HomeMy WebLinkAboutX2020-2588 - Permit ApplicationWorksheet for Combo Building & Sol gerornit'Aoppli ation
(-1 Comm'I r; Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5
jX;Building JR Grading rDrainage [X Elec 0KMech jX-, Plum Cuvdcuc l2 ! cuvdFin �'
Project Address (Not mailing address) r-' Flood (- Fire r' Liq I-- Landslide FX-!N/A Floor Suite No
1227 BREK SHIRE LANE n/a n/a
Description of Work
Use SFD Const Type VB
# Stories # Units (if Res)
t
NEW SINGLE FAMILY RESIDENCE WITH AN ATTACHED GARAGE. HOUSE= 3,321 S.R. GARA(3E=
604 S.F.
_.
Valuations F600'000
Material/tabor
New/Add SF 3,321 Remodel SF Garage/New/Add 604
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OWNER'S NAME Last PHAN First PHUOC
Owner's Address Owner's E-mail Address
3 GRASS VALLEY N/A
City IRVINE State CA Zip g0602 Telephone (714) 478-7334
APPLICANT'S NAME Last NIELSEN First PHIL
Applicant's Address Applicant's E-mail Address
6131 ANACAPA DRIVE philnielsen00@yahoo.com
City HUNTINGTON BEACH State CA Zip 92647 Telephone (714) 717-1418
ARCHITECT/DESIGNER'S NAME Last NIELSEN First PHIL Lic. No. DESIGNER
Architect/Designees Address Architect/Designers E-mail Address
6131 ANACAPADRIVE philnielsen00@yahoo.com
Cit HUNTINGTON BEACH State CA Zi 92647 Tele hone 714 y �� p P ( )717-1418
ENGINEER'S NAME Last MANSHADI First FARHAD Lic, No. C 36840 j
Engineer's Address Engineers E-mail Address
1800 E. 16TH STREET N/A
City SANTA ANA State CA Zip 92701 Telephone (714) 835-2800
CONTRACTORS NAME/COMPANY No. �D�O�$fp Class;
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Contractors Address Contractors E-mail AddressLic.
City State �— zip �� Telephone""14"1ir�
SETBACKS REAR SETBACKS FRONT PERMIT NO. \vVV 1,6N
SETBACKS LEFT I D SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO W �o I3 PLAN CHECK FEES $