HomeMy WebLinkAboutX2020-1107 - Permit Application- � Worksheet for Combo Building & Solar Pion mit App�icati®n
Print Form �%
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMIT �AL n
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Project Address (Not mailing address) C Flood
XFire f- Liq r Landslide F_N/A Floor Suite No
[17 Dartmouth, Newport Beach, Ca. 92660
► - 11
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Description of Work
Use ---
Plan Revisions: Client Revision
(add deck) and Field Change (Flush
Roof Beams) Please see
# Storiesr2 # Units (if Res) 1
attached for additional description.
Valuation $ 21,500
Material/Labor
New/Add SF[200 Remodel SF�-
Garage/New/Add ��
OWNER'S NAME
Last Sanadiki
First Daneia
Owner's Address
17 Dartmouth �-�_--
__ _ ____ __.._-�._.�___.._.�.--.-•
Owner's E-mail Address
f daneias@yahoo.comM—
City Newport Beach
State Ca
Zip Fg2660 Telephone[ ----- --
APPLICANTS NAME
Last MacBeth
First rD�aniel�
I
Applicant's Address
37 Parkcrest
Applicant's E-mail Address
danmacbeth@gmail.com
City Newport Coast
_-� State Ca
Zip 92657 Telephone (949) 584-4999
ARCHITECT/DESIGNER'S NAME Last MacBeth
First Daniel Lic. No. 700795 (131)
Architect/Designer's Address
�37Parkcrest
F
_ _
Architect/Designer's E-mail Address
[danmacbeth@gmaii.com
City Newport Coast
State Ca
Zip 92657 Telephone (949) 584-4999
ENGINEER'S NAME
Last Manshadi
First Farhad Lic. No. 36840
Engineer's Address _
1800E 17th Street
Engineer's E-mail Address
farhad@esifine.com
City Santa Ana
State Ca
Zip 92701 Telephone (714_) 835-2800
1
CONTRACTOR'S NAME/COMPANY Daniel Garrison MacBeth Lic. No. r700795 - Class B-1
Contractor's Address
137 .Parkcrest
a
Contractor's E-mail Address
danmacbeth@gmail.com
City Newport Coast V
State Ca
Zip 92657 Telephone (949) 584-4999
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. 20. 1T+-
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
)USE ZONE
DEVELOPMENT NO
_
PLAN CHECK FEES $ -�