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X2017-3400 - Permit Application
X 20 I-7 - S1.4 Print Form Worksheet for Combo Building & Solar Permit Application (-" Comm'I F Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FX Building r Grading F -Drainage f-Elec j-,Mech ( Plum CuvdCut scu Yd Fill s Project Ad//d��r/e�ss (Not mailing address`)) F Flood f Fire F- Liq f- Landslide F N/A Floor Suite No Description of Work Use Const Type _ Ala # Stories # Units (if Res)s Valuation $ qP New/Add SF N/A Remodel SF N/A Garage/New/Add N/A [�M Material/Labor4�t A , OWNER'S NAME Last Irvine Company First Owner's Address Owner's E-mail Address 1.550 Newport Center Drive City Newport Beach State CA Zip 92660 Telephone 14-646-3462 APPLICANT'S NAME Last King Recon First Applicant's Address Applicant's E-mail Address 34401 Via San Juan #B ason@kingrecon.com City Capistrano Beach State CA Zip 92624 Telephone 949-370-0303 ARCHITECT/DESIGNER'S NAME Lasts First Lic. No. �— Architect/Designers Address Architect/Designers E-mail Address City 1 State �_ Zip F_Telephone�— ENGINEER'S NAME Last B�elterleedrt(-I(f! fr$T ) FirstF" ,. k Lic. No.F%�� 2?05' Engineer's Address Engineers E-mail Address l'�''44 'dK,kTELt� City©�� <je State CA Zip Telephoned �(4 QQ7 ((Zf CONTRACTOR'S NAME/COMPANY King Recon (Jason King) Lic. No.984042 Class FB Contractor's Address Contractor's E-mail Address 4401 Via San Juan #B 'ason@kingrecon.com City ,Capistrano Beach State CA Zip 2624 Telephone949-370-0303 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. Q?1Ja.219 Irl USE ZONE DEVELOPMENT NO PLAN CHECK FEES $