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HomeMy WebLinkAboutX2019-1944 - Permit ApplicationoA�tsi-�o19 XdS-1�yN Print Form Workshee for Combo Building oar Permit Appl��ation ��` Rm f— Comm'I r Residential 1f City of Newport Beach - Building Division C� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G .e. FX -Building rX Grading jXDrainage I9 Elec r Mech Plum cuvdcut16 Cu Yd fill 87 Project Address (Not mailing address) F_ Flood f— Fire f— Liq r Landslide Floor 5 to No 1409 PRISCILLA LANE C�«StiV� ti Description of Work Use SFR Const Type VB IF Stories # Units (if Res)�1 - ' `-t �. E' New/Add SF 3,887 Remodel SF —v— -- Garage/New/Add 493 Valuation $ [850,000 Material/Labor OWNER'SNAME Last WONG First NANCY Owner's Address Owner's E-mail Address 3615 SURFVIEW LANE flancewong@yahoo.com City CORONA DEL MAR State CA Zip 92625 Telephone 949-228-7366 APPLICANT'S NAME Last MCNEELY First JOHN Applicant's Address Applicant's E-mail Address 11792 SKYLINE DRIVE jfm7@mac.com City SANTA ANA State CA Zip 92705 Telephone 714-417-9277 ARCHITECT/DESIGNER'S NAME Last MCNEELY First JOHN Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address (same) City I State F Zip F— Telephoned ENGINEER'S NAME Last MANSHADI First FARHAD Lic. No. C36840 Engineer's Address Engineer's E-mail Address 1800 E. 16TH ST., UNIT B farhad.manshadi@esifine.com City SANTA ANA State CA Zip 92701 Telephoner CONTRACTOR'S NAME/COMPANY /( (� OAk13R ' f .{(J25 Lic.No. �S�162 Class Contractor's Address Contractor's E-mail Address 000{ Ca (36(t �,o City %E /� ^ C14 State t✓A- Zip % � Telephone ` SETBACKS REAR SETBACKS FRONT PERMIT NO. U 71 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $