HomeMy WebLinkAboutX2021-2995 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application sal,
Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
rBuilding j♦Grading rDrainage rElec rMech rPlum CuYdCut 85.5 CuYdFill 194.25
Project Address (Not mailing address) I- Flood r Fire F_ Liq r Landslide I —N/A Floor Suite No
SANTA ANA AVENUE, NEWPORT BEACH, CA 92663
427 I
Description of Work
Use [RES Const Type VB
LINE RETAINING WALLS.
STRUCTURAL RETAINING STEM WALLS AND PROPERTY
# StoriesF3 # Units (if Res)
Valuation $
New/Add SF 275 LF Remodel SF N/A Garage/New/Add N/A
F,500
Material/Labor
OWNER'S NAME Last FAZIO First ROBERT
Owner's Address Owner's E-mail Address
3780 SAN ANTONIO ROAD VITRAX AOL.COM
City YORBA LINDA State CA Zip 92886 Telephone 714-376-3221
APPLICANT'S NAME Last SAME AS OWNER First
Applicant's Address Applicant's E-mail Address
City State F_ Zip F_ TelephoneF__
ARCHITECT/DESIGNER'S NAME Last DAKTERIS First KARL Lic. No. C 21769
Architect/Designer's Address Architect/Designer's E-mail Address
1960 SAN BRUNO KARL@KARLDAKTERISARCHITECTS.COM
City NEWPORT BEACH State CA Zip FT2660 Telephone 949-702-3573
ENGINEER'S NAME Last JALALPOUR First FMOHAMMAD Lic. No. S 6696
Engineer's Address Engineer's E-mail Address
152 DEERFIELD MJALALPOUR@SAZANINC.COM
City State CA Zip F606 Telephone 443-942-2153
CONTRACTOR'S NAME/COMPANY TBD Lic. No. F__ Class F_
Contractor's Address Contractor's E-mail Address
City State F- Zip F__ Telephoned—
SETBACKS FRONT PERMIT NO.
SETBACKS REAR
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $