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HomeMy WebLinkAboutX2021-1320 - Permit Application (4)Print Form Worksheet for Combo Building & Solar Permit Application P -01 j- Comm'[ R Residential City of Newport Beach - Building Division X1,ott- 13•�NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 5ZBuilding r Grading rDrainage Q Elec (` Mech Q Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) r Flood (-- Fire j- Liq j"' Landslide rN/A Floor Suite No 7983 VISTA CAUDAL I' F Description of Work Use F—Const Type KITCHEN remodel: demo cabinetd and counter,remove a poney wallNon-bearing wall (see Plan) # Stories #Units (if Res) Fr---, and new back splash. Valuation $ [15000.100New/Add Material/Labo— SFF_� Remodel SF 144Garage/New/Add OWNER'S NAME Last GLUSKI First Mark Owner's Address Owner's E-mail Address 1983 vista caudal mgiuski@sbcglobal.net City New Port Beach State ca Zip 92660 Telephone 9493002566 APPLICANT'S NAME Last Horzad First Katrin Applicant's Address 2971 Triton way E Applicant's E-mail Address katrin@a(lockbd.com City Laguna Hills State Ca Zip P2653 Telephone9495408797 ARCHITECT/DESIGNER'S NAME Last �— First F_ Lic. No. F_ Architect/Designees Address Architect/Designees E-mail Address City �--� � State F_ Zip F_ Telephoned ENGINEER'S NAME Last[ First Lic. No.F— Engineer's Address Engineer's E-mail Address City State r Zip Telephone�_�" CONTRACTOR'S NAME/COMPANY Iraj Parsa Lic. No. 1018274 Class B, C6 Contractor's Address 2971 Triton Way E Contractor's E-mail Address eric.allockitchenbath@yahoo.com City Laguna Hills State ca Zip 2653 Telephone495408797 SETBACKS REAR SETBACKS FRONT b101( PERMIT NO. 2 � qiO SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NOebU PLAN CHECK FEES $