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HomeMy WebLinkAboutX2022-0626 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o `w �a>e F_ Comm'I jX Residential City of Newport Beach - Building Division '_^ NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X 6 a.-06 °_' Building r Grading rDrainage r Elec F_ Mech jx Plum Cu vd Cut Cu Yd Fill Project Address (Not mailing address) r Flood F- Fire r Liq r Landslide F_N/A Floor Suite No F 1827 Leeward Description of Work Use F—ConstType F_ # Stories #Units (if Res) fr see tanding solid roof patio me �Ar 329_5_a ft /freestandinq open lattice patio cover 266 sq ft gas and electric for bbq and fountain $ New/Add SF 590 Remodel SF F Garage/New/Add Valuation F30"'o Material/Labor OWNER'S NAME Last Milligan First Owner's Address Owner's E-mail Address 1827 Leeward City Newport Beach State Ca Zip 92660 Telephone 714.962.8447 APPLICANT'S NAME Last Ellison First Paul Applicant's Address Applicant's E-mail Address 24642 Via Raza paul@dpspermits.com City Lake Forest State Ca Zip 92630 Telephone 949.683.9861 ,. Lic. No. ARCHITECT/DESIGNER'S NAME Last First F_ Architect/Designees Address Architect/Designees E-mail Address City State 7— Zip F Telephoned — ENGINEER'S NAME Last Kolodzie First Ken Lic. No. 64768 Engineer's Address Engineer's E-mail Address 400 E Esther PI . city Placentia State Ca Zip 92870 Telephone 714.996.1219 CONTRACTOR'S NAME/COMPANY Form & Focus Landscape Inc Lic. No. 1011064 Class C27 Contractor's Address Contractor's E-mail Address 26592 El Mar Dr City Mission Viejo State Ca Zip 92691 Telephone 714.801.9333 SETBACKS REAR SETBACKS FRONT PERMIT NO. \x SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $