HomeMy WebLinkAboutXR2022-2061 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application o a�
(� Comm'I ( Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
-Building - Grading -Drainage - Elec - Mech -Plum Cu vd a t� Cuvd Fill
Project Address (Not mailing address) - Flood - Fire - Liq - Landslide F_N/A Floor Suite No
7 NERVAL
Description of Work Use � ConstType F
SFR ADD 30 SF & REMODEL 369 SF
# StoriesF # Units (if Res)F
- - Valuation $ 30,000
New/Add SF 30 _ Remodel SF 369 Garage/New/Add �'.. Material/Labor
OWNER'S NAME Last BAHREMAND First BAHRAM
Owner's Address Owners E-mail Address
NERVAL
City NEWPORT COAST State CA Zip P2657 Telephonef—
APPLICANT'S NAME Last I
Applicant's Address
City F_ State
ARCHITECT/DESIGNER'S NAME Last II�-----_
Architect/Designer's Address
City F_ i State �.
First _.
Applicant's E-mail Address
Zip �_ TelephoneF_
First �-: Lic. NoT—
Architect/Designer's E-mail Address
Zip Telephoner
ENGINEER'S NAME Last AHMADI _., __.. '.. First,MANSOUR Lic. No.1 C-076370
Engineer's Address Engineer's E-mail Address
calcoastengineering.co
mansoure m
303 BROADWAY ST Unit: 209 �°
city LAGUNA BEACH State CA Zip 92651 Telephone (714) 904-1808
.. _. _.. _... Lic. No. F— ClassF
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City
'., State F_ Zip
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
Telephone—,
PERMIT NO. ,\flZ022—zc)6
PLAN CHECK NO. 1��—
PLAN CHECK FEES $