HomeMy WebLinkAboutXR2022-2078 - Permit ApplicationPrintForm-_1 Worksheet for Combo Building & Solar Permit Application
i Comm'I GZ Residential City of Newport Beach - Building Division ��jj
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 4)n77
QBuilding [_ Grading RDrainage bZ Elec
Address
FERNLEAF
icription of Work
3-5tory two unit du
GZMech RPlum CuYdCut 157 CuYdFill
r Flood j— Fire [— Liq r Landslide
wont Unit A is 3-5tory w/ 3 bedroom and the Rear Unit B is 3-story
New/Add SF 3126 Remodel SF F— Garage/New/Add
OWNER'S NAME Last (Linos First
Owner's Address Owner's E-mail Address
3334 E. Coast Hwy. #435
)—N/A Floor
Suite No
Use R-3//d ConstType B-Sprkr
# Storiesl3 # Units (if Res)r 2
Valuation $ g00,000
Material/Labor ,
City Corona del Mar State CA Zip 2625 Telephone 14-943-1392
APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
900 Bristol St., Bldg A-203 —� W— mtcaie@tealearchitecture.com
City Costa Mesa State CA Zip F2626 Telephoner49-975-0123
ARCHITECT/DESIGNER'S NAME Last ITeale First Park Lic. No. -22162 �-
Architect/Designer's Address Architect/Designer's E-mail Addniss
see above
City I State Zip �— Telephoned --
ENGINEER'S NAME Last Forbes First Dale Lic. No. -30407
Engineer's Address Engineer's E-mail Address
1800 East 16th St, Unit B Emily@esifine.com
City Santa Ana State CA Zip 92701 Telephone 714-835-2800
CONTRACTOR'S NAME/COMPANY ISonil Construction - Michael Linos
Lic. No. B-I052155 ClassF
Contractor's Address Contractor's E-mail Address
3334 E. Coat Hwy, #435
City (Corona del Mar State CA Zip 92625 Telephone 714-943-1392
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0.PC�Z
USE ZONE DEVELOPMENT NO ��Z — 0�5S PLAN CHECK FEES $