HomeMy WebLinkAboutX2020-1961 - Permit Application (2)X2020 - 1 61 1, I
Print Form Worksheet for Combo Building & Solar Permit Application Aw
City of Newport Beach - Building Division
(X Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIMF OFSI IRMITTAI
r;Building F-, Grading r;Drainage F'Elec F -,I Mech (—'••.Plum Cu Yd cut Cu Yd Fill
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Project Address (Not mailing address) f— Flood F_ Fire F_ Liq f— Landslide Floor Suite No
4340 Von Karman Ave., #350, Newport Beach, CA 92660 13 350
i
Description of Work
Use F_ Const Type F_
ns a Ing ou e g oor Ins o wo or sw a en ra ce
- x - # StoriesF # Units (if Res)F
SF _e
New/Add SF Remodel SF 45
--- Valuation $ $8,000
Garage/New/Add F :1 Material/Labor
_--
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 State CA Zip 92660 Telephone (949)9030792
APPLICANT'S NAME Last Rostami
First Mehrdad
Applicant's Address
Applicants 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—i Lic. No. �—
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
City StateF —
Zip— Telephone�—
ENGINEER'S NAME Last Hakemi
1 FirstFahim Lic. No.S 5160
Engineer's Address
Engineer's E-mail Address
26982 Marbella
mhakemi@gmaiLcom
City Mission Viejo State CA
Zip 92691 Telephone (714)247-9778
CONTRACTOR'S NAME/COMPANY FixaCalInc
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. IX1 k,>ZD --
1 � �j
SETBACKS LEFT SETBACKS RIGHT
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PLAN CHECK NO. rS7'L' 7,r� __D)
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $