HomeMy WebLinkAboutXR2022-2311 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application %_W° a
j Comm'I r Residential City of Newport Beach - Building Division o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuiIding F_ Grading j—Drainage r—Elec r Mech
j— Plum CuYdCut F CuvdFill F
Project Address (Not mailing address) I— Flood r Fire r Liq r Landslide FN/A Floor Suite No
314 Evening Canyon Road, Corona Del Mar
F—
Description of Work
Use F—ConstType VB
Demolition of the existing home and misc. items as noted on the plan.
# Stories # Units (if Res)F_
Disconnect for gas, sewer, water &electric. i � .y,
1
New/Add SF� Remodel SF 0.00 Garage/New/Add 69&60
Valuation $ F"d�'_$10"00
Material/Labor
OWNER'S NAME Last Leggette
First Jennifer
Owner's Address
Owner's E-mail Address
15921 Cherbourg Ave.
jenleggettel969@gmail.com
City Irvine State CA
Zip 92604 Telephone 951-264-6221
APPLICANT'S NAME Last David
First George
Applicant's Address
Applicant's E-mail Address
2222 Martin, Suite 210
dave@dga-arch.com
City Irvine State CA
Zip 92612 Telephone 949-463-9818
ARCHITECT/DESIGNER'S NAME Last Rhoads First Timoth I
Y Lic. No. C-34426
Architect/Designer's Address
Architect/Designer's E-mail Address
17848 Skypark Circle
anglearchitecture@gmail.com
City Irvine State CA
Zip 92614 Telephone 808-280-5961
ENGINEER'S NAME Last Dong
First Brian Lic. No. 6003
Engineer's Address
Engineer's E-mail Address
174 West Lincoln Ave., Unit 581
brian@urbanoasisconsulting.com
City Anaheim State CA
Zip 92805 Telephone 714-878-1221
CONTRACTOR'S NAME/COMPANY
Lic. No. F ClassF
Contractor's Address
Contractor's E-mail Address
City State F_
Zip F— Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO.ZOZZ
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
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90ST DT89 '[DUU USED T20G
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the hack of the mailpieoe,
or on the front iD space permits.
D. is deny
if YES,
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ps Form 3811, Juiy 2o2o PSN 7sso-m-Doo-am Dwrieelic Return FlecelPt