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HomeMy WebLinkAboutX2021-0772 - Permit Application26 ZG J fla-� 2 Print Form Wopltg4eet for Combo Building & Solar Permi Application r Comm'I DZ Residential �/1J City of Newport Beach - Building Division I( NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL GZBuilding rGrading rDrainage 6Z Elec RMech DZ Plum Cu Yd Cut C Yd Fill Project Address (Not mailing address) r Flood j— Fire r Liq r Landslide I/A Floor Suite No 901 Quedada Description of Work Use R3/U ConstType I" B install new interior non-structural kitchen within existing walls # Stories[ # Units (if Res) Valuation $ New/Add SFF_ Remodel SF 75 Garage/New/Add F— 5000 Material/Labor OWNER'S NAME Last Newman First Owner's Address Owner's E-mail Address - 901 Quedada d City Newport Beach State ra Zip F2660 TelephoneF— APPLICANT'S NAME Last Manzer First Bruce Applicant's Address Applicant's E-mail Address 4275 Ponchartrain Lane bruce@manzerandassoiciates.com City ,. _rest State I-` Zip 2630 Telephone 14-720-4394. ARCHITECT/DE IGNER'S NAME Lost �___ _._s Fi i� cep= Lic. N . Architect/go gner's Address Archite t/Designer's E-mail Address +ffre`a­s applicant +� City I State —. Zip)[)f" Tel eph� ENGINEER'S NAME Last n/a First F Lic No.F Engineer's Address Engineer's E-mail Address City State Zip F_ Telephoned CONTRACTOR'S NAME/COMPANY lien Construction and Design Lic. No. 941113 Class Contractor's Address Contractor's E-mail Address 50 Congress Street ramsey@allenconstruction.com City Costa Mesa State ca Zip 92627 Telephone 49-307-9892 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT Q PLAN CHECK NO. USE ZONE DEVELOPMENT NO 9PLAN CHECK FEES $