HomeMy WebLinkAboutXR2022-2199 - Permit ApplicationPti!it I .i
I_- Cr. nm'I i57 Resider.'zaE
TOlr r -gig -jo 'erne. Appli s,
amity ni .. wport Beach - Building Divisio^ a��n
VAN CHECK FEE DUE AT TIME OF SUBMIT-FAL
17Building IRGrading I -Drainage rELIC Mech rPlum CuYdCut s Cu, YdFillF— A"°g j
Wur@Ca;iE _._
Project Address (Not
NOTE:
Seashore, Neveport Beach, Ca. 92663
of Work
3
new 3-story single family dwelling & attached 2-car garage with accessory
story we ing unit sq
New/Add SF 1,56728 Remodel SFs-- Garage/New/Add 479.5
OMMER'S NAME Last ICR Family Trust First
Floor Suite No
Use SFD
# Stories # Units (if Res)s
5
'3L4Ea)
t )wnei s Address Owner's E-mail Address
- Seawatch, chad.ruskey@gmail.com
tasty ('veWport Coast State CA Zip 92657 Telephone 212-203-2313 —
APPLICANTS NAME Last I LRAW �o IC I_-)
Applicmt's Address
Citi
State F_
First I GPI t� L�V
Applicant's E-mail Address
Zip s-- Tclephones—
AVCHITECT/DESIGNER'S NAME Last Trabert First FEric Lic. No. �—
AuJi teWDesignees Address ArchitecVDesigners E-mail Address
-t- eric@etadesign.com
rt5:C1 Intine Center Dr.
Cit! (hvine State CA Zip 92618 Telephone 949-861-2244
ENGINEER'S NAME Last Manshadi
First Farhad Lic No. C 36840
Engineer's Address Engineers E-mail Address
9800 E. 16th St., Unit B farhad@esifine.com
— Zip 9e 6
2701 Telephon57-335-4112
l;,ity 1Santo Ana State CA
--_--- Lic. Nof /-�— Class
CI)tlFRAcrows NAME/COMPARIY IV-73 Z />tUV/1
Contractors E-mail Address
Contractors .Address
City
State F Zip F--- Telephoned---
ENERGY P/C FEE $ FIRE P/C FEE $ PERMIT NO. xI?/J�ZZ '21�q
PLAN CHECK NO.
GRADING P/C FEE $ _ PLANNING P/C FEE $
ELEC/PLUM/MECH P/C FEE $ PLAN CHECK FEE $
`EVEL(?PMENT # _V 02,1 I TOTAL FEES PAID $