HomeMy WebLinkAboutX2019-2711 - Permit ApplicationPrint Fcrm Worksheet for Combo Building &Solar Permit ApplicationEWM
om'n'I r Residential City of Newport Beach - Building Division s
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �.,.o.�•'
F_Building r Grading
F—Drainage r Elec r Mech r Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) r— Flood r— Fire r Liq F— Landslide rN/A Floor Suite No
212 GOLDENROD AVE., CORONA DEL MAR, CA 92625 F_ F_
Description of Work
Use R-1 Const Type V -B
# Stories[ # Units (if Resf 1
13 .25 u e
eA ok V1
New/Add SF`
Remodel SF I Garage/New/Add
Valuation $Flo, COQ
Material/Labor
OWNER'S NAME
Last JONES First JEFF
Owner's Address
Owner's E-mail Address
20429 NE 31ST ST.
JEFFJONES@OUTBACKWEST.COM
City SAMMAMISH
r
State WA Zip 98074 Telephone 425.557.7711
APPLICANT'S NAME
Last BRANDON First CHRISTOPHER
Applicant's Address
Applicant's E-mail Address
151 KALAMUS DRIVE, SUITE
G-1 CHRIS@BRANDONARCHITECTS.COM
City COSTA MESA
State CA Zip 92626 Telephone 714.754.4040
ARCHITECT/DESIGNER'S NAME Last BRANDON First CHRISTOPHERf
Lic. No. C31637
ArchitecUDesignees Address
- ArchitbcttDesigner's E-mail Address
151 KALAMUS DRIVE, SUITE G-1 CHRIS@Bl ANDONARCHITECTS.COM
City COSTA MESA
State CA Zip 92626 Telephone 714.754.4040
ENGINEER'S NAME
Last MANSHADI First FARHAD Lic. No. C36840
Engineer's Address
Engineer's E-mail Address
1800 E. 16TH ST. STE B
FARHAD@ESIFME.COM
city (SANTA ANA
State CA Zip 92701 Telephone 714.835.2800
CONTRACTOR'S NAME/COMPANY Lic. No. F— ClassF
Contractor's Address
Contractor's E-mail Address
City I
State I Zip �.. Telephoned.
SETBACKS REAR
SETBACKS FRONT PERMIT NO. % eZAAA
SETBACKS LEFT
SETBACKS RIGHT PLAN. CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $