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HomeMy WebLinkAboutX2021-1228 - Permit Application1 Worksheet for Combo Building & Solar Permit Application o� dal City of Newport Beach - Buil"ing Division �� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI AL �� c F-Drainage r Elec FX_ Mech (Not mailing address) r- Flood LANE of Work SF� jX Plum Cu Yd Cut Cu Yd Fill I- Fire [7 Liq F- Landslide I -N/A Floor Suite No Use SFR Const Type VB 3na ` # Stories # Units (if Res)I 1 VI Valuation $ 700,000 Remodel SF 992124 Garage/New/Add Material/Labor Last 101son First INick and Alissa Address Owner's E-mail Address _incoln Lane inick.g.olson@gmail.com Vewport Beach State CA Zip 92660 Telephone (949) 742-4545 jCANT'S NAME Last McNeely First John cant's Address Applicant's E-mail Address 2 Hartford Drive jfm7@mac.com Newport Beach State CA Zip 92660 Telephone (949) 233-3435 NAME Last McNeely ' Architect/Designees Address ;I 242 Hartford Drive City Newport Beach State CA First John Lic. No. F_ Architect/Designees E-mail Address jfm7@mac.com Zip 92660 Telephone (949) 233-3435 ENGINEER'S NAME Last Manshadi First Farhad Lic. No. C 36840 `Engineer's Address Engineer's E-mail Address 1899 E. 16th St., Unit B farhad.manshadi@esifine.com City Santa Ana State F— Zip 92701 Telephone (657) 335-4112 OCONTRACTOR'S NAME/COMPANY Lic. No. �— Class a - tontractor's Address Contractor's E-mail Address State Zip Telephone ity SETBACKS REAR {j SETBACKS FRONT ?_ fa PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. //��, Qyl " L USE ZONE f_aB_ �0 0 o cln0� DEVELOPMENT NO w ` - %��� PLAN CHECK FEES $