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HomeMy WebLinkAboutX2019-3019 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar permit Application j— Comm'I FX_ Residential City of Newport Beach - Building Division o NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL iX Building r Grading F-Drainage r Elec F_ Mech r Plum Cu vd cut cu Piu Project Address (Not mailing address) f— Flood r Fire j— Liq r Landslide A Floor Suite No 520 CARNATION AVENUE `k Description of Work Use SFR ConstType V-B REMODEL EIXSINTG 2 UNIT RESIDENTIAL INTO A SINGLE RESIDENTIAL # StoriesF2 # Units (if Res)s New/Add SF 513 Remodel SF 4,817 Garage/New/Add 707 Valuation S 315,000.00 Material/Labor OWNER'S NAME Last SHULL First KEITH AND JEANETTE ) Owner's Address Owners E-mail Address 520 CARNATION AVENUE KMJGSHULL@AOL.COM City CORONA DEL MAR State CA Zip 92625 Telephone (949) 612-7509 APPLICANT'S NAME Last Olson First David Applirant's Address Applicant's E-mail Address 470 WALD david@olsonarchitect.com City IRVINE State CA Zip 92618 Telephone 949-450-0093 ARCHITECT/DESIGNER'S NAME Last OLSON First DAVID Lic. No. C19424 Architect/Designer's Address Architect/Designer's E-mail Address _ F0 WALD DAVID @OLSONARCHITECT.COM City IRVINE State CA Zip 92618 Telephone 949450-0093 ENGINEER'S NAME Last First Lic. No. Engineer's Address f Engineer's E-mail Address City � State F Zip F— Telephone _ l CONTRACTOR'S NAME/COMPANY /7. COASfrdc�7pN� u Lic No. 3i62kg Class 4` Ccntractor's Address Contractor's E-mail Addres ; m- 3101 1,f City �t�r/,�prccl� State G �, Zip 51i6? ATelp one 73--1j/oyr SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $