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HomeMy WebLinkAboutX2016-4004 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application Comm'I C Residential City of Newport Beach - Building Division V pU NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ❑X Building i- Grading ❑Drainage ❑ Elec ❑ Mech ❑ Plum cu Yd cut) Cu Yd Fill oject Address (Not mailing address) ❑ Flood ❑ Fire ❑ Liq ❑ Landslide ❑N/A Floor Suite No EBB TIDE CIRCLE �— scription of Work Use ConstType 77 CK PRIVACY WALL 6' # Stories #Units (if Res) New/Add SFF ___ Remodel SFGarage/New/Add OWNER'S NAME Last JEBB TIDE, LLC I First Owner's Address Owner's E-mail Address Valuation $ F 00777 Material/Labor 4 PARK PLAZA SUITE 1000 -- _) EDDAVIS@MBK.COM —... City IRVINE State CA Zip 92614 Telephone 949-789-8441 APPLICANT'S NAME - Last JEBB TIDE, LLC' Applicant's Address 4 PARK PLAZA, SUITE 1000 City IRVINE State CA j —_._..---- .._..__.... ---. _.._._....._._J Applicant's E-mail Address EDDAVIS@MBK.COM Zip 92614 Telephone 949-789-8441 ARCHITECT/DESIGNER'S NAME Last DUARTE First PETER.... Lic. No. 5067 - Architect/Designer's Address 92 ARGONAUT SUITE 270 City ALISO VIEJO State CA ArchitecUDesigner's E-mail Address PADUARTE@STUDIO-PAD. COIM Zip 92656 ( Telephone 949-770-8530 ENGINEER'S NAME Last VINCENT First SCARPATI Lic. No. 33 - .. Engineer's Address 27156 BURBANK � City FOOTHILL RANCH State CA Engineer's E-mail Address DKESSLER@CVC-INC.COM Zip 90755 Telephone 949-916-3800 CONTRACTOR'S NAME/COMPANY Tgp Lic. No. TBD Class TBD Contractor's Address TBD City TBD State [TB SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT Contractor's E-mail Address TBD Zip TBD Telephone TBD PERMIT NO. PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $