HomeMy WebLinkAboutXR2022-2919 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm'I JX Residential City of Newport Beach - Building Division' /
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL J
rBuilding Grading F-Drainage F_Elec FMech r Plum CuYdCut CuYdFill
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Project Address (Not mailing address) F_ Flood r Fire r Liq F_ Landslide i_N/A Floor Suite No
1859 Port Margate PI. Newport Beach--
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Description of Work
UseConst Type V
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Valuation $
Material/Labor
OWNER'S NAME Last Anacone
First Matthew
Owner's Address
Owner's E-mail Address
1859 Port Margate PI.
-
City Newport Beach State CA
Zip 92660 Telephone 9498122207
APPLICANT'S NAME Last Martinez
First David
Applicant's Address_
177 E. Colorado Blvd #200
Applicant's E-mail Address
mci@martinezcinc.com
City Pasadena State CA
Zip 91105 Telephone 562 907 8153
ARCHITECT/DESIGNER'S NAME Last aghi
First Shucri Lic. No. ❑ D ❑ ❑
Architect/Designer's Address _
112 E. Chapman Ave #D
Architect/Designer's E-mail Address
aghi-engineers@live.com
City Orange State CA
Zip 92866 Telephone 714 997 9120
ENGINEER'S NAME Last Yaghi Structural Engineering First �— Lic. No: D O O O ❑
Engineer's Address
Engineer's E-mail Address
112 E. Chapman Ave #D
yaghi-engineers@live.com
City Oragne State CA
Zip 92866 Telephone 14 997 9120
CONTRACTOR'S NAME/COMPANY Martinez Construction
Lic. No. ❑`O D II O ❑ Class W
Contractor's Address
Contractor's E-mail Address
177 E. Colorado Blvd. #200
mci@martinezcinc.com
City Pasadena State CA
Zip 911005 Telephone 560 907 8153
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SETBACKS REAR SETBACKS FRONT
PERMIT NO. XQ� ��• %+�1�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. ��•l�1$[/
USE ZONE DEVELOPMENT NO 91( Va - 01811 PLAN CHECK FEES $