HomeMy WebLinkAboutX2020-1854 - Permit ApplicationX �crLv —�8��- 14 iviiS59f,w ��� �r
PrinEFnrn Worksheet for Combo Building 6t Solar Permit Application
Comm9 City of Newpc+t Beach - Building D vision
F (X Residential NOTE: PLAN CHECK FUSS DUE AT TIME OF SUBMITTAL
[R Building Grading Drainage r:Elec Mech
(X; Plum Cu ydCut 1 Cu yd Fill 10
Project Address (Not mailing address) F7 Flood I" Fire F ; ; Landslide FN/AFloor Suite No
114 Mission Bay Drive
_ 1 F
F
Description of Work_
_
Use Const Type VB �W
'
addition of 21 sf and remodel of an existing 2 storyresidence Interior mod includes: raising
_3/U
suriken i ving reornfloor, ew diel glass dears and windews, remodel cL
# Stories[2 #Units (if Res) '.
and back decks, remove all exterior siding and re plaster house. Remodel a stingsite walls.
Valuation $
t—
New/Add SF Remodel SF 69 ., Gsrage/New/Add I
21 .,
g5,000
Material/Labor,
OWNER'S NAME Last Khazei
First Frr!sh and Pooneh
Owner's Address
Owner's E-rLdi! Address
14 Mission Bay Dr.
City Newport Beach State (G.-
p iqr�^ Telephone 949-975-0123
APPLICANT'S NAME Last Teale
rirst IMI ark
Applicant's Address
Applicant's E-mail Address
X900 Bristol St. Bldg A - 203
Imteale@tealr,architecture.com
City Fosta Mesa State Fc A
zi;, 1 2626 Telephone 949-975-0123
ARCHITECT/DESIGNER'S NAME Last [Fee a
Hirst Mark _ _ ... Lic. No FC -22162
Architect/Designer's Address
Arob!:dct!Designer's E-mail Address
_
12900 Bristo! .St., Bldg A-203 �—
!,, , v
��:«a .�{)tealearchitecture.com
city Fcosta Mesa77— State CA
Zip 192F,^ Telephone 49-975-0123
ENGINEER'S NAME Last Manshadi
First Farh-ad Lic. No. C 36840
Engineer's Address
Engineer's E-mail Address
1800 E. 16th St. Suite B
ate Thad@esifr-ie.com
city Santa Ana StateirCA
Zip 92701 Telephone 714-835-2800
CONTRACTOR'S NAME/COMPANY I/1 .
I _.. Lic. No. � sF .
Contractor's Address
Gc„«a;;ior's E-mail Address
City State :
Zip �.. _ Telephone
SETBACKS REAR SETBACKS FRONT
PERMIT NO. iCZ.OZ,.C7 ia� c4�
SETBACKS LEFT SETBACKS RIGHT «..
- PLAN CHECK NO. ld 3 g 2,J�
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $