HomeMy WebLinkAboutX2018-0941 - Permit ApplicationX?ors 09yj (` �
Print Form Worksheet for Combo Building & Solar Permit Application ��`°
City of Newport Beach - Building Division ( 5
F Comm'1 r.. Residential NOTE PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c.,^"'"
rBuilding r'Grading r.Drainage rElec j'K'. Mech r. Plum Cu Yd cull•- -- �.uY .Fill �� 1'�
516
Project Address (Not mailing address) I— Flood r Fire F_ Liq r Landslide /A Floor Suite No
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417 HOLMWOOD DR41VE
Description of Work
Use R3/U Const Type V -B
IF Stories #Units (if Res)
Valuation $°
Material/Labor
- q1P Z'Jl�
ew slog a aml y resi ence wl a ac a -car garage, covere ron porc sq. T1.),
second floor balcony 134 sq. ft. 5 bedrooms 5 1/2 baths, 3 fireplaces
New/Add SF 5092 Remodel SF—Garage/New/Add 674
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OWNER'S NAME Last //�. Nd'l/.`/2y/C/1C1 First _
Owner's Address Owner's E-mail Address
790 Newton Way sepulvedabuildersinc@gmail.com
City Costa Mesa State Ca. Zip 92627 _ Telephone 714-288-0732
APPLICANT'S NAME Last /���%'/I,�1T, %'(�i_le�-s- First _ _._.. _..
Applicant's Address j�'"° Applicant's E-mail Address
We -/Z � %'< h� /'vtGG�6t� /��S�r elpw l'ZW4�
- w7elephone 714-288-0732
City ✓/ /�/' �C�e Ca. Zip
ARCHITECT/DESIGNER'S NAME Last Oslin First Brian Lic. No.FS
Architect/Designees Address ArchitecUDesigner's E-mail Address
8621 Bellmead Drive oslin.design@gmail.com
City Huntington Beach State Ca Zip 92646 Telephone714-962-1148
ENGINEER'S NAME Last Weber First Stephen Lic. No. 40001
Engineer's Address Engineer's E-mail Address
39506 N. Daisy Mountain Drive#122-26 Iglengrl@live.com
City Anthem �v tate—'' Zip 85086 Telephone 623-551-7024
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CONTRACTOR'S NAME/COMPANY Brent Sepulveda / Sepulveda Builders Inc. Lic. No. Class B1
Contractor's Address Contractors E-mail Address (�2R57Y0
790 Newton Way sepulvedabuildersinc@gmail.com
City Costa Mesa State Ca Zip 92627 Telephone 714-288-0732
`TBACKS REAR SETBACKS FRONTPERMIT NO.
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4ACKS LEFT_ SETBACKS RIGHT `I PLAN CHECK NO.
INE DEVELOPMENT NO „/,`b' Dt�$ PLAN CHECK FEES $