HomeMy WebLinkAboutX2021-0916 - Permit Application (2)f tfForm Worksheet for Combo Building & Solar Permit Application o
�fW�a@�
City, of New Beach - Building Division
r Comm I Rsidential
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL o. "
r,Building 15 ' Grading
rDrainage rElec r, Mech
r, Plum CuvdCut 98 Cu Yd Fill 180
Project Address (Blot mailing address) F' Flood
r' Fire r Liq r Landslide f—N/A Floor Suite No
280 Evening Canyon
�_.
�I
Description of Work
Use rR-3/U Const Type B-Spnk
# StoriesF2 # Units (if Res)f 1
with a 2 -story pool house
9001
Valuation
New/Add SF �� �
Remodel SF Garage/New/Add 751
I
1,400,000
bor
Material/Labor
OWNER'S NAME
Last Mendell
FirstIteven & Carol
Owner's Address
Owner's E-mail Address
-�
1280 Evening Canyon
city Korona del Mar
State CA
Zip 92625 Telephone 949-975-0123
APPLICANT'S NAME
Last Teale
First Mark
Applicant's Address
Applicant's E-mail Address
2x900 Bristol St, Bldg A-203
mteale@tealearchitecture.com
City Costa Mesa
State CA
Zip 92626 Telephone 949-975-0123
ARCHITECT/DESIGNER'S NAME Last ITeale
First Mark�,
Lic. No. C-22162
Architect/Designer's Address
Architect/Designer's E-mail Address
same as above
City (
State F --
Zip r Telephoned
ENGINEER'S NAME
Last Hakim
First Fady Lic. No. C-75736
Engineer's Address
Engineer's E-mail Address
410 Goddard, Suite 200
adyhakim@fmhengineering.com
City Irvine
State CA
Zip 92618 Telephone 310-422-1536
CONTRACTOR'S NAME/COMPANY
Lic. NJ-,Class[—
lass[Contractor's
Contractor'sAddress
Contractor's E-mail Address
City f
State F
Zip [— Telephone��
SETBACKS REAR
SETBACKS FRONT
PERMIT NO. �e
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $