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HomeMy WebLinkAboutX2022-0068 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit Application 9a; r Comm'1 r Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL FX—Building F— Grading r".Drainage rElec rMech F— Plum Cu Yd Cutl Cu Yd Fill Project Address (Not mailing address) r Flood r Fire r Liq r Landslide rN/A Floor Suite No 2001 Port Ramsgate Place/APN # 458 212 01 F— I Description of Work Use F—Const Type # Stories # Units (if Res)F. We retaining with integrated shoring. pprox. 74 Ft. Valuation $ $40,000.00 Material/Labor New/Add SFF Remodel SFF —', Garage/New/Add �— OWNER'S NAME Last Hook First Scott & Robin Owner's Address Owner's E-mail Address 11 Jupiter Hills robinhook@cox.net City Newport Beach State Ca Zip 92657 Telephone949 290-8937 APPLICANT'S NAME Last Hixon First Scott Applicant's Address Applicant's E-mail Address 250 East Baker St suite 300 shixon@rdmgc.com City Costa Mesa State Ca Zip 92626 Telephone714448-8210 ARCHITECT/DESIGNER'S NAME Last First I— Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State r ', Zip F Telephone ' ENGINEER'S NAME Last Purkis First David Lic. No. 42810 Engineer's Address Engineer's E-mail Address 32521 Carreterra Dr. purkeng@sbcglobal.net City San Juan Capistrano State Ca Zip 92675 Telephone949 661-6381 CONTRACTOR'S NAME/COMPANY RDMS Inc Lic. No. 8815872 Class F Contractor's Address Contractor's E-mail Address 250 East Baker St. Suite 300 shixon@rdmgc.com City Costa Mesa State Ca Zip 92626 Telephone714 546-1130 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. W�� USE ZONE DEVELOPMENT NO �7Ze2F?— n�� PLAN CHECK FEES $