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HomeMy WebLinkAboutX2018-2453 - Permit Application`jam Lei � X?� ��6- 2► -r �� Print FormT W, eet for Combo Building & Solar Permit Application O i Comm'l �Residentlal City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL [8ullding r Gradin ainage ,<Elec XMech 'Plum Cuydcut N/A Cu YdFnl N/A Project Address (N ailing address) Flood [ Fire r Li ndsiide -N/A Floor Suite No 1644 GALAXY DRIVE Description of Work Use SFR Const Type �! # Storied i #Units (if Resjl 1 TTACHED GARAGE -- Val tion i $316,518 Material/tabor New/Add SF 352 Remodel SF 5,179 Gare e1New/Add N/A j - — - OWNER'S NAME Last NIX First I DAVID &GINGER Owner's Address Owner's E-mail Address 1644 GALAXY DRIVE -.-.-- _-_----...i City NEWPORTBEACHState CA Z 92660 p �i Telephone 949-515-4897 —_-A,__,_-__-, APPLICANTS NAME Last HAMPTON First CRAIG Applicant's Address Applicant's E-mail Address 5500 E. QUARTERSAWN STREET - craig@craigshempton.com City BOISE ID — State Zip 83718 Telephone 949-209-8883 ARCHITECTIOESIGNER'S NAME Last HAMPTON i FirstLic. No. N/A CRAIG F Architect/Designers Address Architect/Designees E-mail Address 5500 E. QUARTERSAWN - - -- STREET Craig@craigshamptan.com - City BOISE State ID Zip 83716 Telephone 949 209 8683 ENGINEER'S NAME Last FORBES First DALE Lic No. CE30407 Engineers Address Engineer's E-mail Address 1800 E. 16TH STREET city SANTA ANA _ j State CA Zip 92701 Telephone 857 335-4123 CONTRACTOR'S NAME/COMPANY Lic No.F— Class Contractors Address Contractor's E-mail Address cry Slate �— Zip —j Telephones SETBACKS REAR SETBACKS FRONT PERMIT NO.4ZB 1 46 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK Nd. JYJC U Z E DEVELOPMENT NO PLAN CHECK FEES $