HomeMy WebLinkAboutX2021-3270 - Permit Application�! Print Form +i 0 W
heet for Combo Building &Solar Per,
it Application
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Comm'I f—!Residential
City of Newport Beach - Building Divisi
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUB
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Project Address (Not mailing address) CI Flood Fire [-I Liq (- Landslide
/A Floe
Suite No
100 Bayview Circle
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F5
of Work
HVAC, millwork and finishes.
Use sl Const Type
Stories # Units (if Res)F,
Valuation $ $183,162.00
New/Add SF � Remodel SF 4,361 Garage/New/Add �' Material/Labor
OWNER'S NAME Last Edwards First Peannie
Owner's Address Owner's E-mail Address
100 Bayview Circle, Suite 230 jedwards@graniteprop.com
City Newport Beach State CA Zip 92660 Telephone 818-265-7511
APPLICANT'S NAME Last Oi 1 First Dickson
Applicant's Address
100 Oceangate, Suite P200-
City Long Beach State CA
ARCHITECT/DESIGNER'S NAME Last
Architect/Designer's Address
100 Oceangate, Suite P200
City Long Beach State CA
ENGINEER'S NAME �Rst�
Engineer's Address
City State F777
Applicant's E-mail Address
Dickson@environarch.com
Zip 90802 Telephone 562-495-7110
First Dickson Lic. No. C32277
Architect/Designer's E-mail Address
DFickson@environarch.com
Zip 90802 Telephone562-495-7110
First Lic. No f
Engineer's E-mail Address
Zip F_ Telephoned
CONTRACTOR'S NAME/COMPANY I r� t�� Pe✓cop�cn- �Kr. ��wLic. No.
Contractor's Address
City G{clr�en G vc, State a
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
Contractors
,E-mail Address I / y
Zip -1�� `� Telephon 711 Zf �i' O
4 n •-�
PERMIT NO.
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $