HomeMy WebLinkAboutX2017-1963 - Permit Application (2)Print Fonn W
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FX—Buildingr— Grading
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Project Address (P
1? Arrade-Ave -
Description of Work
1, NEW 2ND STORY ADDITI,
5, NEW 2 -CAR TANDEM GAi
for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
Z NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r Elec r Mech r Plum
address) 1— Flood r Fire
New/Add SF 1202 Remodel SF
OWNER'S NAME Last
Owner's Address
311 Anade Ave
NEW
Cu Yd
Liq r Landslide
Cu Yd Fill F
rN/A Floor Suite No
Use F—ConstType FB
# Stories2F # Units
Valuation $
Material/labor
FirstiKEVIN /
Owner's E-mail Address LT La5l (50�
City Newport Beach State CA Zip r— -
APPLICANT'S NAME Last
Applicant's Address
1041 W. 18th St, (A106)
City Costa Mesa State CA
First
Applicant's E-mail Address
ldchartdesign@sbcglobal.net
Zip 92627 Telephone949-422-9191
ARCHITECT/DESIGNER'S NAME Last Richart First Jason Lic. No. F_
Architect/Designees Address
1041 W. 18th St, (A106)
City Costa Mesa State CA
ENGINEER'S NAME Last JAMIL
Engineer's Address
751 SHASTA DRIVE
City CORONA, CA State CA —
CONTRACTOR'S NAMEXOMPANY
Contractor's Address
Architect/Designees E-mail Address
Frichartdesign@sbcglobal.net
Zip 92627 Telephone 949-422-9191
First BASHAR Lic NoT
Engineer's E-mail Address L 1
Zip 92881 Telephone 714-883 4124
Lic. No. F_ Class
Contractor's E-mail Address
Ciry F_ State F_ Zip f_ Telephoner—
SETBACKS REAR SETBACKS FRONT PERMIT NO. �� '3 —
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $