HomeMy WebLinkAboutX2020-2276 - Permit Applicationgill
Rrint Form 71 Worksheet for Combo Building & Solar Permit Application �EWPOq�
F- Comm'] >< Residential City of Newport Beach -Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c<„o
rBuilding [Grading
r;Drainage r-Elec rMech F- Plum Cu Yd Cut Cu YdFill
I
Project Address (Not mailing address) r Flood r Firer Liq r Landslide rN/A Floor Suite No
40 Hazel Dr Corona Del Mar F77
Description of Work
Use Const Type ood
Exterior Deck
Repair
-
# StoriesF', # Units (if Res)F
Valuation S 5
00.00
Material/Labor
New/AddSFF—
Gara a/New/Add ',
Remodel SF� 9
OWNER'S NAME
Last illasenor First Isabelle
Owner's Address
Owner's E-mail Address
Same as above
City
State Zip f777777 Telephoned
APPLICANT'S NAME
Last Knox First Chris
Applicant's Address
Applicant's E-mail Address
625 W katella Ave suite #1
hris@cckbuilders.com
City Orange
State Ca Zip 92867 Telephone 714 538-8200
ARCHITECT/DESIGNER'S NAME Last None j, First Lic. No. �-
Architect/Designees Address
----------------
Architect/Designer's E-mail Address
City
State �— Zip Telephone�—
ENGINEER'S NAME
Last None First Lic. No.F
Engineer's Address
Engineer's E-mail Address
City
State F— zipF. Telephoned
—
CONTRACTOR'S NAME/COMPANY CCK Builders Inc, Lic. No. 855822 Class
Contractor's Address
Contractor's E-mail Address
625 W Katella Ave #1
Chris@cckbuilders.com �� S
City Orange
State Ca Zip 92887 - Telephone 714-538-8200 I. 0;1> ( Z-'(,
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.Wn Ulu
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $