HomeMy WebLinkAboutXC2023-0166 - Permit ApplicationF rint Form ' Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
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'^ Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Building �'I Grading Drainage Elec ❑Mech r Plum cuedcuc g j CuvdFill I Q
P' - — i --'
Project Address (Not mailing address) �' Flood F_I, Fire rl Li9 ❑Landslide ❑N/A Floor Suite No
3500 Pacific View Drive, Corona del Mar, CA 92625
Description of Work
New/Add SSF iemodel SF —, Garage/New/Add �f
F
OWNER'S NAME Last I Louis First Ruby- --
Owner's Address
3500 Pacific View Drive -- -
i
City Newport Beach
APPLICANT'S NAME Last I Green
Use S-1 Const Type VBUse F17-
# StoriesF— # Units (if Res)
Z OaC
Valuation $ $1 137 880.00 li
Material/Labor - ---
Owner's E-mail Address
I
--_ _
State CA -- Zip 92663 � Telephone 949-467-3720 I
FirstF—Michael -Clark & Green Assoc
Applicant's E-mail Address
Applicant's Address
15420 Laguna Canyon Road ,Ste
210
mgreen@clarkgreen.com
-
----------
state CA
Zip 92618 Telephone 714 434=9803
city
Irvine
-' ----
-----....__.I
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ARCHITECT/DESIGNER'S NAME Last Della Marna
—'
First
Loren Lic. No. C21632
----------------
Architect/Designer's E-mail Address
Architect/Designer's Address
loren.d@bordersarchitects.com -
5030 Campus Drive
--- - ---- — - - ---------- — -- - - —
State CA I
p-'
Zip
92660 J ------'-------------_...---
Telephone 949-851-1317
------ --
City
Newport Beach
Lic N
I o. C-71837 J
ENGINEER'S NAME Last
Tinder
First
--
Joseph --
Engineer's E-mail Address
Engineer's Address
I
3333 N. Mayfair Road, Suite 211-
-__—
State WI
Zip
'tinder@larsonengr_com
-----
J Telephone 63357 0--0540
53222
City
Wauwatosa
--- --
-- - _-
Lic No. 733285 1 Class B
CONTRACTOR'S NAME/COMPANY Kim Roelike I Cold Spring Granite Com an ___-_-._--- -
Contractor's E-mail Address
Contractor's Address I
17482 Granite West Road kroelike@coldspringusa.com
--- -
- -. --- -
Zip 56320 Telephone 320-685-5132
City Cold Spring State MN - - --
o_1d_S---------- --- —71
-- — J
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO. )Z %i� -
PLAN CHECK NO.
PLAN CHECK FEES $
,USE ZONE
DEVELOPMENT NO
I' 1PER,J Worksheet for Combo Building $ Solar Permit Application
IX Comm I j— Residential City of Newport Beach - Building Division
NOTE: FLAN CHECK FEES DUE AT TIME OF SURAAITTei
IxBulldmg X Grading
'Drainage F- Elec
Project Address (Not
F Mech h plum Cu Yd
Flood (— Fire r Liq (— Landslide
Pacific View Drive, Corona del Mar, CA 92625
of Work
New/Add SF 367 SF
OWNER'S NAME
iemodel SF
Last
Garage/New/Add F-
First
Owner's Address h ,...y
3500 Pacific View Drive Owner's E-mail Address
City lNewport Beach
APPLICANT'S NAME
Last FGreen
I
State CA
Zip 6
Applicant's Address
-----------------------
15420 Laguna Canyon Road , Ste 210
City Irvine State CA
------------
ARCHITEC "GOlUINCK5 NAME
Cu Yd Fill
r-WA Floor Suite N
IUse S-1 Const Type VB
# Storiesr— # Units (if Res)F_
Valuation $
Material/Labor FsI37,88000
— ieiepnonei949-467-3720
First rMichael Clark & G ssoc
Applicant's E-mail Address
mgreen@clarkgreen.com
Zip 92618 Telephone 714-434-9803
Last Della Marna First Loren
Architect/Designer's Address
5030 Campus Drive
City JNewport Beach
State CA
Lic. No. C21632
Architect/Designer's E-mail Address
loren. d@bordersarchitects. com
Zip 92660 Telephone 949-851-1317
ENGINEER'S NAME
Last Tinder First Joseph
Engineer's Address Lic. No. C-71837
3333 N. Mayfair Road, Suite 211 Engineer's E-mail Address
(tinder@larsonengr com
City Wauwatosa State WI
Zip 53222 Telephone 630-357-0540
SUN I HACTOR'S NAME/COMPANY
Contractor's Address
17482 Granite West Road
City JCold Spring
SETBACKS REAR
SETBACKS LEFT
ISE ZONE
Kim Roelike / Cold Spring Granite Company Lic. No. 733285 Class
Contractor's E-mail Address
kroelike@coldspringusa. cornState MN Zip 56320 Telephone 320-685-5132
SETBACKS FRONT
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. /VC 23
PLAN CHECK NO.
PLAN CHECK FEES $