HomeMy WebLinkAboutX2018-3029 - Permit Applicationprim , t Worksheet for Combo Building & Solar Permit Application
r Commll Residential(City City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) r Flood Fi Firer Liq r Landslide XIA Floor Suite No
706 Poinsettia Ave Newport Beach CA 92625 F F
Description of Work
Use R3 Const Type /B�
New single family residence. Existing residence to be demolished with new residence to replace
Stories # Units (if Res)r 1
n#
existing footprin •�lfJ4�.
_.. _......._
_... _ ....
New/Add SF F3968 Remodel SF Garage/New/Add F08 ,.
Valuation $
Material/Labor O/ or V�U
OWNER'S NAME Last Ford First Henry
Owner's Address Owner's E-mail Address __ • _
75 Tooting 11 Lane hford3@ford.com
City Birmingham StateMI Zip 8009 Telephone 949-929-6096
APPLICANT'S NAME Last St Pierre First vonne 11
Applicant's Address Applicant's E-mail Address
364 2nd St Suite 2 vonne@designpathstudio.com
--- I F
City Encinitas State CA Zip(92�024� Telephone 760-484-0253
ARCHITECT/DESIGNER'S NAME Last St,Plerre ,. _First Fvonne Lic. No. C34789
Architect/Designer's Address Architect/Designer's E-mail Address
364 2nd St Suite 2 vonne@designpathstudio.com
City Encinitas _. _ State CA Zip 92024 Telephone760-484-0253
ENGINEER'S NAME Last Manshadi First Farhad Lic. No. C36840
ngineer's Address Engineer's E-mail Address
1800 E. 16th Street, Unit B arhad@esifine.com
City Santa Ana State CA Zip 92701 Telephone 714-835-2819
CONTRACTOR'S NAME/COMPANY Lic Nof — Class
Contractor's Address - Contractor's E-mail Address
City State Zip.. Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ V
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