HomeMy WebLinkAboutX2019-1631 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
( Comm'] R Residential City of Newport Beach - Building Division )(to laj - 1651
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
[ZBuilding [ Gradingrainage [j7; Elec � Mech I, Plum Cu Yd Cut U Cu Yd Fill F -
Project Address ( 10 mailing address) J- Flood F Fire [. Liq ,r. Landslide CN/A Floor Suite No
i09 POPPY R". 1 t' 7—
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of WorkV �V'��-� IUse R3/U :Const Type
EMODEL OF AN EXISTING 1,835 SQUARE FOOT TWO-STORY SINGLE FAMILY
n14/CI I INC WqH A DETACH90 A')E SQUARE FQW PAln PAD GARAGE NO IAP # Storie5p# Units (If Res)
O THE GARAGE THE ADDITION OF 583 SQUARE FEET OF LIVING SPACE AND ANEW 410 --
C{1 -r IADC Dl�.QC nCGll, A_fln CIDP cD_owyi CD CVCTCRA
Valuation 253,000.00
New/Add SF 583 Remodel SF 1835 Garage/New/Add 0 Material/Laa bor
OWNER'S NAME Last
Owner's Address
Owner's E-mail Address
8525 E. PINNCALE PEAK ROAD, SUITE 135 erry@spensagroup.com
City rCOTTSDALE State AZ Zip 85225 Telephone(952) 456-1234
APPLICANT'S NAME Last
Applicant's Address
10 32nd STREET, SUITE 202
City NEWPORT BEACH State CA
First
Applicant's E-mail Address
rajeheber@gmail.com
Zip 3 Telephone 949-723
9266 4393
ARCHITECT/DESIGNER'S NAME Last EHEBER _ First ROD Lic. No.
Architect/Designer's Address
10 32nd STREET, SUITE 202
City NEWPORT BEACH State CA
ENGINEER'S NAME Last REZAEI
Engineer's Address
17401 IRVINE BLVD., SUITE "A"
----- ----- _-- .. ..._._.
City ITUSTN State CA
CONTRACTOR'S NAME/COMPANY
Address
'S REAR
LEFT T
z —Z
State
Architect/Designees E-mail Address
rajeheber@gmail.com
Zip FM _ Telephone 49-723-4393
FirstLI __.. Lic. No.
Engineer's E-mail Address
li@rce-eng.com
Zip P2780__ Telephone 949-466 9394
Lic. No. qI 6 �J Class /g
Contractor's E-mail Address
ZipTelephone
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SETBACKS FRONT 2p/
SETBACKS RIGHT 1
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO. J� W 1Oj
PLAN CHECK FEES $ �F'T—