HomeMy WebLinkAboutX2020-0883 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit A
FX Comm'1 r Residential City of Newport Beach B ' ppllCatlOn
jX Building
NOTE: PLAN CHECK FEES DUE AT tling Division
ME OF SUBMITTAL3Z
XZ•
I— Grading
1 Camelback Street
rDrainage r Elec
FMech r plum cuvdcut 18
Cu Yd Fill
F Flood F Fire r Liq r Landslide
New/AddSFF� Remodel SFF�
Garage/New/Add
OWNER'S NAME
. Last
Owner's Address
11011 Camelback Street
City Newport Beach
APPLICANT'S NAME
Bat Yahm, Mark Gulner First
(XN/A Floor
Suite No
Use Temj Const Type v-1 Tho�
# Stories # Units (if Res)r—
Valuation $ 20,000
Material/Labor
Owner's E-mail Address
mgulner@tby.org
State CA Zip 92660
Telephone 949-644-1999
Applicant's Address First 16rion -
70 Old Newport Blvd. Applicant's E-mail Address
Brionj@bja-mc com
City Newport Beach State CA
Zip 92663 Telephone949-645-5854
ARCHITECT/DESIGNER'S NAME
Last Jeannette
First Brion Lic. No. 08012
Architect/Designer's Address
70 Old Newport Blvd. Architect/Designer's E-mail Address
Brionj@bja-inc.com
City Newport Beach State CA
Zip 92663 Telephone949-645-5854-
ENGINEER'S NAME Last Manshadi
First Farhad Lic.No.C36840
Engineer's Address
1880 E. 16th Street Engineer's E-mail Address
arhad@esifine.com
City Santa Ana State CA
Zip 82701 Telephone 657-335-4122
CONTRACTOR'S NAME/COMPANY
Class�—
Contractor's Address
Contractor's E-mail Address
City
StateF� Zip [, Telephone—
SETBACKS REAR SETBACKS FRONT
PERMIT NO. �C� C2�
SETBACKS LEFT � � G
SETBACKS RIGHT
USE ZONE -- PLAN CHECK NO.
DEVELOPMENT NO
PLAN CHECK FEES $