HomeMy WebLinkAboutX2021-2438 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
(- Comm'I rX Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building r Grading F-Drainage Ix Elec
ect Address (Not mailing address)
sEAV1EW AVE. #1
of Work
r Plum Cu rd Cut Cu Yd Fin
r Fire F- Liq r Landslide r-N/A Floor Suite No
New/Add SFs— Remodel SF 226 Garage/New/Add IV —
OWNER'S NAME Last
First
Use R31U1 ConstType VB
# Storiesr3 # Units (if Res)s
Valuation$ $17,000
Material/Labor
Owner's Address Owners E-mail Address
3000 SEAVIEW AVE., #1 vincent@xilinx.com
city CORONA DEL MAR State CA Zip 92625 Telephone (408) 313-0640
APPLICANTS NAME Last ISAME AS OWNER
First
Applicant's Address Applicant's E-mail Address
City State F_— Zip F— TelephoneF�
ARCHITECT/DESIGNER'S NAME Last CHRISTOPHER First FmEDDOCK Lic. No. C 35215
Architect/Designer's Address ArchitectlDesigner's E-mail Address
1041 W. 18TH. ST. CHRIS@MEDDOCKARCHITECTS.COM
City COSTA MESA State CA Zip 92627 Telephone (949) 510-4059
ENGINEER'S NAME Last
Engineer's Address
First
Engineer's E-mail Address
Lic. No.s--
City �—
State I Zip F— TelephoneF
,/ '
CONTRACTOR'S NAME/COMPANY ��D�G�$ cu/�rS Lic No. 7y1 � ? / Class
Contractor's Address Contractor's E-mail Address
f 7/l ste G s C� 4= t<
State ZIP lfZE6�� TelephoneFR/ 3J�?7S3
city �'11j�oI-G %�PotLi
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
PERMIT NO. `' ° " v i
PLAN CHECK NO
PLAN CHECK FEES $
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