HomeMy WebLinkAboutX2021-0267 - Permit Applicationrint Form Worksheet for Combo Building & Solar Permit Application R>
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omm'I jX`Residential City of Newport Beach -Building Division �J�/%,/�J�I /��
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT/{L?A 1 _ Wt0 a Fp0.
FX -Building (- Gradin (�'�"''
9 (-Drainage j Elec r Mach plum cu Yd curlO
Cu Yd Pill 10
Project Address (Not mailing address) r Flood r Fire (— Liq (— Landslide I`N/A Floor
710 HELIOTROPE AVENUE, CORONA DEL MAR, CA 92625 Suite No
Description of Work
NEW A/C UNITS AND A/C UNIT GUARDRAIL/ SCREEN. NEW INTERIOR WALL IN BEDROOM 1 Use I— Const Type
IREPLACE EXISTING DOORS AND WINDOWS, REPLACE EXISTING STUCCO AND SIDING. # Stories # Units (if Resf —
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New/Add SF(0'Valuation $
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RemodelSF 400 Garage/New/Add,O
Material/Labors
OWNER'S NAME Last DASTMALCHIJJJJ`
Owner's Address First OWRANG
125 W MAIN STREET Owner's E-mail Address %
City TUSTIN
StateCA Zip 92780 Telephone 714-754-4111
APPLICANT'S NAME
Applicant's AddressLast MILLER ___..
First CHRIS
125 W _ MAIN STREET Applicant's E-mail Address
CHRIS@PMR-CONSTRUCTION.COM
City TUSTIN State CA
Zip 92780 Telephone714 231-7272
ARCHITECT/DESIGNER'S NAME Last OLIVOS DESIGN STUDIOS First �-
Architect/Designer's Address Lic. No,
5319 UNIVERSITY DRIVE #3025 Architect Designer's E-mail Address
City IRVINE State CA
Zip 92612 Telephone 949-887-8665 -
I
ENGINEER'S NAME Last YAGHI
First SHUCRI _ Lic. No.r--�-- '
Engineer's Address
112 E. CHAPMAN AVE. SUITE D. Engineer's E-mail Address
aadrafting@msn.com
City ORANGE State CA
Zip 92866 Telephone714-835-1428
CONTRACTOR'S NAME/COMPANY CHRIS MILLER / PMR CONSTRUCTION
Lic. No. 716-745 Class [B -
Contractor's Address
Contractor's E-mail Address
145 W MAIN STREET
CHRIS@PMR-CONSTRUCTION. COM
City TUSTIN State CA
Zip 92780 Telephone 714-231-7272
SETBACKS REAR SETBACKS FRONTL
SETBACKS LEFT SETBACKS RIGHT PERMIT N0. � �Q 216'
�_ PLAN CHECK NO.��
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $