HomeMy WebLinkAboutX2019-1555 - Permit Application��int ForlJ=t:; Worksheet for
Comm,l L Residential NOTE:
Flluilding' [ trading
Address
X2-01cl- Is��
Combo Building & Solar Permit Application
City of Newport Beach - Building Division
PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[Drainage [, Elec [ Mech [ Plum Cu Yd Cut 77,
Cu Yd Fill
Flood [i Fire i- Liq C' Landslide V1/A
0 GOLDENROD AVENUE, CORONA DEL MAR, CA, 92625
of Work
I DEMOLISH EXISTING SINGLE FAMILY RESIDENCE. NEW SINGLE FAMILY TO BE BUILT ON
LOT 12
New/Add
OWNER'S NAME Last
Owner's Address
NE 31 ST ST.
644
City SAMMAMISH State
APPLICANT'S NAME Last
Applicant's Address
151 KALAMUS DRIVE, SUITE G-1
City COSTA MESA State CA
Floor Suite No
F77
Use R-1 7 Const Type V -B
# Storiesl3 # Units (if Res)!
Valuation $
1985,713.75
First (JEFF AND SHELLY
Telephone 425.557.7711
First IBRANDON
Applicant's E-mail Address
BRANDON@BRAN DONARCH ITECTS. COM
Zip 92626 Telephone 714.754.4040
ARCHITECT/DESIGNER'S NAME Last LINSDAYFirst BRANDON
Lic. No. C-35799 ',
Architect/Designer's Address
1 KALAMUS DRIVE, SUITE G-1
F
City COSTA MESA _ State ICA
Architect/Designer's E-mail Address
BRAN DON@BRANDO NARC H ITECTS. COM
Zip 92626 Telephone 714.754.4040
ENGINEER'S NAME Last MANSHADI First FARHAD Lic. No. C36840
Engineers Address
1800 E. 16TH ST. STE B
City SANTA ANA _! State CA
Engineer's E-mail Address
FARHAD@ESIFME.COM
Zip 92701 Telephone 714.8352800
CONTRACTOR'SNAME/COMPANY \k5�Oyy,\`_ I I Lic No.5(JZ3�lass'
Contractor's Address
dS orCaL___ SttLit 156__—
City', State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
' \ IUSEZONE DEVELOPMENT
-------------------
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Contractor's E-mail Address
, vl�l vj/j -9&4 ct ov, cu,6h)my bw-,- s. t is
Zip l2 (?k(� Telephone[ a —i'Zq -7)g 06
d
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $