HomeMy WebLinkAboutX2022-0933 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I (X Residential City of Newport Beach -Building Division x1j7 -{�� q
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL v
Building F- Grading
7-- CurdFill
j-Drainage jkElec r-Mech KPIum cuvdcut
Project Address (Not mailing address) f- Flood F_ Fire r Liq r Landslide FN/A Floor Suite No
430 Poppy Ave, Corona Del Mar, CA I F_
Description of Work
ConstType VB
# Stories #Units (if Res)
Exact measurement esi en
s reduction o oom a i i n i en remodel .
Valuation $ 40 000.00
Material/Labor
New/Add SF 60
Remo SF 294 Garage/New/Add I r
OWNER'S NAME
Last Brinsden First John & Carrie
Owner's Address
Owner's E-mail Address
430 Poppy Ave
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City Corona Del Mar
State CA Zip 92625 Telephone
APPLICANT'S NAME
Last Blackmore First Joanna
Applicant's Address
Applicant's E-mail Address
2735 De Soto Ave
babdesign2@gmail.com
City Costa Mesa
State CA Zip 92626 Telephone 949-274-6585
ARCHITECT/DESIGNER'S NAME Last Blackmore First Jason �-
Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
600 Anton Blvd, 11th Floor
jjabdesign@gmail.com
City Costa Mesa
State CA Zip 92626 Telephone 949-274-6585
ENGINEER'S NAME
Last Jafari First Masoud Lic. No. S 3812
Engineers Address
Engineer's E-mail Address
23 Orchard, Ste 250
m.jafari@wsase.com
City I Lake Forest
State CA Zip 92630 Telephone 949-206-9929
CONTRACTOR'S NAME/COMPANY Lic No. ss
aG�3Z/
Contractors Address
Contractor's E-mail Address t
City F
State Zip F— Telephoners
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $