HomeMy WebLinkAboutX2021-0189 - Permit Applicationr comm'lormj$ Wonj
et for Combo Building & Solar Permit Application 1 °°1�1,a
City of Newport Beach - Building Division
Residential 1 i 1NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r Building r Grading
rDrainage lec F Mech (— Plum Cuvd Cut Zero Cu Yd Fill Zero
Project Address (Not mailing address) F_ Flood F_ Fire F_ Liq r Landslide N/A Floor Suite No
511 Tustin Avenue
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Description of Work
YPe 57
Use ConstT ly"�%
# StoriesF1 # Units (if Res)[_
Valuation $
MateriaVLabor ,
Remodel l c en and living room
New/Add SF
Remodel SF 828 Garage/New/Add IO
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OWNER'S NAME
Last Kaplan First Matthew
Owner's Address
Owner's E-mail Address
511 Tustin Avenue
kaplanmrd@me.com
City Newport Beach
State CA Zip 92663 Telephone
APPLICANT'S NAME
Last Kaplan First Matthew
Applicant's Address
Applicant's E-mail Address
511 Tustin Avenue
kaplanmrd@me.com
City Newport Beach
—
State CA Zip 92663 TelephoneF
ARCHITECT/DESIGNER'S NAME Last McLeod First Christopher Lic. No. C31,185
Architect/Designer's Address
ArchitectIDesigner's E-mail Address
13936 Leibacher Ave
chrismcleod@charter.net
City Norwalk
State CA Zip 90650 Telephone 949-701-9505
ENGINEER'S NAME
Last Wickstrom First Eric Lic. No. 3989
Engineer's Address
Engineer's E-mail Address
28581 Via Primavera
WickstromSE@Cox.net
City San Juan Capistrano
State CA Zip 92675 Telephone Fg49-454-8045
CONTRACTOR'S NAME/COMPANY M�7TH ��� � Qlq✓nr1i Lic.No.F Class
Contractor's Address
Contractor's E-mail Address
!l I'v-tr/n/ Avc- KAPLf+/IMA -1) C Mac _ n
City
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State Zip yLC, Telephone ?.j -d a►_
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SETBACKS REAR
SETBACKS FRONT PERMIT NO. / O V- 0
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. Q l
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ rJ % 1