HomeMy WebLinkAboutX2020-0586 - Permit Application (2)Worksheet for Combo Building & Solar Permit
r-, Comml Residential City of Newport Beach - Building Division Q�
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBM AM 04,11
Cu Yd Cut F77 Cu Yd Fill F7
Project Address (Not mailing address) (7, Flood C. Fire [7Liq r_71_andslide��N/A Floor Suite No
10 Jasmine Avenueq Corona Del Mar, CA 92625
Description of Work — Use ConstTypeFv7-7
INTERIOR R�MODEL/ADDITION OF EXISTING RESIDENCE. NEW SECOND FLOOR A17ACHED ADU
OF EXISTING RESIDENCE. NEW METAL ROOFING THROUGHOUT
New/Add SFF60�9 Remodel SF Garage/New/Add Valuation $
OWNER'S NAME
Last
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Owners Address
Owners E-mail Address
[SuMargeurite Avenue
City JC�roinpel Mar State
First
APPLICANT'S NAME Last [Ullman First [Tobv
Applicant's Address
Applicant's E-mail Address
6530 Bake Parkway, Suite 104
city State
ARCHITECT/DESIGNER'S NAME Last hoc�?!e a u First
Fm �i Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
116530 Bake Parkway, Suite 104
Fmjtclhell(�rostarchitects.ocm
Telephone P i�_7 _TT
ENGINEER'S NAME Last
jVQ!on
First Lic. No. F83753
Fa
Engineer's
Engineers E-mail Address
3152 Verolugo Drive, Suite 102
Ikalen@vectorse.com
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ZIP [92
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CONTRACTOR'S ||DD � LicNn�� | Oa�a| '
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Contractor's Address
Contractor's E-mail Address
City 8Cato| |
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SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK No,
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| DEVELOPMENTNO VVUPLAN CHECK FEES g _�� |