HomeMy WebLinkAboutXR2024-0437 - Permit ApplicationL Print Form I Worksheet for Combo Building & Solar Permit Application
F_ Cc',nm'I Ix Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FFFR rL IF AT Tlnn❑ nr a 1DRA rA1
rBuilding r— Grading
Cu Yd Fill
rDrainage r Elec Mech r Plum cuYdCut F__ F_
Project Address (Not mailing address) F Flood F_ Fire r Liq r Landslide FN/A Floor Suite No
433-1/2 GOLDENROD AVE., CORONA DEL MAR, CA�—
Description of Work
Use R3 ConstType VB
SEFATrAC IED-SCOFEbFrt90RF;
TWXWO& "lout.
# Stories[ # Units (if Res)F—
�
corpor
Valuation $
Material/Labor 15000
New/Add SF �
Remodel SF Garage/New/Add �—
OWNER'S NAME
Last LARSON First DAVID
Owner's Address
Owner's E-mail Address
433-1l2 GOLDENROD AVE dp_larson@yahoo.com
City CORONA DEL MAR
State CA Zip Telephone 714-465-0292
APPLICANT'S NAME
Last HANSEN First CHRISTIAN
Applicant's Address
Applicant's E-mail Address
180 E. MAIN ST., STE 201
HCHANSEN@MSN.COM
City TUSTIN
State CA Zip 92780 Telephone 714-573-0073
ARCHITECT/DESIGNER'S NAME Last = First F_
Lic. No.
Architect/Designer's Address
Arch itect/Designer's E-mail Address
City
State F_ Zip [— TelephoneF_
ENGINEER'S NAME
Last HANSEN First CHRISTIAN Lic. No. C 80546
Engineer's Address
Engineer's E-mail Address
180 E. MAIN ST., STE 201
HCHANSEN@MSN.COM
City TUSTIN
State CA Zip 92780 Telephone 714-573-0073
CONTRACTOR'S NAME/COMPANY 1410 on 02 11 ,S4cr,,J.a,1 Lic.No. b73/6Z`L Class
Contractor's Address
Contractor's E-mail Address
12 ? '33 Vvo34-ew
NS.6YmerSC r y;cz 6 f ondell
City C�c rde� �-i'-°vz
State C Zip '( 2iri Telephone
l
T C7l> S & 415q 2
SETBACKS REAR
SETBACKS FRONT PERMIT NO. XR Wvy a' OUR
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.Trwom 0 O 6
USE ZONE
DEVELOPMENT N PLAN CHECK FEES $
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