HomeMy WebLinkAboutX2019-0057 - Permit ApplicationPrint Forrh, #� Worksheet for Combo Building & Solar Permit Application
F- Comm'I r Residential 91 _ 00�- City of Newport Beach - Building Division I
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(X Building r Grading
rDrainage r Elec r Mech r Plum Cu Yd Cut 4145 Cu Yd Fill 30
Project Address (Not mailing address) r Flood r Firer Liq r Landslide /A Floor Suite No
4537 Camden DR
F_
Description of Work
Use R -3/U Const Type VP -SPK
NEW 1 -STORY SINGLE FAMILY RESIDENCE WITH BASEMENT.
# Stories # Units (if Res)-
Valuation $ ! r>4S �0
Material/Labor 1,300,000
New/Add SF 6,565
Remodel SF I Garage/New/Add 12,075
OWNER'S NAME
Last_ First I
i� 11i K. 46,2e ccs t- off_ 1 15
Owner's Address
Owner's E-mail Address
4531 CAMDEN RD
City NEWPORT BEACH
StateCA Zip 92625 Telephoned
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 First I MARK Lic. No. C-22162
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
City I
State F_ Zip �— Telephone
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 Lic. No. F Class
Contractor's Address
Contractor's E-mail Address
City �—
State F_ Zip F— Telephoned
SETBACKS REAR
SETBACKS FRONT PERMIT N0. /\o-,0 1 / — 00,5
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. on U Ezo � 9
USE ZONE
�
DEVELOPMENT NO 07,41 q -oo04 PLAN CHECK FEES $