HomeMy WebLinkAboutX2020-1158 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application ��� °
r Comm'] fX Residential City of Newport Beach - Building Division �� Zo, 1158 a
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G•.o."
JKBuilding [ Grading F -Drainage j,Elec OMechCT Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) C Flood F7 Fire F_ Liq Landslide [N/A Floor Suite No
3B05_...Son.dvne_. Lane
Description of Work
Use sp R Const Type y_ B
#Stories #Units (if Res)
Renoyodiondo
residence wil 01*CLCheq
3 car ogoiro Se -__New covered Pa+lvJ•
Valuation $
New/Add SF Remodel SF
'35 �j „ _ -� � Ouo Gatage/New/Add I p
Material/Labor %j�j% �"•
OWNER'S NAME Last I
1N t 11 i q rY15 First _. -Tin) _� Holly
Owner's Address
Owner's E-mail Address
3805 Sandone Lane
IHI�Vl�lill`AWtS C3C4X•�(U-1'
City Corona Del Mar
_ _. State CA zip 92fo25 Telephone 949.3-75.3299
APPLICANT'S NAME Last
Ch e r$ on First I F_ f i n
Applicant's Address
Applicant's E-mail Address
(006 Central__ Ave. _
er i n @_ CW nrch*i+C c -1-s. net
City sea.l__62ach
State FCA Zip olUl4o Telephone502•(082.0921
ARCHITECT/DESIGNER'S NAME
Last ChersonFirst Lic. No. �-3 2745
_ _ �rrn
Architect/Designer's Address
Architect/Designees E-mail Address
City
State F_ Zip F Telephone
ENGINEER'S NAME Last
C� 01 First D olV t d_ Lic. No. S c 7 E
Engineer's Address
Engineer's E-mail Address
132.'t Lonnow_ ptve.__
City Lo`n g e C On
State C7 Zip gf50 4 Telephone 5 t,2. 3 8 2 ' $U 4U
.
CONTRACTOR'S NAME/COMPANY
L� Lic. No. Class F
Contractor's Address
Contractor's E- it Address
City
State F Zip I Telephone
SETBACKS REAR
SETBACKS FRONT ERMIT NO. X �v W • I I �V
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. 04beO •141,0
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ 2.11 j,;;4