HomeMy WebLinkAboutX2016-3907 - Permit ApplicationPrint Forrn '; u IWorksheet for Combo Building & Solar Permit A�►pliczatio�
Comm'] IX Resfdl City of Newport Beach - Building Division iQ �S^
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 13 o.
Building [_�/Grading j"Drainage F Elec �`"ech (velum Cu Yd Cut PO CuvdFill %13
Project Address (Not mailing address) F Flood r Fire I— Liq FV -Landslide [N/A Floor Suite No
Kings Road F_
1011
Description of Work
Use SFtE Const Type V B _
New 2 story single family home 1;.;JCA(yam
# StoriesF #Units (if Res)f 1
Valuation$ 184
New/Add SF 993.5 Remodel SF �� Garage/New/Add F,0.8
I3zv
Material/Labor
OWNER'S NAME Last ID'Eliscu First Bruce
Owner's Address Owner's E-mail Address
1010 Kings Road bdeliscu@ayresgroup.net
City Newport Beach State CA Zip 82663 Telephone 949 922 0605
APPLICANT'S NAME Last First
Applicant's Address Applicant's E-mail Address
City � State F_ Zip F_ Telephone[—
ARCHITECT/DESIGNER'S NAME Last Lasater First Fnders IC -30374
No. -30374
Architect/Designer's Address Architect/Designees E-mail Address
384 Forest Ave #12 nders@a nderslasaterarchitects.com
City Laguna Beach State �CA Zip 92651 Telephone 949 497 1827
ENGINEER'S NAME Last Manshadi First Farhad Lic. No.[
Engineer's Address Engineer's E-mail Address
1800 E. 16th Street Unit B arhad@esifine.com
City Isanta Ana State CAZip 92701 Telephone 714 835 2800
CONTRACTOR'S NAME/COMPANY Lic. No. I Class
Contractor's Address Contractor's E-mail Address
City r State I— Zip F_ Telephone F_
SETBACKS REAR SETBACKS FRONT PERMIT NO. VDD
c TI �
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 2X� I ,
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $