HomeMy WebLinkAboutX2022-0095 - Permit ApplicationX2 p22 - 0QaS
rintFo[tri . --+ Worksheet for Combo Building & Solar Permit Application
r Comm'I r— Residential City of Newport Beach - Building Division
j NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(Building I —Grading rainage r—Elec FMech (—plum Cu Yd Cut Cu Yd Filll
Project Address (No mailing address) F Flood r Fire i— Liq r Landslide rN/A Floor Suite No
7942 GALAXY DRIVE F_ �—
Description of Work ILse f R Const Type IV
RFMODFl AND DFrION TO FXISTI 15 SI NCI F STORY I UCI F FA ^II R SID �rF EXI TI NC
ICAR GARAGE TO REMAIN. REPAIR EXISTING HARDSCAPE AND REBUILD POOL IN -PLACE Storles�l Units (if Res)I 1
Valuation $
New/Add SF 271 -J' Remodel SF 976 Garage/New/Add F0 Material/La
OWNER'S NAME Last IMOSHAYEDI First MANOUCH
Owners Address Owner's E-mail Address
1942 GALAXY DRIVE
City Newport Beach State ca Zip 92660 TelephoneF—
APPLICANTS NAME Last Samsami First Ali
Applicant's Address Applicant's E-mail Address
1401 Quail Street#120 ali@cjlight.net
City Newport Beach State CA Zip 92660 Telephone 949-851-8345
ARCHITECT/DESIGNER'S NAME Last Li ht
9 First Christian _ Lic. No. 122334
Architect/Designer's Address Architect/Designer's E-mail Address
1401 Quail Street#120 ali@cjlight.net
City Newport Beach State �— Zip 92660 Telephone 949-851-8345
ENGINEER'S NAME Last Skudlarski First Jason Lic. No. C67712
Engineer's Address Engineers E-mail Address
9751 Olympic Drive jason@jjsstructural.com
City Huntington Beach State 1c; Zip 92646 Telephone 714-496-6772
CONTRACTOR'S NAME/COMPANY Tgp j0 tiY �A�E,wrl�� Lic. No. y 7rSS'—J Class
�r7%'SiRrt1'ji�on
Contractor's Address Contractors E-mail Address
67 SA, N;wlaf Dom„ Gr—bASi';+�. �
�
City /v/9 state Ef Zip I 49�?dCp Telephone y yV 7e r-cf49
SETBACKS REAR SETBACKS FRONT PERMIT NO. % Z.OZ Z. — o 0 1 S
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 011 ZG-7 ^Z0 22,
USE ZONE DEVELOPMENT NO DZOZZ ^ 00 1 3 PLAN CHECK FEES $ 52 / r 6 9