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HomeMy WebLinkAboutX2021-2716 - Permit Application (2)^0 \v V) PnntForm Worksheet for Combo Building & Solar Permit Application oe r Comm'I jX Residential f 01(5 City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding r Grading rDrainage rx Elec FX_ Mech Fx_ Plum cuydcut 135 CuvdFill I5 Project Address (Not mailing address) r Flood f— Fire F_ Liq fJLandslide CN/A Floor Suite No 226 Jasmine 5 F_ Description of Work Use R-3/U ConstType B-sprnkl New 2-story single family residence with roof deck # Stories; # Units (if Res)s Valuation 1 850,000 Material/Labor o(�`( r`7 Ooa'''' New/A SF 4519 Remodel SF Garage/New dd 642 OWNER'S NAME Last 226 Jasmine, LLC v� First F Owner's Address Owners E-mail Address 226 Jasmine City Corona del Mar State CA Zip 2625 Telephone949-975-0123 APPLICANT'S NAME Last Bale _. First Mark Applicant's Address Applicant's E-mail Address 900 Bristol St., Bldg A - 203 mteale@tealearchitecture.com City Costa Mesa State CA Zip 2626 Telephone 949-975-0123 ARCHITECT/DESIGNER'S NAME Last ITeale First Mark Lic. No. C-22162'. Architect/Designer's Address Architect/Designer's E-mail Address see above City State Zip Telephone ENGINEER'S NAME Last Patel First Sharad Lic No. IS-4 Engineer's Address Engineer's E-mail Address 9283 Research Dr. spate)@pbastructural.com City Irvine State CA Zip 92618 Telephone 949 943-8080 CONTRACTOR'S NAME/COMPANY FB Custom Homes Lic. No. #1045525 Class B Contractor's Address Contractors E-mail Address 3986 Aliso Creek Rd, Ste 112 City Laguna Niguel State CA Zip 92677 Telephone 888-463 2111 SETBACKS REAR S SETBACKS FRONT Z O t PERMIT NO. kj a2y — Z71 t SETBACKS LEFT t SETBACKS RIGHT PLAN CHECK NO. 7j?j6- — ZcS ( USE ZONE 9-1 DEVELOPMENT NO PLAN CHECK FEES $