HomeMy WebLinkAboutX2020-1736 - Permit Applicationnot Form Worksheet for Combo Building & Solar Permit Application OFQr Comm'I r Residential City of Newport Beach -Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL/r'T
rX:Building r! Grading rDrainage Elec rMech ri Plum cu Yd Cut 15 Cu Yd Fill 10 �i3 v
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Project Address (Not mailing address) r Flood r Fire Liq r Landslide [7.N/A Floor Suite No
107 3214D STREET NA/ N/A
Description of Work V Ul7 C ( Use SFD Const Type VB
c� F:
/r # Stories(3 ; # Units (if Res)!
Valuation $
New/Add SF 1,406 - Remodel SF[0 —,Garage/New/Add 339 Material/Labor 500,000 00
OWNER'S NAMELast [HWANG 'First C--LIFF
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Owner's Address Owner's E-mail Address
1316 ARROYO CRIES N/A
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City REDLANDS State CA Zip 92373 Telephone (909) 239-3829
APPLICANT'S NAME Last INIELSEN
Applicant's Address
6131 ANACAPA DRIVE
City HUNTINGTON BEACH State CA
First (PHIL
Applicant's E-mail Address
philnielsenOO@yahoo.com
i
Zip 92647 Telephone (714) 717 1418
ARCHITECT/DESIGNER'S NAME Last WALTERS First JONATHAN Lic. No. FC -_33220
Architect(Designer's Address
2999 OVERLAND AVENUE
City LOS ANGELES _ State CA
ArchitecUDesigner's E-mail Address
philnielsen00@yah oo. com
Zip 90064 Telephone (714) T17-1_418
ENGINEER'S NAME Last MANSHADI First FARHAD Lic. No C 36840
Engineer's Address
1800 E. 16TH STREET, SUIT B
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City SANTA ANA State CA
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City i State F'.,
REAR SETBACKS FRONT
LEFT SETBACKS RIGHT
DEVELOPMENT NO
Engineer's E-mail Address
N/A
Zip 92701 Telephone(714) 835 2800 I
Contractor's E-mail Add
Lic. No. Clas
ress
i
Zip 1 Telephone
11
PERMIT NO, � �0?0 — 173
PLAN CHECK
PLAN CHECK FEES $