HomeMy WebLinkAboutX2021-1291 - Permit Application,Worksheet for Combo Building &Solar Permit Application
City of Newport Beach - Building Divisjgn
(" Comm'] FR( Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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riBuIIdIng Grading Drainage Elec Vlech F Plum cuvd�ut12 cu Yd rill
Project Address (Not mailing address) r. Flood j7 Fire f— Li
q j— Landslide iN/A Floor Suite No
4701 HAMPDEN RD i I
Description of Work Use R -3/U Const Type VB SPK
10$ feet of Wrought iron fence
# 5toriesl1 #Units (if Res) 7
'Valuation $ 10,000
New/AddSFF RemodelSF� Garage/New/Add Material/Labor
OWNER'S NAME LastCHUNG. First Yoon'Michael"and'Shinhye
Owner's Address Owners E-mail Address
4701 HAMPDEN RD
City NEWPORT BEACH State ca Zip 192625 Telephone (949) 975-0123
APPLICANT'S NAME Last �TEALE FirstMARK
Applicant's Address - Applicant's E-mail Address
2900 BRISTOL ST., BLDG A, SUITE 203 mteale@tealearchitecture.com
City COSTA MESA State CA Zip 92626 Telephone (949) 975-0123
'ARCHITECT/DESIGNER'S NAME Last TEALE First MARK Lic. No. [C-22162
Architect/Designer's Address Architect/Designer's E-mail Address
.. _..
City State W� Zip-- Telephone
ENGINEER'S NAME Last HAKIM FirstFADY Lic. No.FC-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 MIw Lic. No. 0"'(i 1�? Class�kCTja �
Contracctor's Address Contractor's E-mail Address
11AlLv ch 1,j
CityC�� V_ AA" State � Zip . 6)Z(, 77— Telephone IqL(C.( Zq(D
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ .