HomeMy WebLinkAboutX2021-0875 - Permit Application (3)0
Print Form j et for Combo Building & Solar Permit Application
r— Comm'I jxResidentia City of Newport Beach - Building Division c
NOTE, PLAN CHECK FEES DUE AT TI E OF SUBMITTAL
r',Building r' Grading
ainage r, Elec r Mechot� r Plum cu Fiu ��%�:% ,
wSu'ittee
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Project Address (Not mailing address) C Flore (— I in r— Landst -kR) Floor No
412 Heliotrope
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Description of Work
�{ /U ConstType VB-Spr�
# Stories 3 #Units (if Res)
ew -s orysInng7 a aami y resi
ence wi a ace garage an roof c
Valuation $
Material/Labor 75Q000
New/Add SFW5
Remodel SFF_ Garage/New/Add 387
OWNER'S NAME
Last Grewal First Parmjit
Owner's Address
Owner's E-mail Address
412 Heliotrope
City Corona del Mar
State CA Zip 92625 Telephone 9`49-975-0123
APPLICANT'S NAME
Last Teale First Mark
Applicant's Address
Applicant's E-mail Address
2900 Bristol St, Bldg A-203
mteale@tealearchitecture.com
City Costa Mesa
State CA Zip 92626 Telephone 949-975-0123
ARCHITECT/DESIGNER'S NAME Last Teale First Mark Lic. No. C-22162
' hitect/Designer's Address
Architect/Designer's E-mail Address
see above
City
State F_ Zip F TeaphoneFV
ENGINEER'S NAME
Last Hakim �', First Fady Lic No. C-75736
r Engineer's Address
Engineer's E-mail Address
410 Goddard, Suite 200
fadyhakim@fmhengineering.com
City Irvine
State CA Zip 92618 Telephone 310-422-1536
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CONTRACTOR'S NAME/COMPANY Lic. NoT Class
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Contractor's Address
Contractor's E-mail Address
' city
State F_ Zip F- Telephoned'..
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK N .
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES
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