HomeMy WebLinkAboutX2021-0486 - Permit Application`Print FormWorksheet for Combo Building & Solar Perm!`it Applicatir�;PoRm
F- r�x Comm'[
, Residential City of Newport Beach - Building Division '2_ 1 - 1)m
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
n
r',Building r, GradingDr nage r; Elec r'Mech r, Plum Cu Yd cut F7 Cu Yd Fill
Project Address (Not mailing address) r Flood r Fire r Liq r', Landslide rN/A Floor Suite No
1334 Hamshire Circle, Newport Beach F
Description of Work
Use WKConstType
bearing wall removal, vaulting ceiling, new porch entry, reconfigure bathroom to allow a new
# Stories # Units (if Res)F
powder bath, remodelbathroom, reconfigure master 15edroom, bathroom and wd-111 c o e ,
new windows and sliding glass doors. I
Valuation
Material/Labor _ --
p �
New/Add SF �j /7 Remodel SF -[ Gara9 a/New/AddF
Last _._ First j
OWNER'S NAME-�C�� 'l `
Owner's Address Owner's E-mail Address
133 `f
City --.-.. -.. State Zip F I Telephoner -- -- -
APPLICANT'S NAME Last Blackmore First Jason
Applicant's Address Applicant's E-mail Address
2735 De Soto Ave jjabdesign@gmail.com
City Costa Mesa I State CA Zip 92626 Telephone949.274.6585
EG AEdR'BNAME -p' " � " First Amy Lic. No. 30804 '
Last Steiner 'e�jCte��
U
Architect/DesignersARCHITECT/DESIGNER'S
ss Designer's E-mail Address)
Architect/Designer's
�'
17000 Mitchell North amy@steinerstudioinc.com
y t �' Zip 92614 Telephone 714.299.5957
Cit Irvine State CA �—
ENGINEER'S NAME Last FARHAD MANSHADI j First Lic. No. 36849
Engineer's Address Engineer's E-mail Address
1800 EAST 16TH STREET UNIT B farhad@esifine.com
City Santa Ana State CA Zip 92701 Telephone 657-335-4112
A Lic. No. FUZE"" Class)
R'S
COTRA
- DYl� LLL1� / 11
c87S_Z(!)
dreNAME/COMPANY
ConhactoCs Contractor's E-mail Address
ess
l t3 L eat 02
City e ekr C q -G L` ex lit State CA Zip �i Telephoned
�Z6S(
SETBACKS REAR SETBACKS FRONT PERMIT NO. Z/O'Z� •(%���
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. • �Q
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
1