HomeMy WebLinkAboutX2022-0843 - Permit ApplicationPrint Form Worksheet for Combo Building & Sumer Permit Application
Comm'I r Residential City of Newport Beach - Building Division
X . NOTE: PLAN CHECK EES CUE AT TIME OF SUBMITTAL
i X Building r Grading rainage r Elec � Mac! �: Fium Cu vd Cut 1— cu'td rili
Project Address (Not mailing address) r Roca Fire ; Liq f— Landslide (N/A Flow
14-1WBonaire Way 1-7
ti`
Description of Work I
Use IR-3 ConstTyoe i\i-NR
,.Addition & Remodel to existing Single Family Residence
# Stories # Units (if Res);
Valuation'�
New/Ad SF 1090 Remodel SF 260 Earage/Nevv/Add �� 3 Material/Ljbor
<9WNER'SNAME Last Lipsky
Owner's Address
`'1856 Bonaire Way
city Newport Beach
First
. %vner's E-mail Address
!bl-iiins�y2'I @gmail.com
State EGA
I Zip j92660 J Telepoonel --
APPLICANT'S NAME Last Browning `J First ;Jeff
AooAcant's Address
i 570 West 9th Street
Applicant's E-mail Address
Jeff chrodeidesigninoacom
. ay San Pedro State �C`A`�`� ZI '90732 Telephone 310-308-6v96
-HITECT/DESIGNER'S NAME Last Brwnion s IJef` u I
_ni -9 - Lic No. ,C3 ., 32
„rchitecUDesigner's Address Am fl ectiDesigner's E-mail Adaress
11570 West 9th Street off@modeidesign inc com
City San Pedro State IGA 7-ip iyur32 Telepnene1310-308-6496
E`LGINEER'S NAME Last Galbreath Eest Sean Lic No. 653
Engineer's Address Engineer's E-mail Address
00 South Lake Avenue, Suite 308 sean@�ashieyvance.con
City Pasadena State CA ';p i911:'0 Tel=phone (323) 744-0010 x
CONTRACTOR'S NAME/COMPANY Ipha Omega Contractors Lic. No. 1998620 Class is
Contractor's Address Contractor's E-mail Address
3972 Barranca Pkwy. Ste J141cs^ ir.econtractor -cum
City Irvine J State [CA iip'931Od ---- +.aiephonei ---—
f-
SETBACKS REAR SETBACKS FRONT' — -� T- --- -- PERMIT NO. X ZU t• v 0 Fm
SETBACKS LEFT SETBACKS RIGHT �_ PLAN CHECK NO,