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HomeMy WebLinkAboutX2021-1428 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit AP lication r Comm'I IX Residential City of Newport Beach - Building Divisionti ((%' NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ` l Q' Building F Grading `"Drainage F_ Elec r Mech j— Plum Cu Yd Cut Cu Yd Fill Project Address (Not mailing address) I` Flood f- Fire r- Liq F_ Landslide FN/A Floor Suite No 30 Baffin Bay, Newport Beach, CA 92657 7� - S F Description of Work Use Const Type V B Interior Kitchen and Living Room renovation. New covered pati . Window and Door revisions. Aw # Stories #Units (if Res) 1 n ,s- �ov sm, New/Add SF 10 sf (� Remodel SF 1,25 sf _ Garage/New/Add I Valuation $ Material/Labor' - Z - -3 OWNER'S NAME Last Hsieh First Leah Owner's Address Owner's E-mail Address 30 Baffin Bay leahmariehsieh@gmail.com City Newport Beach State CA Zip 2657 Telephone 714-393-5522 APPLICANT'S NAME Last Hsieh First Leah Applicant's Address Applicant's E-mail Address 30 Baffin Bay ileahmariehsieh@gmaii.com City Newport Beach State CA Zip 92657 Telephone 14-393-5522w ARCHITECT/DESIGNER'S NAME Last Barlow First Christopher Lic. No. -31392 Arch itect/Designer's Address Architect/Designer's E-mail Address 12200 Glines Ct. Chris@barlowarchitecture.com City Tustin State CA Zip 92782 Telephone 510-912-8719 ENGINEER'S NAME Last Cardoso First Michael Lic. No. C-59415 Engineer's Address Engineer's E-mail Address 3317 Ramona Drive rdosoconsultingcc@gmail.com City Santa Ana State CA Zip 92707 Telephone 714-926-6250 CONTRACTOR'S NAME/COMPANY Chris Riggins Construction Lic. No. 906800 Class�� Contractor's Address Contractor's E-mail Address 3111 Second Ave., Suite 6 hris@chrisrigginsconstruction.com City (Corona Del Mar State CA Zip 92625 Telephone 714-504-6370 SETBACKS REAR b SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ 'U