HomeMy WebLinkAboutX2018-3806 - Permit Applicationrm( ) < -20Ig- 0r,
Print Form Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
To
n(- Comm'1 r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �.,, a•"
F_ Building FGrading F -Drainage F_Elec rMech r— Plum Cu Yd Cuts to 'II
Project Address (Not mailing address) C Flood r Fire r Liq r Landslid ,.rte"A loor Suite No
CA 92625
709 Avocado Ave, Corona Del Mar,
Description of Work
Use s ConstType F_
# Stories # Units (if Res)
of one bathroom and kitchen
[Remodel
Valuation$
New/Add SF FO— Remodel SF 00 _ Garage/New/Add —.
30,000
Material/Labor
OWNER'S NAME Last Orr First Estelle & Michael
Owner's Address Owner's E-mail Address
09 Avocado Ave estelleorr@yahoo.com
City Corona Del Mar State CA Zip 92625 Telephone 493011415
APPLICANTS NAME Last Same as Architect First (N t . /,
Applicant's Address Applicant's E-mail Address .�
City I State I— Zip F_—. Telephone—
ARCHITECT/DESIGNER'S NAME Last Frank First Silke Lic. No. C-28991
ArchiteaUDesigner's Address ArchitectIDesigner's E-mail Address
610 Anita Street info@werkshopinc.com
City Laguna Beach State CA Zip 92651 Telephone 9492803793
ENGINEER'S NAME Last First Lic. No.1
Engineer's Address Engineer's E-mail Address
City— State F_— Zip_ TelephoneF—
CONTRACTOR'S NAME/COMPANY (Vtl*� art'i- Lic. No. — Class
_ )0338 y
�rsp�f�'`/ ywlc;eg
Contractor's Address Cdntractor's E-mail Address
ive 1 155i(0 Q,.4t:_ Jj WV 5ai4t Alit catleeee@elaegleirdl.net
City itlt )t'U(rti- State CA Zip 92�I Telephone7T8
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $