HomeMy WebLinkAboutX2018-3730 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application (3§9
I— Comm'I � Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Building rX Grading
FXDrainage r Elec r Mech fx— Plum CuvdCut CuYdFill F
Project Address (Not mailing address) I— Flood Fire r Liq N Landslide r_N/A Floor Suite No {
629 Road
�—
Rockford
Description of Work
P
Use R-3 ConstType v-B
# Storiesli # Units (if Res) E
Major home addition & renovation. Addition of 1,455 SF of living space to existing home.
AclamonOT461-ca garage. Kenovationof 1,8 19 T- of existing ome. e r o , a
2-Car garage.
I
Valuation
New/Add SF 1,455
Remodel SF 1,819 Garage/New/Add 481
S F10 0,000
Material/Labor
OWNER'S NAME
Last Christensen First Danae
Owners Address
Owner's E-mail Address
621 Rockford Road
christensen.denae@gmail.com
City Newport Beach
State CA Zip 92 Telephone 92625
APPLICANT'S NAME
Last Oldham First Ryan
Applicants Address
Applicant's E-mail Address
2651 E. Chapman Ave #110
Ryan@odham-architects.com
City Fullerton
State CA Zip 92831 Telephone 714-482-8296
ARCHITECT/DESIGNER'S NAME Last (Same as Applicant) First Lic. No. C-29715
Architect/Designees Address
Architect/Designers E-mail Address
City
State Zip Telephone�—
ENGINEER'S NAME
Last Lothrop First Shawn Lic. No. 55627
Engineers Address
Engineers E-mail Address
40810 County Center Drive
shawn@iseengineers.com
City Temecula
State CA Zip 92591 Telephone 951-600-0032
CONTRACTOR'S NAME/COMPANY I Lic No. F— Class F
Contractors Address
Contractor's E-mail Address
City
State �— Zip F_ Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT NO. O
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $