HomeMy WebLinkAboutX2021-0180 - Permit ApplicationRant Form Worksheet for Combo Building & Solar Permit Application 0�1
roF Comm'I r Residential City of Newport Beach - Building DivisioNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding F_ Grading
F-Drainage rElec FMech Plum j�
Cu Yd Cutl Cu Yd Fill
Project Address (Not mailing address) (" Flood r Fire F- Liq andslide F_N/A Floor Suite No
22 Cherry Hills Lane, Newport Beach, CA 92660 I F—
Description of Work
Use SFR Const Type
Addition,
New Roof, Gate, and Skylights
# Stories[2 # Units (if Res)F—
Minor Remodel of Existing Residence
Valuation $
Material/LaborF9,7'1 0.00
New/Add SF 236
Remodel SF 292 Gara 9 a/New/Add
OWNER'S NAME
Last Tobin First Paul and Sarah
Owner's Address
Owner's E-mail Address
22 Cherry Hills Lane
pauixtobin@gmaii.com
@gmail.com
City Newport Beach
State CA Zip 92660 Telephone 949.303.5640
APPLICANTS NAME
Last Schultz First Craig
Applicant's Address
Applicant's E-mail Address
3111-Second Ave
cschultz@lsarchitects.com
City Corona Del Mar
State CA Zip 92625 Telephone 949.645.9982
ARCHITECT/DESIGNER'S NAME
Last Schultz First Crai 9 Lic. No. C-22287
Architect/Designer's Address
Architect/Designers E-mail Address
3111 Second Ave
cschultr@lsarchitects.com
City Corona Del Mar
State CA Zip 92625 Telephone 949.645.9982
ENGINEER'S NAME
Last Burke First Tom Lic. No. 5088
Engineer's Address
Engineer's E-mail Address
151 Kalmus Dr. Bldg. E-140
haidong@burkese.com
City Costa Mesa
State CA Zip 92626 Telephone 657.289.0460
CONTRACTOR'S NAME/COMPANY
Forehan Construction Inc. Lic. No. 980958 Class 1
Contractor's Address
Contractor's E-mail Address
13982 Sandhurst Place
dck.forehan@gmail.com
City Santa Ana
State CA Zip 92705 Telephone 714.602.7511
SETBACKS REAR
SETBACKS FRONT PERMIT NO. OVA —Q0
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
C
DEVELOPMENT NO SyPLAN CHECK FEES $