HomeMy WebLinkAboutXC2022-1977 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
r Comm'I (— Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAI
IRS
rBuilding rGrading FxDrainage rElec rMech rPlum Cuvdcat218 CuYdFill 268
Project Address (Not mailing address) r— Flood r Fire r Liq r. Landslide [_N/A Floor Suite No
1 Park Newport, Newport Beach, CA 92660
N/A N/A
Description of Work
Use N/A ConstType N/A
Backfill sinkhole that has formed around 24-inch storm drain outfall with controlled low
# Stories # Units (if Res)r0
SLrengin material
energy
material.
Valuation j35,000
Material/Labor bor
New/Add SF�— Remodel SF�— Garage/New/Add—
OWNER'S NAME Last Dodge
First Andy
Owner's Address
Owner's E-mail Address
201 Filbert Street, Suite 700
adodge@gb-a.com
City San Francisco State CA
Zip 94133 Telephone (415) 659-1621
APPLICANT'S NAME Last Villines
First Paniel
Applicant's Address
Applicant's E-mail Address
BKF Engineers, 4675 MacArthur Ct.
dvillines@BKF.com
City Newport Beach State CA
Zip 92660 Telephone 949-322-8195
ARCHITECT/DESIGNER'S NAME Last N/A First N/A Lic. No. N/A
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
N/A
N/A
City N/A State N/A
Zip N/A Telephone N/A
ENGINEER'S NAME Last Villines
First Daniel Lic. No. 55210
Engineer's Address
Engineer's E-mail Address
BKF Engineers, 4675 MacArthur Ct.
dvillines@BKF.com
City Newport Beach State CA
Zip 92660 Telephone 949-322-8195
CONTRACTOR'S NAME/COMPANY Tgp / _
Lic. No. �i�(�6 9� Class
Contractor's Address v
Contrac9tor's E-mail Address
53Z CIra jr,,e/ vvS�Ic/
5,,�O
° �Pa-e (ff�,Act. caw
City J of SiF' State I �
Zip / Telephone S)- 6YI -13 LI5
10,m- 0553
SETBACKS REAR SETBACKS FRONT
PERMIT NO. xG lul - ITI I
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. QC.'i 0 t2' 24Ky
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
Worksheet for Combo Building & Solar Permit Application
Fx- Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
f-Building r Grading Drainage F_ Elec r Mech
r Plum CuvdCut 218 CuYdFill 268
Project Address (Not mailing address) f Flood r Fire r Liq r Landslide i-N/A Floor Suite No
1 Park Newport, Newport Beach, CA 92660
N/A N/A
Description of Work
Use N/A Const Type N/A
Backfill sinkhole that has formed around 24-inch storm drain outfall with controlled low
# Stories # Units (if Res)r 0
strengEn material (two -sack concrete sturry), salvage and replace
rock r1prap energy dissipation
material.
Valuation $ F$35,000
Material/Labor
New/AddSFF— Remodel SF� Garage/New/Adds—
OWNER'S NAME Last Dodge
First Andy
Owner's Address
Owner's E-mail Address
201 Filbert Street, Suite 700
adodge@gb-a.com
City San Francisco State CA
Zip 94133 Telephone (415) 659-1621
APPLICANT'S NAME Last Villines
First Daniel
Applicant's Address
Applicant's E-mail Address
BKF Engineers, 4675 MacArthur Ct.
dvillines@BKF.com
Cit New ort Beach State CA
y p
Zip 92660 Telephone 949-322-8195
ARCHITECT/DESIGNER'S NAME Last NIA First NIA Lic. No. N/A
ArchitectlDesigner's Address
ArchitectIDesigner's E-mail Address
N/A
- -
N/A
City N/A State N/A
Zip N/A Telephone NIA
ENGINEER'S NAME Last Villines
First Daniel Lic No. 55210
Engineer's Address
Engineer's E-mail Address
BKF Engineers, 4675 MacArthur Ct.
dvillines@BKF.com
cityNewport Beach State CA
Zip 92660 Telephone 949-322-8195
CONTRACTOR'S NAME/COMPANY TBD
Lic. No. F-- Class
Contractor's Address
Contractor's E-mail Address
City State F_
Zip F— Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $