HomeMy WebLinkAboutX2021-3386 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application o� W�a
F_Comm I City of Newport Beach -Building Division h �
r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL J
rBuilding r Grading
rDrainage FK Elec r Mech r Plum CuYdCut n/a CuYdFill n/a
Project Address (Not mailing address) F Flood F— Fire F— Liq F— Landslide F-N/A Floor Suite No
11Zq DEVON LANEg;q)f6K(_
L\� F
Description of Work
Use SFD ConstType VB
REMODEL & ADDITION TO AN EXISTING 1-STORY
# StoriesF2 # Units (if Res)F1
,
WINDOWS, & SECOND FLOOR LEVEL PROPOSED.
Valuation a [$507,112
Material/Labor
New/AddSF��C l RemodelSF�i (�
1
Garage/New/Add
1-77
OWNER'S NAME
Last HOROWITZ
First TRACY & ERIC
Owner's Address
Owner's E-mail Address
2204 DEVON LANE
tandehorowitz@gmail.com
City NEWPORT BEACH
State CA Zip 92660 Telephone (949) 510-5780
APPLICANT'S NAME
Last BENSON
First JEFFREY
Applicant's Address
Applicant's E-mail Address
234 BROADWAY
JB@BDANDARCH.COM
City COSTA MESA
State CA
Zip 92627 Telephone (949) 532-2724
ARCHITECT/DESIGNER'S NAME Last BENSON First JEFFREY Lic. No. 332268
Architect/Designer's Address
Architect/Designer's E-mail Address
234 BROADWAY
JB@BDANDARCH.COM
City COSTA MESA
State CA
Zip 92627 Telephone (949) 532-2724
ENGINEER'S NAME
Last VOLPE
First ROBERT Lic. No. CE 25116
Engineer's Address
Engineer's E-mail Address
26150 ENTERPRISE WAY
bob@rmvolpe.com
City LAKE FOREST
State CA
Zip 92630 Telephone (949) 305-4700
CONTRACTOR'S NAME/COMPANY �8 '�/�
(3LArl. j Lic. No. 7&071�Class�
Contractor's Address
Contractor's E-mail Address
City
State F
Zip r TelephoneF_
SETBACKS REAR
SETBACKS FRONT
2,C) PERMIT NO. x
T
SETBACKS LEFT
SETBACKS RIGHT
�� PLAN CHECK NO. t S 4S —
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $