HomeMy WebLinkAboutX2018-3730 - Permit Application (4)Print Form Worksheet for Combo Building & Solar Permit Application
f Comm'I Fx Residential City . fNawport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
D Building r Grading
Cu Yd Fill
Fx Drainage fX Elec (K Meth r Plum Cu vd CutFri�
Project Address (Not mailing address) r Flood Fire r Liq N Landslide rN/A Floor Suite Suite No
621 Rockford Road
I F_
Description of Work
Use R-3 ConstType V-B
# Stories # Units (if Res)s
Major home addition & renovation. Addition of 1,455 SF of living space to existing home.
Addition o -car garage.
Renovation o or existing nome. 4nedroom, 3.5 Bath,
2-Car garage.
New/Add SF 1,455
Remodel SF 1,819 Garage/New/Add 481
Valuation $ F10001000
Material/Labor
OWNER'S NAME
Last Christensen First Danae
Owners Address
Owner's E-mail Address
621 Rockford Road
christensen.denae@gmail.com
City Newport Beach
State CA Zip 92 Telephone 92625
APPLICANT'S NAME
Last Oldham First Ryan Z�
Applicant's Address
Applicant's E-mail Address Zq�
2651 E. Chapman Ave #110
Ryan@odham-architects.com
City Fullerton
State CA Zip 92831 Telephone 714-482-8296
ARCHITECT/DESIGNER'S NAME Last (Same as Applicant) First r- Lic. No. C-29715
Architect/Designer's Address
Architect/Designees E-mail Address
State zip FTelephone I
ENGINEER'S NAME
Last Lothrop First Shawn Lic. No. S5627
Engineer's Address
Engineer's E-mail Address
40810 County Center Drive
Shawn@iseengineers.com
City Temecula
State ICr A - Zip 92591 Telephone 951-600-0032
CONTRACTOR'S NAME/COMPANY !/� '6 fib C� (1, 1 Gem ( Lic. No. �y � �' Class19
/
Contractor's Address
Contractor's E-mail Address
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City nor �U y1�
1 State 67 Zip Telephone _711 „ �1 Z 2��tl '
Y
SETBACKS REAR-
SETBACKS FRONT PERMIT NO. �?JO
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. (j ,
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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