HomeMy WebLinkAboutX2019-1153 - Permit Application�..,,ArntForm, I A
r Comm'I PZ Residential
R,Building V Grading
ject Address I
kks���h,,,eet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division 1975
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
jZDrainage jZ Elec R Mech R!, Plum Cu Yd Cut72 Cu Yd Fill140
mailing addre4i_ Fii F1004� r- FirF Lic n Landslide [N/A r—
Floor
17 Jade Avenue, Balboa Island
SuNo
�
Description of Work Use (SFR Const Type IV Bv�,
Demolish Existing Residence and Remove all Existing Improvements. Construct New 3 -Story
# Stories 3 #Units (if Res)
Valuation $ F$485,000.00
New/Add SF 2,323 SF Remodel SFF_ Garage/New/Add396 SF Material/Labor
OWNER'S NAME Last (Skelly First rim and Lisa
Owner's Address Owner's E-mail Address
117 Jade Avenue
City Newport Beach State CA Zip 92662 Telephone 310-418-7989
APPLICANT'S NAME Last
First)
Applicant's Address Applicant's E-mail Address
City State �— Zip F_ Telephone
�—
ARCH ITECT/DESIGNER'S NAME Last Harrison First Ian
Lic. No. C-76947
Architect/Designer's Address
220 Newport Center Drive, Suite 11-342
City Newport Beach State CA
Architect/Designer's E-mail Address
I an@ianHarrisonArchitect.com
Zip 92660 Telephone 949-723-1091
ENGINEER'S NAME Last Rezaei Firstli Lic No. 1068
Engineer's Address
18021 Skypark Circle, Suite E2
City Irvine State CA
Engineer's E-mail Address
ali@rce-eng.com
Zip 92614 Telephone949-466-9394
CONTRACTOR'S NAME/COMPANY ''l- " Lic. No. Class
Contractor's Address
City State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
Zip F Telephoned
PERMIT NO. 'y�2G"l�" fz>
PLAN CHECK
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $