HomeMy WebLinkAboutX2016-2183 - Permit ApplicationPrint Form worl(sneet for building combo Ne mit�pp is Lion
F Comm'I F_ Residential City of Newport Beach -Building Division
_ NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL "I C9</papNP
Building Grading Drainage"`
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Project Address (Not mailing address)
Floor Suite No
4911 Seashore Drive
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Description of Work
se SFR
Construction of new 2 Story SFR with Roof Deck and Garage; including
new landscape,
# Stories # Units (if Res)[ 1
ar scape, and general site improvements t roug out.
Valuation $ 1,000,000
Material/Labors t
New/Add S Remodel SF 0
(E?
Garage/New/Add 81
OWNER'S NAME Last ILegacy Property Holdings,
LLC First
Owner's Address
PO Box 60009
Owner's E-mail Address
City City of Industry State CA Zip 91716-0009 Telephone
APPLICANT'S NAME Last Samsami
First Ali
Applicant's Address
1401 Quail Street #120
Applicant's E-mail Address
ali@cjlight.net
City 'Newport Beach State CA
Zip 92630 Telephone 949-851-8345
ARCHITECT/DESIGNER'S NAME Last [Light 9 First Chris Lic. No. 22334
Architect/Designer's Address
1401 Quail Street #120
Architect/Designer's E-mail Address
ali@cjlight.net
City Newport Beach State CA
Zip 926930 Telephone 949-851-8345
ENGINEER'S NAME Last Xiao
First Fang Lic. No. 5289
Engineer's Address
Engineer's E-mail Address
1520 Brookhollow Dr #45
Chung@agxeng.com
City Santa Ana State CA
Zip r92705 Telephone 714-662-0559
CONTRACTOR'S NAME/COMPANY JTBD (t Yj &6tt) gjjrj0.Lic. No, g7544* Class,
Contractor's Address
1-7fl -t'
Contractor's E-mail Address
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Zip gz62.7 Telephone qyq 2;4? _ 90%1
ENERGY P/C FEE $ FIRE P/C FEE $
PERMIT NO.
GRADING P/C FEE $ 1] ! f I ' 1!1"
PLANNING P/C FEE $
PLAN CHECK NO. 0
ELt=C/PLUM/MECH P/C FEE $
PLAN CHECK FEE $
DEVELOPMENT #
ILXLCV 1 / TOTAL FEFS PAin
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