HomeMy WebLinkAboutX2021-0070 - Permit Application (2)x 202-qiD-tb
Worksheet for Combo Building & Solar Permit Application W%T
Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V
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a Mech r plum Cu Yd Cut �o Cu Yd fill
9 C r', III
III
Proix ject Address Not mDailin address) F.—
1 ( 9Flood r Fire n Liq r' Landslide (tN/A Floor Suite No
27 VISTA TRAMONTO
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Description of Work
Use [R3U7 Const Type VB
# Storiesr2 ., # Units (if Res) 1
New/Add SF�—
Remodel SF f 0 — Valuation $ 20000 -
Garage/New/Add �-' Material/Labor
OWNER'S NAME
Last MEAD
First DAVID
Owner's Address
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27 VISTA TRAMONTO
Owner's E-mail Address
City NEWPORT BEACH
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State CA Zip 92657
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-- —1 Telephone
APPLICANT'S NAME
Last DORN First ROBERT
Applicant's Address
Applicant's E-mail Address
4561 PALOMA LN
R.ADAMDORN@GMAIL.COM
City YORBA LINDA
State CA Zip 92886 Telephonej8'31247�9932 —
ARCHITECT/DESIGNER'S NAME Last DORN First Lic. No. F_
Architect/Designer'sAddress
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Architect/Designer's E-mail Address
4561 PALOMA LN
R.ADAMDORN@GMAIL.COM
CityYORBA LINDA
State CA Zip 92886 Telephone 8312479932
ENGINEER'S NAME
Last WILSON — - — - First FKALENLic. No..83753 '..
__
Engineer's Address
Engineer's E-mail Address
23152 Verdugo Drive, Suite 102
KALEN@VECTORSE.COM
City LACUNA HILLS
State CA Zip 92653 Telephone7145766524
CONTRACTOR'S NAME/COMPANY SEAPOINTE CONSTRUCTION Lic. No. �—I Class
Contractor's Address
Contractor's E-mail Address
City
J StateZipZip Telephoner
SETBACKS REAR
SETBACKS FRONT PERMIT NO. XZ� "Z� r. 00'70
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. C) 7 ff — ZC> W
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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