HomeMy WebLinkAboutX2020-1517 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application fOnCity of Newport Beach - Building Division
r Comm'I IZ Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
GZBuilding OZ Grading
DZDrainage 6Z Elec OZ Mech
RPlum cuv cut 72 Cu Yd Fill 140
Project Address (Not mailing address) F Flood r Fir r Liq Landslide rN/A Floor Suite No
10 APOLENA AVENUE, BALBOA ISLAND
/ 144 S �—
�l
Description of Work
Use SFR ConstType B-NR
Demolish Existing Dwelling.
Construct New Three -Story, Single -Family Dwelling with Attached
# StoriesF3 # Units (if Res)F
'
Valuation $ Fs 20,000.00
Material/Labor
New/Add SF 2,391 Remodel SF�— Garage/New/Add 00
OWNER'S NAME
Last Rose
First David
Owner's Address
Owner's E-mail Address
18 Amethyst Avenue
avid@melroseind.com
City I ewport Beach
State CA
Zip FT662 Telephone 949-706-1984
APPLICANT'S NAME
Last lArchitect
First
Applicant's Address
Applicant's E-mail Address
City I
State �—
Zip F_ Telephoned
ARCHITECT/DESIGNER'S NAME Last Harrison First Ian Lic. No. -6947
ArchitectlDesigner's Address
Architect/Designer's E-mail Address
20 Newport Center Drive,
#11-342
Ian@IanHarrlsonArchltect.COm
City Newport Beach
State CA
Zip 92660 Telephone 949-723-1091
ENGINEER'S NAME
Last Gabriel
First Michael Lic. NOT
Engineer's Address
-
Engineer's E-mail Addresst -
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
Contractor's Address
Contractor's E-mail Address
city
State �—
Zip F_ Telephoned
SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. APIA
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $
Izo, 40o' DUI,- �S\-1