HomeMy WebLinkAboutX2021-1088 - Permit Application(N-01lu
Print l=orm Worksheet for Combo Building & Solar Permit Application
3— Comm'I )( Residential City of Newport Beach - Building Division E so^r-g
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
IXBuilding 7_Grading
(—Drainage rElec j_Mech
r—Plum CU Yd CutF— Cuyd Fill
Project Address (Not mailing address) I- Flood r Fire r Liq r- Landslide r-N/A Floor Suite No
517 Orchid Avenue, Corona Del Mar, CA 92625
Description of Work
Use F_ Const Type
Correction as outlined
in Code Enforcement letter dated 02-28-2018: 1 -
#StoriesF_ # Units (if Res)F_
Bathroom, 2- Garage Restoration, Window
Changeouts
IGarage
Valuation $
Material/Labor w / O
(
New/Add SF� Remodel SF 1(Y V- Garage/New/Add Restore
OWNER'S NAME
Last I Ghandehari
First Ashkan
Owners Address
Owner's E-mail Address
517 Orchid Avenue
mg00070@gmail.com
city Corona Del Mar
state CA
zip 92625 Telephone 714-493-3135
APPLICANT'S NAME
Last IGhandehari
First Ashkan
Applicant's Address
Applicant's E-mail Address
517 Orchid Avenue
_
city CI orona DDel Mar
State F
Zip F2E5 Telephone 14-493-3135
ARCHITECT/DESIGNER'S NAME Last I Ghandehari
First MorteZa Lit. No.P-042150
ArchitecUDesignees Address
AmhitectlDesignees E-mail Address
30622 La Vue
City I Laguna Niguel
state CA
zip 92677 Telephone 714-493-3135
ENGINEER'S NAME
Last Ghandehari
First MorteZa Lit. No.F�
Engineers Address
Engineers E-mail Address
130622 La Vue
I mg00070@gmaii.com
city Laguna Niguel
state 1CA
ZiP 92677 Telephone 714-493-3135
CONTRACTOR'S NAME/COMPANY Owner -Builder
Lit. No. a Classy
Contractors Address
Contractors E-mail Address
City �
State F_
Zip F_ TelephoneF—
SETBACKS REAR
SETBACKS FROM
PERMIT NO. V LOT
�IIII
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. @
USE ZONE
DEVELOPMENT NO
P N CHECK FEES $
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