HomeMy WebLinkAboutX2021-1860 - Permit ApplicationPrint Form <p Worksheet for Combo Building & Solar Permit Application
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City of Newport Beach - Building Division y Comm'I r Residential 0
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL nLott �JC9
FX-Building Grading F -Drainage f-Elec rMech F- Plum Cu YdCut r Cu Yd Fill
'roject Address (Not mailing address) r Flood K Fire r Liq r Landslide rN/A Floor Suite No
Overlook Or, Newport Coast, CA 92657 F
Description of Work Use A -?) Const Typej,/- J-
1. Remove the two center pillars from the backyard roof support -- see picture.
# Stories #Units (if Res)
uter pillars. s
Valuation $N
New/Add SF F_
Remodel SF�— Garage/New/Add � Material/Labor -'
OWNER'S NAME Last Filuckman First Philip
Owner's Address Owner's E-mail Address
Overlook Dr hil.gluckman@icloud.com
City ewport Coast State FT—_ zip 2657 Telephone 08-505-5829
APPLICANT'S NAME Last game as above First
Applicant's Address Applicant's E-mail Address
City I State F_ zip [ Telephones
ARCHITECT/DESIGNER'S NAME Last S /%muo First5 re oe
Architect/Designer's Address
s I-iqWJ)AgC//lads :I'n.+/,C
city AL 1, o I%1 '5�_36 State Fca Z
Architect/Designer's E-mail Address
Lic. No.��`�
I S r p-lr,60 S-rowq &-c.ly el -Ts r G.6A I
p 9(,56 Telephone 9Yy-7s1-0640/
ENGINEER'S NAME Last r
ichards First eorge Lic. No. 7696
Engineer's Address
211 Michelson Drive, Suite 450
City rvine State �—
Engineer's E-mail Address
oseD@borm.com
2612 ext 9
Zip Telephone
CONTRACTOR'S NAME/COMPANY asod Riyahifar /T24 Construction Lic. No. 059168 Class
Contractor's Address
1 ARABIS COURT
City ADERA RANCH State F
SETBACKS REAR 0
SETBACKS LEFT O
USE ZONE
Contractor's E-mail Address
iyahifar656@gmail.com
Zip 2694 Telephone 49-433-0444
SETBACKS FRONT /0
SETBACKS RIGHT ® '
DEVELOPMENT NO
PERMIT NO.
PLAN CHECK NO
PLAN CHECK FEES $
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