HomeMy WebLinkAboutX2019-4054 - Permit Application (2)Print FOrm Worksheet for Combo Building & Solar Permit Application
j - Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(X—Building Grading IX—Drainage rX Elec r)( Mech (X Plum Cu Yd Cut 556 Cu Yd Fill
Iject Address (Not mailing address) I— Flood r— Fire r" Liq j-- Landslide CXN/A Floor Suite No
TUSTIN I I
cription of Work
2 -STORY SINGLE FAMILY RESIDENCE WITH BASEMENT AND AN ACCCESSORY DWELLING Use R -3/U Const Type VB -SPK
I OM F1y 11- 61'5 2, AV14 )
New/Add SF 7,097 RemodelSFF � Garage/New/Add 1,739
OWNER'S NAME Last
First
Owner's Address
Owner's E-mail Address
23832 HILLHURST DR
City ILAGUNA NIGUEL State C—
Zip r92677 Te
APPLICANT'S NAME Last
First
# Stories,2 # Units (if Res)[ 2
Valuations 1,400,000
Material/Labor
349)975-0123
Applicant's Address Applicant's E-mail Address
2900 BRITSOL ST A-203
Imteale@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
Archi�te�cf/Design`er's Address Architect/Designer's E-mail Address
City I �� State F
Zip [� Telephoned�
ENGINEER'S NAME Last �HAKIM
First FADY Lic. No.FC-C75736
Engineer's Address Engineers E-mail Address
410 GODDARD, SUITE 200 FADYHAKIM@FMHENGINEERING.COM
City IRVINEState CA Zip 92618 Telephone 310-422-1536
CONTRACTOR'S NAME/COMPANY
Lic. No. r— Class
Contractor's Address Contractor's E-mail Address
City State I— Zip Telephonef�
SETBACKS REAR SETBACKS FRONT PERMIT NO Zy
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N --O. --
PLAN CHECK FEES $ ,
USE ZONE DEVELOPMENT NO �DZ4l� �ObOIA �—
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