HomeMy WebLinkAboutX2021-0107 - Permit Application (3)Print Form, Worksheet for Combo Building & Solar Permit Application
r Comm'P r Residential V0,21.0107 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r.Building rGrading rDrainage r Elec r Mech r Plum
ect Address (Not mailing address) r Flood r Fire r Liq
137 Port Trinity
escription of Work
w 2 -story single family residence
Cu Yd Cut 110 Cu Yd Fill 110 +
r Landslide rN/A Floor
I
Suite No
Use R -3/U Const Type B-Sprkl
# StoriesF''., # Units (if Res)r 7
Valuation $ I�950,000`'�
New/Add SF 39,i8 59142 Remodel SF 10 Garage/New/Add 88' I Material/Labor)
OWNER'S NAME Last IFNS Development, LLC
Owner's Address
618 San Miguel Drive #335
Clry Newport Beach State CA
APPLICANT'S NAME Last
Applicant's Address
900 Bristol St. Bldg A-203
City Costa Mesa State CA
First
Owner's E-mail Address
Zip 92660 Telephone 714-926-5761
First
Applicant's E-mail Address
imteale@tealearchitecture.com
Zip 92626 Telephone 949-975-0123
ARCHITECT/DESIGNER'S NAME Last eale First Mark Lic. No. F22162
Architect/Designer's Address
same as above
City— State F
Architect/Designer's E-mail Address
Zip f Telephoned
ENGINEER'S NAME Last Hakim FirstFady Lic. No. -75736.
Engineer's Address
410 Goddard, Suite 200
City Irvine State CA
Engineer's E-mail Address
�adyhakim@fmhengineering.com
Zip 92618 Telephone 10-422-1536
CONTRACTOR'S NAME/COMPANY Scott Cross / SC Homes Lic. No. F828216 Class
Contractor's Address
3050 Pullman St
City Costa Mesa State CA
SETBACKS REAR i®r
SETBACKS LEFT
),SEZONE QVC'$
Contractor's E-mail Address
Zip 92626 Telephone 949-723-4243
SETBACKS FRONT 4,,
SETBACKS RIGHT 151
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $
i0 l✓l - ' q0T
0111-2z2_1