HomeMy WebLinkAboutX2021-0081 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application (t� ����°°
Comm'1 r Residential City of Newport Beach - Building Division 1 ` o 'g
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL i 81<.
r Building FX Grading rDrainage FX Elec r Mech Fx Plum Cu yd Cut F95 Cu vd Fill 730
Project Address (Not mailing address) r Flood F- Fire F- Liq F- Landslide FN/A Floor Suite No
20171 BayView Ave. Newport Beach, CA. 92660 �— F
Description of Work
"�-
Use Contt Type
Demo. SFD build SFD.
existing and a new
# Stories # Units (if Ress
Valuation $
Material/Labor
402.
New/Add SF New Remodel SFF Garage/New/Add New
OWNER'S NAME Last Farah First Farzin & Farhad
Owner's Address Owner's E-mail Address Iry 1 F�V�
3366 Fuchsia street
arzinfarah@att.net
City Costa Mesa State CA w
Zip 92626 Telephone(714)791-9200
APPLICANT'S NAME Last Farah First Farzin & Farhad
Applicant's Address Applicant's E-mail Address
3366 Fuchsia street
arzinfarah@att.net t� y
City Costa Mesa State CA Zip 92626 Telephone(714)791-9200
ARCHITECT/DESIGNER'S NAME Last Oliveira First Camilla
Lic. No. F_
Architect/Designees Address Architect/Designees E-mail Address
3680 Wilshire Blvd. Ste. PO4-1341 office@coliveiradesign.com
City Los Angeles State CA Zip 90010 Telephone (415)793-9492
ENGINEER'S NAME Last Chauhan First Inder Lic. No. C28466
Engineers Address Engineer's E-mail Address
651 E. Chapman Ave. Ste 101 inderengineering@sbcglobal.net
City Fullerton State CA Zip 2831-3738 Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. ClassF_
Contractor's Address Contractor's E-mail Address
City State F— Zip F Telephoned
SETBACKS REAR C I SETBACKS FRONT t PERMIT NO.
SETBACKS LEFT Z� SETBACKS RIGHT r PLAN CHECK NO. . J
,_,
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $