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HomeMy WebLinkAboutX2021-2510 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application F Comm'I F Residential City of Newport Beach - Building Division t�" NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL v A FK Building r Grading rDrainage r Elec r Mech F- Plum CuYdCut l "J CuYdFill to of, $00 Project Address (Not mailing address) r Flood r Fire k Liq r Landslide rN/A Floor Suite No 205 oli 3b1� l�D l�l�l 7-131 F F Description of Work LV r O Use R-3U ConstType VB Proposing to build a new 2-story single family residence of apprx.4,882 sf. including an # Stories # Units (if Res)[ Valuation $ /] New/Add S Remodel SF Garage/New/Add L Material/Labor �Y OWNER'S NAME Last NiJar First Sanjeet Owner's Address Owner's E-mail Address 4900 Santa Ana Ave., suite 2C City El Monte State '',CA Zip 91731 TelephoneF— APPLICANT'S NAME Last ISAAD First ANDREW Applicant's Address Applicant's E-mail Address 151 KULMAS DRIVE, SUITE G-1 ANDREW.SAAD@BRANDONARCHITECTS.COM City COSTA MESA State CA Zip 92626 Telephone 714.754.4040 ARCHITECT/DESIGNER'S NAME Last MCCDANIEL First RYAN Lic. No. C-35732 Architect/Designers Address Architect/Designer's E-mail Address 151 KULMAS DRIVE, SUITE G-1 Brandon@BRANDONARCHITECTS.COM City COSTA MESA State CA Zip 92626 Telephone 714.754.4040 ENGINEER'S NAME Last I HAKIMFirst FADY Lic No. C-75736 Engineer's Address Engineer's E-mail Address 410 GODDARD, SUITE 200 FADYHAKIM@FMHENGINEERING.COM City IRV NE v� State CA Zip 92618 Telephone 949.245.8000 CON RACTOR'S NAME/COMPANY Building Worx, Inc. Lic. No. F—ClassF_ Con ractor's Address Contractor's E-mail Address 18 N. Glendora, suite 202 1 City lendora State CA Zi 91741 Telephorleru— SETBACKS REAR q SETBACKS FRONT VIA 1566Lt PERMIT NO. `L02-� ✓ I�S� SETBACKS'LEFT SETBACKS RIGHT �.S CHECK NO. 21, (roil USE ZONE �� l cC1r&LAN DEVELOPMENT NO -QUW -A O LO PLAN CHECK FEES $