HomeMy WebLinkAboutX2018-3467 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
r Comm'I r Residential City of NewportBeach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rx—Building r Grading FX—Drainage r Elec rX Mech r' Plum Cu Yd Cut E6610 Cu Yd FillO
Project Address (Not mailing address) f Flood r Fire r Liq r Landslide I(N/A Floor Suite Noo
4500 ROXBURY
Description of Work
Use R -3/U Const Type VB -SPK.
#StoriesF #Units (if Res)
NEW 1 -STORY SINGLE FAMILY RESIDENCE WITH BASEMENT
New/Add SF 9,035 Remodel SF Garage/NewlAdd 1,125
Valuation $
1,500,000
Material/Labor
OWNER'S NAME Last Roshan First Kasra
Owner's Address Owner's E-mail Address
4500 ROXBURY RD
City NEWPORT BEACH State CA Zip 92625 Telephone
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
`Zip
City COSTA MESA State [CA� 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
City I State F— Zip [77— Telephoner
ENGINEER'S NAME Last PATEL First FsHARAD Lic. No. #5-4488
Engineer's Address Engineer's E-mail Address
9283 RESEARCH DRIVE spate)@pbastructural.com
City IRVINE State CA Zip 92618 Telephone(949) 943-8080
CONTRACTOR'S NAME/COMPANY Lic. No. I Class
Contractor's Address Contractor's E-mail Address
City �— State F— Zip Telephoner
SETBACKS REAR SETBACKS FRONT PERMIT NO.
AA11—
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. • CJS
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $