HomeMy WebLinkAboutX2017-3949 - Permit Application>c'llvk- tivl doh o+u�
Print Form I Worksheet for Combo Building & Solar Permit Application
F- Comm'I 0? Residential City of Newport Beach - Building Division a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
0?Building [-Grading
[—Drainage rElec rMech [-Plum Cu Yd Cut Cu Yd Fills
Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No
008 Topside Lane, Corona Del Mar, CA. 92625—,
Description of Work
UseConst Type
onstruct new 19'X 24' Cabana, \ 5
�+-cS7.t9
# Stories # Units (if Res)s
Valuation
New/Add SF 56
Remodel SF r Garage/New/Add F
$ 20,000.00
Material/Labor
OWNER'S NAME
Last Chris First Keramati
Owner's Address
Owner's E-mail Address
008 Topside Lane
hris@trigorgroup.com
CityCorona Del Mar
State CA Zip 2625 Telephone 14-396-6353
APPLICANT'S NAME
Last Dale First Fnyder
Applicant's Address
Applicant's E-mail Address
326 Decker Lane
nydr_dl@yahoo.com
City Pomona
State CA Zip 1766 Telephone 26-539-1771
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
City �—
State F Zip F Telephone
ENGINEER'S NAME
Last ITsai Firstilly Lic. No. -35589
Engineer's Address
Engineer's E-mail Address
36 South Atlantic Boulevard saiwilly@gmail.com
City Ihambra
State CA Zip 1801-3257 Telephone 26-281-5726
CONTRACTOR'S NAME/COMPANY ��-g� Lic. No. �''99p(J-7 Class
Contractor's Address
Contractor's E-mail Address
A 5./ Wwv/�i. �� �i' /J i �i.p1Q �d /-WS./ ♦ VONT
City '�[ff� �p
.. State 12;i Zip F 4?2'/0,�__ Telephone / /SG —4 CV
SETBACKS REAR
SETBACKS FRONT PERMIT NO. . 7110/'
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. ��I� • -0(�
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $