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X2021-0164 - Permit Application
X7,O-2il ©1 N Worksheet for Combo Building & Solar Permit Application F_ Comm'I (X, Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL [X—Building rl Grading rDrainage JX, Elec jX`; Mech j`. Plum Cu Yd cut F Cu Yd Fill Project Address (Not mailing address) F_ Flood j— Fire f— Liq r- Landslide F -N/A Floor Clermont of Work 1133 sgft second story infill within existing roofline & footprint to be used as a loft. Electrical & =xterior changes. New/Add SF 133 Remodel SFF— Garage/New/Add F_ OWNER'S NAME Last Owner's Address 57 Clermont City Newport Coast State CA APPLICANT'S NAME Last Applicant's Address 8 Hammond, Ste. 102 City Irvine State CA ARCHITECT/DESIGNER'S NAME Last Architect/Designer's Address City I State First IYan Owner's E-mail Address isayyan@hotmail.com Zip 92657 Telepl Suite No Use Const Type VB # Stories[ # Units (if Res)( 1 Valuation $ 24,000 Material/Labor 849-1668 First JLoewen Applicant's E-mail Address nfo@loftcrafters.com Zip 92618 Telephone (949) 456-1234 First j_ ................... Lic No. I--�--. Architect/Desilgner's E-mail Address Zip Telephone��,� ENGINEER'S NAME Last Yaghi First Shucri Lic. No. C43205 Engineer's Address Engineer's E-mail Address 112 E Chapman Ave, Ste D yaghi-engineers@live.com City Orange State CA Zip 92866 Telephone (714) 997-9120 CONTRACTOR'S NAME/COMPANY TheLoftCrafters,Inc. Lic No. 463944 ClasslB, Contractor's Address Contractor's E-mail Address 8 Hammond, Ste 102 info@loftcrafters.com City Irvine �� State CA Zip 92618 Telephone (949) 456-1234 SETBACKS REAR SETBACKS FRONT PERMIT NO. XZ67, l — O ( V 4 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. C) USE ZONE DEVELOPMENT NO PLAN CHECK FEES $