HomeMy WebLinkAboutX2021-0880 - Permit Application�
Worksheet for Combo Building
(- con m'I g &Solar Permit Application 902"1
r Residential City of New oNOTE: PLAN C p rt Beach - Building Division X'UOA - 0 �-/ UHECK FEES DUE AT TIME OF SUBMITTAL vlBuilding j— GradingrDrainage r Elec rMech
Project Address 9 r Plum Cu Yd uc
(Not mailln address r Flood ca yd Fill
5 Monterey Circle r Fire j—i Liq Landslide FN/A
Floor Suite No
Description of Work F —
V -B
addition to family room Use R-3 Const Type
# Stories # Units (if Res)_
New/Add SFS''
Remodel SF Garage/New/Add
: Valuation $
OWNER'S NAME Material/Lab
Last Bahri
Owner's Address - -- First Sean & Angela
5 Monterey Circle Owner's E-maiill Address (DOD
City Newport BeachX a by i
State Ca c� N Vim-,
Zip 92625 Telephone 949-422-4505
APPLICANT'S NAME
Last Jafari
Applicant's Address -- _... First Masoud
uite 250 Applicant's E-mail Address
f23 Orchard S
City Lake Forest mdafan@wsase com
State Ca Zip 92630
ARCHITECT/DESIGNER'S NAME Telephone 949-206-9929
Last
Architect/Designer's Address -- First �—
Architect/Designer's E-mail Address Lic. No.
City
State Zip —
TelephoneF_�,
ENGINEER'S NAME
LastJafari
First
Engineer's Address - - Masoud Lic. No. 53812
Same as applicant Engineer's E-mailE-mail Add -
City _...- _.. __—
Zip
State fl,
TelephoneF_ '
CONTRACTOR'S NAME/COMPANY
Contractor's Address Lic. No. Class[
Contractor's E-mail Address
i
city
State l'hG i�C SG d i/.) t r sIlJy� �♦w�v., ""
Zip Telephoner
SETBACKS REAR N rd
— SETBACKS FRONT 6
SETBACKS LEFT PERMIT NO. X �7..-.�7�, ft
r 'P `
SETBACKS RIGHT GeJCIJ `�_c(�
USE ZONE --
DEVELOPMENT NO PLAN CHECK N0. 7 _ `WlZ
PLAN CHECK FEES $
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