip 92627 Telephone 9496834442
SETBACKS REAR SETBACKS FRONT
PERMIT NO. (Nv/�2�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. / p�'90"7
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $