HomeMy WebLinkAboutX2021-2384 - Permit Application (3)Print Form N,orksheet for Combo Building & Solar Permit Application
f Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r.Building r Grading rDrainage i7 Elec
ject Address (Not mai
M2c11 rplum Cu Yd Cutl Cu Yd Fill
j Flood r Fire r Liq F Landslide [N/A Floor
a GYPHESS POINT LN NEWPORT BEACH, CA ) --
7escription of Work
(3) LA CANTINA DOORS & (2) BEAMS.
New/Add SFr� Remodel SFF-- Garage/New/Add F—
OWNER'S NAME Last MARKI
Owner's Address
CYPRESS POINT LN
City NEWPORT BEACH
First NAMES
Owner's E-mail Address
Suite No
Use Const Type F
# StoriesF_ # Units (if Res)f—
Valuation $
Material/Labor 60,000
State ca Zip F2660 TelephoneF—
APPLICANT'S NAME last Graves,
First Holly
Applicant's Address
Applicant's E-mail Address
18 MULHOLLAND CT
h u l l y, g ra v e s@ l i ve. co m
City JIMISSiON VIEJO State CA
Zip 92692 Telephone (949) 697-9401
ARCHITECT/DESIGNER'S NAME
Last Graves, First Holly L' I
Architect/Designees Address
18 MULHOLLAND CT
City MISSION VIEJO State CA
ENGINEER'S NAME Last BURKE
Engineer's Address
34167 PACIFIC COAST HWY #D
City DANA POINT State CA
CONTRACTOR'S NAME/COMPANY
Contractor's Address
_- C. N0.
Architect/Designer's E-mail Address
hollygraves@I ive.com
Zip 92692 Telephone (949) 697-9401
First I LEO
Lic. No.F—
Engineer's E-mail Address
LEO@BURKEPE.COM
Zip 92629 Telephone 49-226-7130
Lic No.F Class
Contractor's E-mail Address
City I -.... _.... State .
-,., �— ZiP �— Telephoned --
SETBACKS REAR SETBACKS FRONT PERMIT NO. %X 2_�)2_I - 2-
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
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