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HomeMy WebLinkAboutX2021-1521 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application o e r- Comm'I FX_ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL U ,•• (XBuilding rGrading r'Drainage rElec (KMech Plum cuYdCut Fo cuYdFill Fo Project Address (Not mailing address) F_ Flood r Fire r Liq r Landslide r_N/A Floor Suite No 3723 Park Green Drive, Corona Del Mar F_— Description of Work Use Fs Contt Type -B NR Demo Existing Two -Story, Single Family Dwelling. Construct New Two -Story, Single Family Dwelllna and AttaEhed GaFage.MlReV GFadingforcompagien Drainage # StoriesF #Units (if Res) and Valuation $ $ 682,000 Material/Labor New/Add SF 3,187.30 sf Remodel SFF Garage/New/Add 1,199.5o sf OWNER'S NAME Last Hostetler First Frank Owner's Address Owner's E-mail Address 3723 Park Green Drive City Corona Del Mar State CA Zip 92625 Telephone 949-644-5279 APPLICANT'S NAME Last rchitect First Applicant's Address Applicant's E-mail Address City State F— Zip F— Telephoned ARCHITECT/DESIGNER'S NAME Last Harrison First Ian Lic. No. C-6947 Architect/Designer's Address Architect/Designer's E-mail Address 20 Newport Center Drive, #11-342 Ian@ianharrisonarchitect.com — City Newport Beach State CA Zip 92660 Telephone 949-723-1091 ENGINEER'S NAME Last Gabriel First Michael Lic. No.S-2939 Engineer's Address Engineer's E-mail Address 83 East 20th Street mrgse@earthlink.net City Costa Mesa State CA Zip 92627 Telephone 949-646-6596 CONTRACTOR'S NAME/COMPANY ` / I�GtGIiI (.�"`Str--d""' Lic. No.FT1(�% Class Contractor's Address Contractor's E-mail Address n� City `�2�/,1../�`State Zip LQ Z(,t(q 2 Telephone'1�'i S U o �z ✓' -'iykc.-�,. l l .�� SETBACKS REAR SETBACKS FRONT PERMIT NO. �( i2 SETBACKS LEFT SETBACKS RIGHT !� PLAN CHECK NO. ` 1�jn — Ly yl USE ZONE • (00046 DEVELOPMENT NO • IZ 7-1—t 334 PLAN CHECK FEES $