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HomeMy WebLinkAboutX2021-2205 - Permit ApplicationPrint Fo n,' Worksheet for Combo Building & Solar Permit Aplication / oF9E F,, Comm] F_ Residential City of Newport Beach - Building Division X70�i NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building F_ Grading f—Drainage r Elec r Mech j—', Plum Cu Yd Cut l Cu Yd Fill � Project Address (Not mailing address) F_ Flood f— Fire F_ Liq r— Landslide r_N/A Floor Suite No E. Coast Highway, Corond del Mar, California 92625 I I� 3800 Description of Work N\ ( per Use � Const Type �', Install new Window 3 ( a( # Stories # Units (if Res) �� � -►?Zo SfiL% Valuation $ FT�oo Material/Labor New/Add SF F_ - 50 Remodel SF 5 Garage/New/Add �� OWNER'S NAME Last 39 Beach View LK100, LLC First Owner's Address Owner's E-mail Address PO Box 762 kuishb@gmail.com City Corona del Mar State CA Zip 92625 Telephone 949-723-2050 APPLICANT'S NAME Last _... First ((Applicant's Address Applicant's E-mail Address City I State F_ Zip Telephone _. ARCHITECT/DESIGNER'S NAME Last First I Lic. No. Architect/Designer's Address Architect/Designees E-mail Address City F_ State �� Zip Telephone ENGINEER'S NAME Last Neno Grguric First PE Lic. No.59487 Engineer's Address Engineer's E-mail Address 2880 S. Coast Highway neno@structureseng.com City Laguna Beach State CA Zip 92651 Telephone 949-715-0775 CONTRACTOR'S NAME/COMPANY Lic. No. F _— Class Contractor's Address Contractor's E-mail Address City F State F Zip 92 Telephone949-891-4357 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $