HomeMy WebLinkAboutX2019-3814 - Permit ApplicationPrint f orm Worksheet for Combo Building & Solar Permit Application SaWl't,Comm'I (X Residential City of Newport Beach - Building Division X%/0NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
15? Building h Grading r -Drainage {- Elec
F_ Mech F- Plum Cu Yd cut Cu Yd Fill
Project Address (Not mailing address)
F_ Flood F" Fire F Liq F Landslide (-N/A Floor Suite No
Description of Work
Use I _ Const Type F_
Add direct ventfireplace in living room & California room
# Stories[2— # Units (if Res)[_
Valuation $
Material/Labor 4 00
New/Add SFF_V Remodel SF _ --
Garage/New/Add [___-__.___
OWNER'S NAME Last Sharif
v First Nima
Owner's Address _
120272 Spruce Avenue _
Owner's E-mail Address
nimasharif@gmail.com
City [Newport Beach _ Y State [CAZip
92660 Telephone
APPLICANT'S NAME Last Sharif
First Nima
Applicant's Address _
20272 Spruce Avenue W
Applicant's E-mail Address
J nimasharif@gmail.com-
City Newport Beach State CA
Zip 92660 Telephone 9496487557
ARCHITECT/DESIGNER'S NAME Last
Lic. No. - First F_�
Architect/Designer's Address
_ _ _
Architect/Designer's E-mail Address
I
F--
City - State
Zip I�- Telephone[---------
elephone[-___-__ENGINEER'S
ENGINEER'SNAME Last Rezaei
First Ali Li c. No.141068
Engineer's Address
18021 Sky Park Cir
Engineer's E-mail Address
tali@rce-eng.com
City Irvine -- State ICA
Zip [92614 Telephone 949-466-9394
CONTRACTOR'S NAME/COMPANY
Lic. No. [_ Class[__
Contractor's Address
Contractor's E-mail Address
City [ State (
Zip [� Telephone[
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $