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HomeMy WebLinkAboutX2022-0350 - Permit Application (3)Comm'I IX. Residential n.. (w ll NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rlBuilding (-j Grading ( -,Drainage r;Elec F__IMech ,'Plum cuvdcutf--I CuvdFill Project Address (Not mailing address) ❑ Flood r Fire n Liq r; Landslide F_ Floor 600 Harrow Place, Newport Beach, CA 92660 j Description of Work Return Blockwall REPAIR WORK engineering detail per inspector's request. New/Add SFF_ __j Remodel SF F7777—I; Garage/New/Add OWNER'S NAME Last W First Suite No - _ _ ,I F— Use L Const Type # Stories' #U nits (if Res) Valuation �Material/Labor Material/Laa bor Owner's Address Owner's E-mail Address 1600 Harrow Place bvo1md@yahoo.com City Newport Beach i State CA - Zip 92660 Telephone (408) 571-8884 APPLICANT'S NAME Last Applicant's Address 26981 Vista Terrace Suite B City Lake Forest State CA -- - First Applicant's E-mail Address Ilandmarkcustomiandscape@yahoo.com Zip 92630 Telephoned ARCHITECT/DESIGNER'S NAME Last Chung First Chan Lic. No 725317 -- ---I Architect/Designer's Address 26981 Vista Terrace Suite B J City Lake Forest I State CA Architect/Designer's E-mail Address [landTarkcustomlandscape@yahoo.com -------------- Telephone 714-669 8882 Zi 92630 - ENGINEER'S NAME Last khang i; First ao Lic. No.74572 Engineer's Address 1700 E Garry Ave Ste 106 - City Santa Ana State CA _ ___1 Engineer's E-mail Address info@universaleng. net Zip 92705- Telephone 949-788 0424 CONTRACTOR'S NAME/COMPANY Landmark Custom Landscape Lic. No. 725317 Class F77 Contractor's Address Contractor's E-mail Address 26981 Vista Terrace Suite BIlandmarkcustomlandscape@yahoc.com City Lake Forest State CA Zip 92630 Telephone 714-669-8 - 882 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $