HomeMy WebLinkAboutX2021-3366 - Permit ApplicationPrint Form
Fx Comm'I
Worksheet for Combo Building & Solar Permit Application
F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
I- -uuumg F- Grading r`Drainage F- Elec
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Project Address (Not mailing address) f Flood f Fire ( Liq f Landslide
Hoag Dr., Newport Beach, CA 92663
Description of Work
EOrtstrQctiarrafa�ew
New/Add SF
OWNER'S NAME
Owner's Address
Remodel SF
Last
0 Superior Ave., Suite 290
City Newport Beach
State CA
ArrucANT'S NAME
Last
Cu Yd Fill
FN/AI�Fl000rr Suite No
F—
Const Type I —
Stories # Units (if Res)s
Garage/New/Add F� I valuation $ I$7,500
Material/I ahn.
First
Owner's E-mail Address
bill.quiram@hoag.org
Zip 92663 Telenhnna Qdo_gSI C once
A First Christopher
Applicant's Address
10 Edelman Applicant's E-mail Address
cdion ne@waremalcom b. com
City Irvine
State CA Zip 92618
Telephone 949-660-9128
ARCHITECT/DESIGNER'S NAME
Last Stephenson First Lon
Architect/Designees Address Lic. No. C22710
10 Edelman Architect/Designer's E-mail Address
Isteph enson @waremalcomb. com
City Irvine
State CA Zip 92618 Telephone 949.660.9128
ENGINEER'S NAME
Last rCorsbie
Engineer's Address First Lucas Lic. No. C72588
10 Edelman Engineer's E-mail Address
Icorsbie@waremalcomb.com ---
City Irvine
State CA Zip 92618 Telephone 949-660-9128
CONTRACTOR'S NAME/COMPANY Slater Builders
6 g
Contractor's Address Lic. No. Class
3100-B Pullman Street Contractor's E-mail Address
City Costa Mesa bdunlop@slaterbuilders.com --
State CA Zip 92626 Telephone (714) 434-4887
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO.
PLAN CHECK NO.
DEVELOPMENT NO
PLAN CHECK FEES $