HomeMy WebLinkAboutX2019-2493 - Permit Applicationi j -M - 20f 1 - XS31j . 2yg3
rint Form Worksheet for Combo Building & Solar Permit Application nmo
Comm'I r' Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL -
IX',Bullding rGrading
[—Drainage r Elec rl Mech r. Plum cu yd cutr—I Cu yd Fill
Project Address (Not mailing address) I—I Flood r, Fire r Llq r Landslide I—N/A Floor suite No
L. 545 Hazel Dr., Corona Del Mar I I F —
Description of Work
Use F— Const Type F
Remove bay window and stucco base and reframe sill ht. to new
Bstories It Units (if Res)l
full frame tempered
picture win OW. aS a an S UCCO WI
texture to match
ValuationF2200New/Add
Valuation$Material/Labor'
SF�
Remodel SF�— Garage/New/Add—I
OWNER'S NAME -
Last Lane First r Patricia
Owner's Address
Owner's E-mail Address
545 Hazel Dr.
city I Corona Del Mar
State CA zip 92625 Telephone 949-500-2257
APPLICANT'S NAME
Last Redira First Robin
Applicant's Address
Applicant's E-mail Address
City r--
State—', Zip �!, Telephoned—'
ARCHITECT/DESIGNER'S NAME Last 1 _ First r�—'.. Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
City
! State Zip F Telephone—'.
ENGINEER'S NAME
Last First —, Lic.No.1
Engineer's Address
Engineers E-mail Address
City
State rZip rTelephoned—'.
CONTRACTOR'S NAME/COMPANY Renewal by Andersen of Orange County Lic. No: 990416 Class
Contractor's Address
Contractors E-mail Address
22982 Alcalde Drive
City Laguna Hills
State CA Zip92653 Telephone 714-259-5120
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT _ SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $