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HomeMy WebLinkAboutM2019-0056 - Permit ApplicationPint Form Worksheet for Combo Building & Solar Permit Application o4?��`� r- Comm'I F- Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL G .ear' F-Building r Grading F—Drainage F Elec j- Mech F- Plum Cu Yd Cutl Cu Yd Fill Project Address (Not mailing address) F— Flood F— Fire F— Liq F— Landslide FN/A Floor Suite No 1601 EAST BAY AVENUE �— Description of Work Use ConstType I Remove an replace seawall like -for -like # StoriesF # Units (if Res)F_ New/Add SF7— Remodel SFI------ Garage/New/Add 7— Valuation $ 75,000 Material/Labor OWNER'S NAME Last (Silvers First Craig Owner's Address Owner's E-mail Address 1601 East Bay Avenue City Newport Beach State CA Zip 2661 Telephone 949274.4214 APPLICANT'S NAME Last Chung First pacqueiyn Applicant's Address Applicant's E-mail Address 010 Channel Place acquelyn#CPSCoastalPermits.com City Newport Beach State CA Zip 92663 Telephone 949.274.4214 ARCHITECT/DESIGNER'S NAME Last First F F_ Lic. No. Architect(Designer's Address Architect/Designer's E-mail Address City State F_ Zip I— Telephoned ENGINEER'S NAME Last Jafari First Masoud Lic. No.S-3812 Engineer's Address Engineer's E-mail Address 123 Orchard Suite 250 m.jafari@wsase.com City Lake Forest State CA Zip F2630 Telephone 49.206.9929 CONTRACTOR'S NAME/COMPANY Lisa Miller - Shellmaker, Inc. Lic. NoT Class I Contractor's Address Contractor's E-mail Address 837 West 17th Street City Costa Mesa State CA Zip F2627 Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 5 - Z o USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ Print Farm Worksheet for Combo Building & Solar Permit Application @91 Comm'I r- Residential City of Newport Beach - Building Division. "110 9-005NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL F -Building F_ Grading F -Drainage FElec F_Mech (--Plum Cu YdCut� Cu Yd Fill Project Address (Not mailing address) F_ Flood f— Fire [_ Liq r Landslide FN/A Floor Suite No /too! Ea_ St F3w- A,lenrie. F Description of Work Use Const Type r #Stories # Units (if Res)[ FZcO.a..cetyooj 3e4waIIGVi rYor noF tll�propee��! ecptn� Forrp :trLLl'tnG pile rcA-uV-n SGc-wc ll ec.9til jai Lie,si Side, O -{.'tilt 9royet-t cita-SS 4LLa-fj dra:t11{ �j_��Gen cCG�G C�III'1 S Valuation $ Material/Labor 300 Ooo. "o' New/Add SFr Remodel SFF Garage/New/Add I OWNER'S NAME Last First G r.. t c� Owner's Address Owner's E-mail Address /v01 East B" R l in E City l�i BGwcil State C Zip g846f Telephone , APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City State F Zip F TelephoneF- - ARCHITECT/DESIGNER'S NAME Last J First 1 Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State �� Zip Telephone�� ENGINEER'S NAME Last j Jnr a r t First Mrs- g d LL_ cl Lic. No. S 3 8/a Engineer's Address Engineer's E-mail Address a_3 Orchard„ GLzi: �e.A60 marl9P•rjsa-se. corn City I La ISe Fort 5t StateCA Zip 9a6 3O Telephone 14-7 a otp- q 93�f CONTRACTOR'S NAME/COMPANY shellrn�fier �/1c. Lic.No. 5—L/4.34 Class Wt,8 Contractor's Address Contractor's E-mail Address 83rf J.Sasf /7 Street Shellma_(«r�sbcglc64(.h�� City eo st-4, i Z e 54 State 0_t4 Zip Telephone 9� SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $