HomeMy WebLinkAboutX2021-2018 - Permit ApplicationPtintForm Worksheet for Combo Building & Solar Permit Application
F-. Comm'I DZ Residential City of Newport Beach - B Division X Zov i _ Qy K
NOTE: PLAN CHECK FEES DUE AT T Bfat-S 1BW-rAL
FBuilding Q Grading
Project Address
FERNLEAF AVENUE
ription of Work
FOR A 3 -STORY DUPLEX w/
New/Add SF
DZ Elec DZ Mech
rg address) r Flood
FEB 04 2021
HE E v
323
SF�
OWNER'S NAME--"` Last JBIRE II, LLC
67 Plum Cuvdcu' r4
r Firer 414 r Landslide
Cu Yd Fill
Floor
Suite No
Us/U Const Type VB
'2 -CARPORT SPACES, - - -
r # Stones # Units (if Res)F
Valuation $ $575,000.00
Garage/New/Add Material/Labor
- q,
First
Owner's Address Owner's E-mail Address
642 W. IRVING PARK ROAD ruth@decarrier.com
City NORRIDGE State IL.
Zip f 60706 Telephone 708- 601-0940
NAME Last
4pplicanfs Address Applicant's E-mail Address
Pq 32nd STREET, SUITE 202 rajeheber@gmail.com
:ity NEWPORT BEACH StateCA Zip 92663 Telephone 949-723-4393
ARCHITECT/DESIGNER'S NAME Last EHEBER First ROD
Lic. No.�—
ArchitecUDesigner's Address Architect(Designer's E-mail Address
410 32nd STREET, SUITE 202 rajeheber@gmaiLcom
City NEWPORT BEACHState CA Zip 2663 Telephone 9-322 3188
ENGINEER'S NAME Last REZAEI First 1AIJ Lic. No.1 41068
-Engineer's Address Engineer's E-mail Address
18021 SKY PARK CIRCLE, SUITE E-2 ali@rce-eng.com
City IRVINE State CA Zip 92614 Telephone949-466-9394
CONTRACTOR'S NAME/COMPANY Lic. No. F Class
pontractor's Address Contractor's E-mail Address
City State F—
Zip F Telephone)
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NOLZ J[At—Tj CHECK FEES $