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HomeMy WebLinkAboutX2021-0270 - Permit ApplicationO -D 2-1 -61-70 V 6(Ay-ru Print FormWorksheet for Combo Building & Solar Permit Application o4�E °ae City of Newport Beach - Building Division [— Comm'I jx Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL [;W [XI,Building r Grading f -,Drainage �Elec *ech Plum c ucl Cu Yd Fill 1 Project Address (Not mailing address) (- Flood ire r, Lic�,�L ndslide rN/A Floor Suite No 11 Via Burrone, Newport Coast, CA, 92657 V IA VU / f1 1 of Work Uuse isglbConst TypeVB SSI in Dinin -room Kitrhen and # Stories[2 # Units (if Res)r 1 m area along with installation of 3 new bi-fold doors 9 I Valuation $ 100000 New/Add SF 83 Remodel SF 0 Garage/New/Add a/New/Add 0 Material/Labor OWNER'S NAME Last Owner's Address Owner's E-mail Address 3 Serenity babghari@icloud.com City Newport Coast State CA Zip 192657 Telephone 6572140164 APPLICANT'S NAME Last Applicant's Address 3 Serenity City Newport Coast State CA Applicant's E-mail Address babghari@icloud.com Zip 92657 Telephone 6572140164 ARCHITECT/DESIGNER'S NAME Last Hakemi First Fahim Lic. No. C64784 Architect/Designer's Address Architect/Designer's E-mail Address 26982 MarbeIla mhakemi@gmail.com City Mission Viejo State CA Zip 92691 Telephone 9499459616 ENGINEER'S NAME Last Hakemi FirstFahim Lic. No. 1LCWM Engineer's Address Engineer's E-mail Address 26982 Marbella mhakemi@gmail.com City Mission Viejo State CA Zip 92691 Telephone9499459616 CONTRACTOR'S NAME/COMPANY Iconic Development Lic. No. 989768 Class B Contractor's Address Contractor's E-mail Address - 10073 Valley View St. #272 babghari@icloud.com City ypress State CA Zip 90720 Telephone6572140164 rA REAR SETBACKS LEFT Q f USE ZONE SETBACKS FRONT b r SETBACKS RIGHT - DEVELOPMENT NO PERMIT NO. PLANCHECKNO.l��,NX PLAN CHECK FEES $