HomeMy WebLinkAboutX2018-1268 - Permit Application,orm Worksheet for. Combo Building & Solar Permit ApplicatiLA
�V/ o-ozm'I R Residential/��� Z � City of Newport Beach -Building Division XzJZO,- �jZs'i
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(9 R Elec Mech Ri Plum Cu Yd Cut 175
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Gradinglding OZ,'
Draina a (� CucuvdFin 175
Project Address (Not marlin address) Q! Flood j Fire R Liq r Landslide [,N/A
Floor Suite No
11 Topaz Avenue, Balboa Island
Description of Work
Demolish Existing Dwelling and Garage. Construct New Three Story Dwelling with Attached Use FR Const Type
Ll Stories F3 # Units (if Res)
`t J/ iv
New/Add SF2,356 SF Remodel SFValuation $
Garage/New dd 35 SF ! F$515,000.00
�Material/Labor
OWNER'S NAME Last P11 TOPAZ, LLC A
First
Owner's Address -- ---- ---. __.
P.O. BOX 371330 Owner's E-mail Address
City Las Vegas _ State NV
Zip F9137 Telephone 02-499-1530
APPLICANT'S NAME Last i ��
+i5 H e \ZO First K�\J 1 N
Applicant's Address - - -- -- --
—n%�Applicant's E-mail Address
�
Cit
y L oS A<'� �� State C A
.. _, zip F�t.� Telephone,. � Sr$ $
ARCHITECT/DESIGNER'S NAME
Last Harrison First Ian
u�
Architect/Designer'sAddress Lic.No. C-6947
20 Nport Center Drive Architect/Designer's E-mail Address
ew
Ian@IanHarrisonArchitect.com
City Newport Beach State CA
Zip 92660 Telephone 949-723-1091
ENGINEER'S NAME Last Rezaei
- First Fi -. -.. Lic. No. 1068......_
Engineer's Address
17401 Irvine Avenue, Suite A Engineer's E-mail Address
ali@rce-eng.com
City ustin _ __. ' State CA _ 2
Zip 92780 Telephone 49-466-9394
CONTRACTOR'S NAME/COMPANY
+Ac,Y \ '—A Al,,,, . "Rita Lic. No. 'Tv-_%1 E3ClassI
Contractor's Address - - -
Contractor's E-mail Address
CityZAP �
State Lo
Com_ t35 Telephone
SETBACKS REAR _ SETBACKS FRONT PERMIT NO. NO. `.G — ,I b 1
SETBACKS LEFT
� SETBACKS RIGHT PLAN CHECK NO.
USEZONE DEVELOPMENT NO
PLAN CHECK FEES $