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HomeMy WebLinkAboutX2021-2222 - Permit ApplicationX U -2A • 22_ZZ Worksheet for Combo Building & Solar Permit Application Aesidential City of Newport Beach - Building Division KInTM- PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r Grading (""..Drainage F_ Elec Address & 575 West Promontory Dr of Work (` Mech f— Plum Cu Yd �.' Flood _ I`- Fire r-. Liq F Landslide Proof system with stainless steel flashing. Repair stucco as New/Add SFFO�- Remodel OWNER'S NAME LastThe Irvine Company Cu Yd Fill i rM N/A Floor Suite No I Use Const Type F neede `! - # Stories,3 # Units (if Res)r8 Ir i Garage/New/Add I Valuation $ 5500 0 Material/Labor 0 FirstIC/O Donovan Schmidt Owner's Address 131 The --.�._ Owner's E-mail Address Bosch mldt@ I rvinecom pa ny. com City Irvine .._.. ..._. _..... ._... StateCA -- Zip 92617 Telenhn ono�-on APPLICANT'S NAME Last Applicant's Address 832 N Lemon City Orange State CA ARCHITECT/DESIGNER'S NAME First Applicant's E-mail Address iNathan@CelQsealRoofing.com Zip 92867 Telephone714-388-7966 Last— .... First — ArchitecUDesigner's Address N/A _.. city l State ENGINEER'S NAME Engineer's Address 1744 W. Katella Ave. City Orange State CA Zip Architect/Designer's E-mail Address First Lic. No. F��� Lic. No. 2705 Engineer's E-mail Address TMatsushita@dalechristian.com Zip 92867 Telephone714-997-1145 CONTRACTOR'S NAME/COMPANY Celoseal Roofing Inc _. _ Lic. No. 263519 f Ucc rz�o a Contractor's Address 832 N Lemon City Orange State CA SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT. USE ZONE DEVELOPMENT NO Zip Contractor's E-mail Address PERMIT NO. - PLAN CHECK NO. PLAN CHECK FEES $