HomeMy WebLinkAboutXR2022-2643 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F- Coni r Residential City of Newport Beach - Building Division o P
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r Building r Grading rDrainage r Elec j-.. Mech
r Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) [ Flood
f-Firer Liq r Landslide rN/A Floor Suite No
6 D011-1 I
F_
?S
e
Description of Work
Use r ConstType F
SFR ADD 427 SF, REMODEL 1122 SF
# Stories #Units (if Res)
Valuation
SF�Remodel SF�Garage/New/Add F_Material/Labo
$ [200,000New/Add
OWNER'S NAME Last CEFALU
First KRISTINA
Owner's Address
Owner's E-mail Address
6 DOLOMITI
City NEWPORT BEACH State CA
Zip 92657 Telephone (310) 294-4382
APPLICANT'S NAME Last FERNANDEZ
First I JOSE
Applicant's Address
Applicant's E-mail Address
17985 SKY P1. ARK CIR Unit: STE G
OSE@GB-ARCHDESIGN.COM
City IRVINE State CA
Zip FiT4 Telephone (714) 486 3318
ARCHITECT/DESIGNER'S NAME Last GUINA First RICK Lic. No.
-; F_
Architect/Designer's Address
_..
Architect/Designer's E-mail Address
17985 SKY PARK CIR Unit: G
rick@gb-archdesign.com
City IRVINE State CA
Zip F2614 Telephone(714)486-3318
ENGINEER'S NAME Last
First F Lic. No.F
Engineer's Address
Engineer's E-mail Address
City State F
Zip �_ Telephoned;_
CONTRACTOR'S NAME/COMPANY /"! /! h�G Lic No. _ _ _�1j _ Class
l' l�
Contractor's Address
Contractor's E-mail Address �- �U �&,'Q
2`�I� N � �I�S�I S�
J!<AIN�TAC�C�C-C�. P�✓�-�/C.
City v4� i��.. State F�-;
Zip_. Z�(�S Telephone�)Y/%?��- �j�
SETBACKS REAR SETBACKS FRONT
PERMIT NO. N 2ka-lJ
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. P--> 711,11 Q a M 75,
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $