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HomeMy WebLinkAboutX2020-1244 - Permit ApplicationPrint Form Worksheett for Combo Building & Solar Permit Application ca Comm] r Residential W~Y' QpfrxJC�a,of Newport Beach - Building Division )(�.v " 2'�t{' NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL I FxBuilding r', Grading [x—Drainage f)Z Elec FM6ch Ik Plum Cu Yd Cut 12 Cu Yd Fill / Project Address (Not mailing address) F_ Flood Fire (—, Uq )—', Landslide 4N/A , Floor uite NS 2415 Sierra Vista �— F Description of Work rno, k /I '/.�;,,, Use R-3/U;,ConstType BSprnk. New 2-story single family residence UVV # Stories # Units (if Res)( 1 (I (�11`-e New/Add SF 309 RemodelSFF— Garage/New/Add 736 Valuation $ Material/Labor750,000 OWNER'S NAME Last Mansour FirstINick Owner's Address - Owner's c-mail Address 415 Sierra Vista City Newport Beach State Fc Zip •92625 Telephone 49-975-0123 APPLICANT'S NAME Last eale First Mark Applicant's Address Applicant's E-mail Address 2900 Bristol Bldg A-203 mteale@tea!earchitecture.com City Costa Mesa State CA Zip 192626 Telephone 949-975-0123 ARCHITECT/DESIGNER'S NAME Last Feale First Mark Lic. No. -22F���- 162 Architect/Designer's Address Architect/Designer's E-mail Address 2900 Bristol Bldg A-203 imteale@tealearchitecture.com Ci Costa Mesa State CA Zip 92626 Telephone949-975-0123 _ NGINEER'SNAME Last Manshadi First Farhad Lic. No.C-36840 Engineer's Address - Engineer's E-mail Address - 1800 E. 16th St. Suite B arhadC^'aslfine.com City Santa Ana State CA ;llp"7r 01 ' Telephone 14-835-2800 CONTRACTOR'S NAME/COMPANY Lic. No. �— Class Contractor's Address Contractor's E-mail Address 1 City � State F_ Zip �— Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT � PLAN CHECK NO. 0 (� USE ZONE DEVELOPMENT NO�%�%�O • tol U PLAN CHECK FEES $