HomeMy WebLinkAboutX2019-4054 - Permit Application (3)Prier Form Worksheet for Combo Building & Solar Permit Application
F Comm'I rX Residential City of Newport Beach - Buildin Div'
Fx Building
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
R Grading
Project Address
!11 TUSTIN
Description of Work
FX Drainage FX Elec r Mech (X Plum Cu Yd
r' Flood r Fire r- Liq r— Landslide
2 -STORY SINGLE FAMILY RESIDENCE WITH BASEMENT AND AN ACCCESSORY DWELLING
Z
New/Add SF 7,097 Remodel SFF � Garage/New/Add 1,139
OWNER'S NAME Last
Owner's Address
23832 HILLHURST DR
City LAGUNA NIGUEL State CA
APPLICANT'S NAME Last
Applicant's Address
2900 BRITSOL ST A-203
City COSTA MESA State CA
ARCHITECT/dESIGNER'S NAME
Architect/Designer's Address
City
ENGINEER'S NAME
Engineer's Address
GODDARD, SUITE 200
First
Owner's E-mail Address
Cu Yd Fill 130
rXN/A Floor Suite No
Use R -3/U Const Type VB -SPK
#Storiesr2 # Units (if Res)f 2
Valuation $ F
00,000
Material/Labor
ZIP 92677 Telephone(949) 975-0123
First
Applicant's E-mail Address
imteale@tealearchitecture.com
Zip 92626 Telephone (949) 975-0123
Last TEALE First IMARK
Architect/Designer's E-mail Address
Lic. No. C-22162
I
State F— Zip F TelephoneF�
Last HAKIM First FADY
Lic No.C-C75736
City IRVINE State CA
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City
SETBACKS REAR
SETBACKS LEFT
USE ZONE
Engineer's E-mail Address
FA D YHAKI M@ F M H E N G I N E E R I N G. CO M
Zip F92618 Telephone 310-422-1536
Lic. No. F— ClassF----
Contractor's E-mail Address
State I— Zip t� Telephoned --r
SETBACKS FRONT PERMIT NO.
SETBACKS RIGHT PLAN CHECK NO.
DEVELOPMENT NO PLAN CHECK FEES $
2•Ze1I— —