HomeMy WebLinkAboutX2020-1961 - Permit ApplicationX2ozo 1 0� U I
Print Form Worksheet for Combo Building & Solar Permit Application 0§V
�, Comm'I r Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
;Building FGrading (—Drainage rl Elec F—,I Mech Plum Cu Yd CutF i Cu Yd Fill v
Project Address (Not mailing address) F_ Flood r— Fire F_ Liq r, Landslide FWA Floor Suite No
4340 Von Karman Ave., #350, Newport Beach, CA 92660 1' 350
Description of Work
Use Const Type
StoriesF_ # Units (if Res)
nstal 11n ou e glass door instead of wood for suite entrance
-112 x 7 -6
Valuation $ F$8000
Material/Labor'
New/Add SFF, Remodel SF 45
Garage/New/Add
OWNER'S NAME Last South Coast Yacht Club LLC First
Owner's Address
Owner's E-mail Address
4340 Von Karmen Ave., #350
scyachtclub@gmail.com
City Newport Beach StateCA Zip 92660 Telephone (949)9030792
APPLICANT'S NAME Last Rostami
First Mehrdad
Applicant's Address
Applicant's E-mail Address
15642 Sand Canyon Unit #54828
FixaCal@Gmail.com
City Irvine State CA
Zip 92619 Telephone(949)278-8717
ARCHITECT/DESIGNER'S NAME Last
First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
Zip Telephone -... _.
ENGINEER'S NAME Last Hakemi
I FirstFahim Lic. No. S 5160
Engineer's Address
Engineer's E-mail Address
26982 Marbella
mhakemi@gmail.com
City Mission Viejo State CAZip
92691 Telephone (714)247-9778
CONTRACTOR'S NAME/COMPANY FixaCal Inc.
Lic No. 1029607 ClasslB
Contractor's Address
Contractor's E-mail Address
15642 Sand Canyon Unit #54828
FixaCal@Gmail.com
City Irvine State CA
Zip 92619 Telephone (949)234-7744
SETBACKS REAR SETBACKS FRONT
PERMIT NO. �� I w — I q b'
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
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