HomeMy WebLinkAboutXR2022-2988 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
Cityoew Newport Beach - Building r Comm'I r Residential f Np g Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
fX Building r Grading
r"Drainage j— Elec r- Mech r' Plum CuvdCut F CuvdFill F
Project Address (Not mailing address) r oo r Fire j— Liq r- Landslide [—N/A Floor Suite No
3301 OCEAN BLVD.
5
n/a n/a
Description of Work
Use SFD ConstType VB
# StoriesF # Units (if Res)
REPAIR STiNGtN}iTER DAMAGED BfCi^ 65' 5Q. r I`%rt7oFoi7i
yT,[�SUORRDRAIL
Valuation $ [30,000
Material/Labor
New/Add SFF — Remodel SF 722
Garage/New/Add F
OWNER'S NAME
Last SISEMORE
First BETTY
Owner's Address
Owner's E-mail Address
3301 OCEAN BLVD.
N/A
City CORONA DEL MAR
State CA Zip 92625 TelephoneF—
APPLICANT'S NAME
Last NIELSEN
First PHIL
Applicant's Address
Applicant's E-mail Address
6131 ANACAPA DRIVE
ph i I nie Isen00@yahoo. com
City HUNTINGTON BEACH
State CA
Zip 92647 Telephone (714) 717-1418
ARCHITECT/DESIGNER'SNAME Last NIELSEN
First PHIL Lic. No. DESIGNER
Architect/Designers Address
ArchitecUDesigner's E-mail Address
6131 ANACAPA DRIVE
philnielsen00@yahoo.com
City HUNTINGTON BEACH State CA
Zip 92647 Telephone (714) 717-1418
ENGINEER'S NAME
Last ASKARIAN
First I KYLE Lic. No. C 86477
Engineers Address
Engineer's E-mail Address
17595 HARVARED AVENUE, SUITE C-734
N/A
City IRVINE
State CA
Zip 92614 Telephone (310) 404-1834
CONTRACTOR'S NAME/COMPANY r
v th I S Lic. No. Class 7—
Contractor's Address
Contractors E-mail Address
City
v State F_
Zip F_ Telephoned
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. ') gfXfI/Z — Lq
SETBACKS LEFT
SETBACKS RIGHT
,66
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $