HomeMy WebLinkAboutX2020-1962 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
I Comm'I 91 Residential City of Newport B
NOTE: PLAN CHECK FEElding Division
S UE ATrTIME OF SUBMITTAL
FF_,'Bui1dInq Gradin 9r'Drainage I Elec rjWech j�Plumcuvdcucect Address (Not matiing address r Flood Cu Yd FIII n
j r' i Fire r! liq (' Landslide LAN/A Floor Suite No
3Ii Morro Bay Dr, Corona Del Mar$ CA 92625 r---- r-----_
DescNption of Work _...___..._, _r...-.--._......,.�
Use I 7 ConstType�
N Stories[ J k Units (if Res
New/Add SF
--__. 138 _._. _._._... RemodelSF 1,200 Valuation$
Garage/New/Add Matedal/Labo 8
OWNER'S NAME ----
Last Liu & Kuo
- .
Owner's Address First Hsing Ju & Tony
36 Morro Bay Dr. Owner's E-mail Address
tkuo5585@Yahoo.com/ Ioanne@atnumdentistrycom
City Corona Del Mar
StateCA
-'-_ Zip 92625
APPLICANTS NAME
Last
Applicant's Address
I36 Mono Bay Dr. App
....-...... __ _
City
)oar
Carona Del Mar State CA .....
..
Zip 926
ARCHITECTIDESIGNER'S NAME
Last Michael
Architect/Designees Address _
712 Center Street
CRY Costa Mesa State ca „
ENGINEER'S NAME
First lHaing Ju (Joanne)
nrs E-mail Addraca V
Telephone 9498875282
First David n is E-mail Address
) Lrc' No, tl27819
Architect/D sig
davldmichaeldesignsggmarl cwm
ZIP 82627 Telephone 9493424097
LastKhaleghi
r _ _ . dw First Mandi
I Lic No. 55284
Engineer's Address -
Engineer's E-mail Address
1520 Brookhollow Dr. #45
mandi@agxeng.com
City Santa Ana " -
_ — - _---
_ j State ca Zip 192705 Telephone 7146620510
CONTRACTOR'S NAME/COMPANY
Contractor's�Address--
city I r_��� state
SETBACKS REAR �L 7
SETBACKS LEFT
USEZONE
LIc. No. Class
F___
Contractor's E-mail Address
I
zip F, Telephone
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO,
PLAN CHECK NO,
PLAN CHECK FEES $