HomeMy WebLinkAboutX2021-0774 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 9§3
F_ Comm'I r Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTALfXBuildin
9 r' Grading j-Drainage r Elec r Mech j-j�
j-Plum Cu Yd Cutl (J Cu Yd Fill
Project Address (Not mal '/
dress) r Flood r F1-1 Li
221 Sapphire ave 9 Landslide rN/A F Suite No
---- 3 F
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Description of Work - -
New/Add SF ;4
OWNER'S NAME
Owner's Address
Remodel SFr —
Last
170 NEWPORT CENTER DRIVE, SUITE 260
City NEWPORT BEACH State CA
APPLICANT'S NAME
Last
Applicant's Address
470 WALD
City JIRVINE
_ 1 State CA
ARCHITECT/DESIGNER'S NAME
r rcnnecvuesigner's Address
470 WALD
City IRVINE
State CA
ENGINEER'S NAME
IUse SFR - ConstType V-B
# StoriesF # Units (if Res)r7
Garage/New/Add ��i Valuation $
Material/Labor '442,925
_ - -
.--_-„-- JI First
Owner's E-mail Address
aryn@sailhouse.com
Zip IM60 Telephone (949)281-6044
First STEPHF:m
Applicant's E-mail Address
STEVE@OLSONARCHITECT. COM
Zip 92618 - -
Telephone (949)450-0093
Last JOLSON First DAVID
Lic. No. C19424
Architect/Designer's E-mail Address
DAVID@OLSONARCHITECT. COM
- --_.-
Zip 92618 Telephone (949)450-0093
Last DEIHIMI
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Engineer's Address - - -- - - -- -
23172 PLAZA POINTE DR, #145
- -
City LAGUNA HILLS State CA
CONTRACTOR'S NAME/COMPANY
Lic. No. C78194
Engineer's E-mail Address
AMIR@CORESTRUCTURE. COM
Zip 92653 Telephone (949)954-7244
Lic No. UU /4- j Class Contractor's Address ----- "-z(
Contractor's E-mail Address
city I IsQcl cam..
.I State Zip -� Telephoned.. z_
SETBACKS REAR _ SETBACKS FRONT
SETBACKS LEFT � PERMIT NO.
� SETBACKS RIGHT �2I
USE ZONE �_ PLAN CHECK NO. ;
DEVELOPMENT NO -�— �
PLAN CHECK FEES $