HomeMy WebLinkAboutX2019-3323 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 01W
F_Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(XBuilding F_Grading rDrainage I—Elec F_Mech
( —Plum CuYdcytF cuYdFill F
Project Address (Not mailing address) f Flood
F_ Fire F_ Liq �J/Landslide I —N/A Floor Suite No
1611 KINGS ROAD
Description of Work
Use R-3 UU Const Type VP-SPK
# StoriesF # Units (if Res)r1
REMODEL EXISTING SINGLE FAMILY RESIDENCE WITH BASEMENT.
New/Add SF 108 Remodel SF 6,337 Garage/New/Add j
Valuation $ )
Material/Labor 150)(U, l
OWNER'S NAME Last STREIFF
First KIMBERLEE & MATHIEU
Owner's Address
Owner's E-mail Address
1611 KINGS ROAD
City NEWPORT BEACH State CA
Zip 92663 Telephone TEL: (949) 975-0&
APPLICANT'S NAME Last TEALE
First MARK
Applicant's Address
Applicant's E-mail Address
2900 BRISTOL ST., BLDG A, SUITE 203
mteale@tealearchitecture.com
City COSTA MESA State CA
Zip 92626 Telephone (949) 975-0123
ARCHITECT/DESIGNER'S NAME Last TEALE First MARK Lic. No. C-22162
Architect/Designer's Address
Architect/Designer's E-mail Address
r
City �— State F
Zip F_ TelephoneF
ENGINEER'S NAME Last HAKIM
First FADY Lic. No.TC75736
Engineer's Address
Engineer's E-mail Address
410 GODDARD, SUITE 200
FADYHAKIM@FMHENGINEERING.COM
City IRVINE State CA
Zip 92618 Telephone 310-422-1536
CONTRACTOR'S NAME/COMPANY
Lic. No. F Class F�
Contractor's Address
Contractor's E-mail Address
City State f
Zip r Telephoned
01
SETBACKS REAR SETBACKS FRONT
in
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK N
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $