HomeMy WebLinkAboutX2020-1107 - Permit Application (2)QD L� 260
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Pant Form Worksheet for Combo Building & Solar Perm kApplication
j� Comm'I (X Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
(X Building r` Grading
F—Drainage (— Elec (— Mech F— Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F— Flood Fire r Liq r Landslide r_N/A Floor Suite No
[17 Dartmouth, Newport Beach, Ca. 92660 + g d- ��- jF
-
F.0-111
Description of Work
Use Const Type R3/U
Plan Revisions: Client Revision
(add deck) and Fi Id Chanqe (Flush Roof Beams) Please see
# Storiesr # Units (if Res)F
attached for additional description.
Valuation $ 21,500— Material/Labor
New/Add SF 200
Remodel SF� Garage/New/Add F—
OWNER'S NAME
Last Sanadiki First Daneia
Owner's Address
Owner's E-mail Address
17 Dartmouth
daneias@yahoo.com
City Newport Beach
State Ca Zip 92660 Telephone
APPLICANT'S NAME
Last MacBeth First Daniel
Applicant's Address
Applicant's E-mail Address
37 Parkcrest
danmacbeth@gmail.com
City Newport Coast
State Ca Zip 92657 Telephone (949) 584-4999
ARCHITECT/DESIGNER'S NAME
Last MacBeth First Daniel Lic. No. 700795 (61)
Architect/Designer's Address
Architect/Designer's E-mail Address
37 Parkcrest
danmacbeth@gmail.com
City Newport Coast
State Ca Zip 92657 Telephone (949) 584-4999
ENGINEER'S NAME
Last Manshadi First Farhad Lic. No. 36840
Engineer's Address
Engineer's E-mail Address
1800 E. 17th Street
farhad@esifine.com
City Santa Ana
State Ca Zip 92701 Telephone (714) 835-2800
CONTRACTOR'S NAME/COMPANY
Daniel Garrison MacBeth Lic. No. 700795 Class B-1
Contractor's Address
Contractor's E-mail Address
37 Parkcrest
danmacbeth@gmail.com
City Newport Coast
State Ca Zip 92657 Telephone (949) 584-4999
SETBACKS REAR
SETBACKS FRONT PERMIT NO. i�Q Z� t
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
04
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $ --