HomeMy WebLinkAboutX2019-4110 - Permit ApplicationPrint Form
Works et for Combo Building & Solar Permit Application
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r Comm'I r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 7��C)33L.(XBuilding r Gradin
9 inage iXElec rMech rplum Cu yd Cut lg
Project Address (Not mailing address) r Flood r Fire cuvdFm 290
r Li4 r Landslide bV/A Floor
1011 Camelback Street Newport Beach CA Suite No
Description of Work
- Use Tem Const Type V-1 Hod
re -stripe accessibility stalls, new ramps, remove old asphalt ramps, new site walls.
# Stories #Units (if Res)
New/Add SF�-
Remodel SFF — Garage/New/Add Garage/N�— Valuation $ 150
coo
ti Material/Labor � OB!00
OWNER'S NAME Last Temple Bat Yahm, Mark Gulner First
Owner's Address -
1011 Camelback Street Owner's E-mail Address
mgulner@tby.org
City Newport Beach
State CA Zip 192660
Telephone 949-644-1999
APPLICANT'S NAME
Last Jeannette
First Brion
Applicant's Address
470 Old Newport Blvd Applicant's E-mail Address
Brionj@info@bja-inc.com
City Newport Beach
�. State CA Zip f92663 Telephone 949-645-5854
ARCHITECT/DESIGNER'S NAME
Last Jeannette
Architect/Designer's Address First Brion Lic. No. C8012
470 Old Newport Blvd Architect/Designer's E-mail Address
Brionj@info@bja-inc. com
City Newport Beach
State CA Zip 92660 Telephone 949-645-5854
ENGINEER'S NAME
Last Manshadi
First lFarhad
Engineer's Address Lic No. C36840
IF800. 16th Street Engineer's E-mail Address
E
City Santa Ana
State CA Zip 182701 Telephone 657-335-4122
CONTRACTOR'S NAME/COMPANY T
r%(�S �NS .L/vL Lic. No. %%�✓Y Class[
Contractor's Address
-- Contractor's E-mail Address
City � ��,�. U,a l �� k«s�or��
�y State Zip 9976 Telephone C71
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT ---- PERMIT NO. �
SETBACKS RIGHT
USE ZONE ---- PLAN CHECK NO.
DEVELOPMENT NO PLAN CHECK FEES $ 17:5