HomeMy WebLinkAboutX2019-0057 - Permit Application (2)r Comm'I
Worksheet for Combo Building & Solar Permit Application
X7-C>ICI -COCA7 City of Newport Beach - Building Division
r Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL I/f
FX -Building r Grading rDrainage F)? Elec OZ Mech r Plum Cu Yd cut4145 \Cu Yd Fill
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Address (Not mailing address) r Flood r Fire r Liq r Landslide
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14531 Camden DR
Floor Suite No
Description of Work Use R -3/U Const Type VP -SPK
NEW 1 -STORY SINGLE FAMILY RESIDENCE WITH BASEMENT
# Stories # Units (if Res)s
Valuation $ /'34S j M0
New/Add SF 16,565 Remodel SF Garage/New/A 2,075 Material/Labor 1,300,000
OWNER'S NAME Last First I j)
Owner's Address Owner's E-mail Address
4531 CAMDEN RD
City NEWPORT BEACH State CA Zip 92625 Telephone!
APPLICANT'S NAME Last TEALE First MARK
Applicant's Address Applicant's E-mail Address
2900 BRISTOLE ST A-203 mteale@tealearchitecture.com
City COSTA MESA State CA Zip 92626 Telephone(949) 975-0123
ARCHITECT/DESIGNER'S NAME Last TEALE rr /l///pp,, First 'IN��irRK Lic. No. C-22162
Architect/Designer's Addressr�tifi Designe' i E-mai4Address
-Zq CL
City State Zip — TelephoneF^
ENGINEER'S NAME Last HAKIM First FADY Lic. No.C-C75736
Engineer's Address Engineer's E-mail Address
410 GODDARD, SUITE 200 FADYHAKIM@FMHENGINEERING.COM
City IRVINE State CA Zip 92618 Telephone 310-422-1536
CONTRACTOR'S NAME/COMPANY 5cRews I I �� Lic. No. � ClassF
Contractor's Address l �U Contractor's E-mail Address
City S6� -- StateZip •= TelephoneCJ4 '723.-42,�3
SETBACKS REAR SETBACKS FRONT PERMIT N0. %L rif II -1 nnS'f--
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
PLAN CHECK NO.
DEVELOPMENT NO 02,01 61 oW4 PLAN CHECK FEES $
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