HomeMy WebLinkAboutX2019-3215 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application Ew,e
r Comm'I r Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL u.o.
7 Building r Grading rDrainage 3?Elec `XMech
[yPlum cuydcuts CuYdFill s
Project Address (Not mailing address) r- Flood
r Fire r Liq r Landslide rN/A Floor Suite No
420 Santiago Dr, Newport Beach, CA 92660
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Description of Work
Use s Const Type
INTERIOR REMODEL OF SINGLE FAMILY RESIDENCE AT FIRST AND SECOND FLOOR. E ECTRICAL,
ao OR «no .c i lA4lTFn
#Stories #Units (if Res)
O NEW DOORS AT SELECT LOCATION
Valuation a
Material/labor
New/Add SF� Remodel SF.-.��� Garage/New/Add �
OWNER'SNAME Last �16�L�0��
First�chJY�
Owner's Address
Owners E-mail Address
9U20 C�vv(—fa
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City N L, ,U f �a r" � G (-� State I V`�
ZIP a iD (0 Q Telephone 3)0 �I y 1 5 �—
APPLICANT'S NAME Last S
First ri O l�
Applicant�s7 Address
Applicant's E-mail Address
City �� P�-�--. Q(� State I �--�' \
ZiP 61 gLp(p j Telephon `31 O qlf�y —
ARCHITECT/DESIGNER'S NAME Last GORARAKIS First DENISE Lic. No. F37154
Architect/Designers Address
Architect/Designees E-mail Address
778 LORENZO AVE
DENISE@aXAGDESIGNS.COM
City OSTA MESA State CA
Zip 2626 Telephone 494224364
ENGINEER'S NAME Last SILVA
First CHRISTINA Lic. No.37201
Engineers Address
Engineers E-mail Address
4482 MUELA
MORZDT@GMAIL.COM
City MISSION VIEJO State
i92692 Telephone497956256
CONTRACTOR'S NAMEICOMPANY NEW WEST BUILDERS Lic. No. F9416 Class
Contractor's Address
Contractors E-mail Address
12082 WOODBINE DRIVE
OM@NEWWESTBUILDERS.COM
City ANTA ANA State CA
Zip F2705 Telephone F144125263
SETBACKS REAR SETBACKS FRONT
PERMIT NO. 3(i
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. " "1
/
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $