HomeMy WebLinkAboutX2020-0937 - Permit Application (4)Print Form Worksheet for Combo Llu':ling & So:ar hermit Application o�a�WTe
City of Newport &i,ach - Buil&ig Division
" Comm'I 13� Residential NOTE: PLAN CHECK FEES DUE AT TR:;F OF SUBMITTAL
W (' Plum Cu Yd Cut 05 Cu Yd Fill 30
IX Building iX GradingXDrainage CX Elec �X', MFc;
Project Address (Not mailing address) Flood j rire ' Liq Landslide KN/A Floor Suite No
i515 SIGNAL ROAD'
Description of Work _
New 2-story single family residence with a basement
New/Add SF �6983 Remodel SF Garage/New/Ac'•; 'b46
OWNER'S NAME Last nderson
^,st!Jeff
Use R-3/U Const Type FB-Sprnk
# Stories 3 # Units (if Res) 1
Valuation $ 1400000
Material/Labor
Owner's Address nw�:e-'_� E-mail Address
515 Signal Road
City lNewport Beach State ICA Zip92661'Telephone+949-975-0123
APPLICANT'S NAME Last i I eale�
r-.._._
First lrVark
Applicant's Address Applicant's F-mail Address
12900 Bristol St., Bldg A - Ste.203 Imtealeta`tea'aarchitecture.com
City costa Mesa State A io 1g Telephone 949-975-0123
ARCHITECT/DESIGNER'S NAME Last Teale First Mark
Arch itect/Designer's Address Arc`;iinct/Designer' E-mail Address
City State 'ip Telephone
Lic. No. C 22162
ENGINEER'S NAME Last Hakim First ilF-auy Lic. No.IC-75736
Engineer's .Address Engineer' E-mail Address
410 Goddard St., Ste. 200
adyh%i.in�@fmhengineering.com
City Irvine State CA Zi j �h i Q Telephone 310-422-1536
CONTRACTOR'S NAME/COMPANY
�`��F�i+� 13v���r✓ 4 _Cle�ter�1 .Cb� LiNo. �'�� J�- ', Class
Contractor's Address / Contractor's E- nail Address
City State uF `lam Telephone$3 a ��
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT _ SETBACKS RI(:".T i PLAN CHECK NO.
;E ZONE w D-VELOPMENI iv0 �_� PLAN CHECK FEES $ _ �