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HomeMy WebLinkAboutX2020-1516 - Permit Applicationv-1- 1 1 Print Form Worksheet for Combo Building & Solar Permit Application j- Comm'I tZ Residential City of Newport Beach - Building Division a Y NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL � P? Building R Grading QDrainage 5Z Elec [5Z Mech GZ Plum Cu Yd Cut 72 Cu Yd Fill 140 Project Address (Not mailing address) r Flood r Fire r" Liq r Landslide rN/A Floor Suite No 310 APOLENA AVENUE, BALBOA ISLAND�— Description of Work - Use FR ConstType B-NR Demolish Existing Dwelling. Construct New Three -Story, Single -Family Dwelling with Attached # StoriesF # Units (if Res)F I Valuation $ F520,000.00 New/Add SF ,391 Remodel SFGarage/New/Add 00Material/Labo OWNER'S NAME Last Rose First David Owner's Address Owner's E-mail Address Pi 18 Amethyst Avenue avid@melroseind.com City Newport Beach State CA Zip 92662 Telephone 949-706-1984 APPLICANT'S NAME Last kchitect First Applicant's Address Applicant's E-mail Address City State F_ Zip F_— Telephoned ARCHITECT/DESIGNER'S NAME Last Harrison First Ian Lic. No. C-6947 _ - - Architect/Designer's Address ArchitecUDesigners E-mail Address 20 Newport Center Drive, #11-342 Ian@I anHarrisonArchitect.com City Newport Beach State CA Zip 92660 Telephone 49-723-1091 ENGINEER'S NAME Last Gabriel First Michael Lic. No.1— Engineer's Address Engineers E-mail Address 83 East 20th Street mrgse@earthlink.net City Costa Mesa State CA Zip 92627 Telephone 949-646-6596 CONTRACTOR'S NAME/COMPANY Lic. No. F-- ClassF— Contractor's Address Contractor's E-mail Address City State �— Zip F— Telephoned bWK SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Print Form Worksheet for Combo Building & Solar Permit Application r Comm'I GZ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5.,.0.,.,. RBuilding R Grading PZ:Drainage uZ Elec RMech GZ Plum Cu Yd Cut l72 Cu Yd Fill 140 Project Address (Not mailing address) F_ Flood r Fire r Liq r Landslide FN/A Floor Suite No 10 APOLENA AVENUE, BALBOA ISLAND I I Description of Work Use SFR Const Type B-NR Demolish Existing Dwelling. Construct New Three -Story, Single -Family Dwelling with Attached # Stories # Units (if Res)s ' Valuation $ F0,000.00 Material/Labor New/Add SF ,391 Remodel SFr- Garage/New/Add 00 OWNER'S NAME Last Rose First David Owners Address Owner's E-mail Address 18 Amethyst Avenue avid@melroseind.com City Newport Beach state CA Zip 92662 Telephone 49-706-1984 APPLICANT'S NAME Last lArchltect First Applicant's Address Applicants E-mail Address City State Zip TelephoneF ARCHITECT/DESIGNER'S NAME Last Harrison First Ian Lic. No. C-6947 ArchitecUDesigner's Address Architect/Designer's E-mail Address 20 Newport Center Drive, #11-342 Ian@lanHarrisonArchitect.com City Newport Beach State CA Zip 92660 Telephone 49-723-1091 ENGINEER'S NAME Last Gabriel First Michael Lic. NoF Engineer's Address Engineer's E-mail Address 83 East 20th Street mrgse@earthlink.net City Costa Mesa State CA Zip 92627 Telephone 949-646-6596 CONTRACTOR'S NAME/COMPANY Lic. No. Class Contractors Address Contractors E-mail Address City State F_ Zip F__ Telephoned SETBACKS REAR l- SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. V% USE ZONE DEVELOPMENT NO PLAN CHECK FEES $