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HomeMy WebLinkAboutX2021-3188 - Permit Application (3)I Print Form Worksheet for Combo Building & Solar Permit Application (— Comm'I City of Newport Beach - Building Division �/ X Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X ada� J 0 jx—Building rGrading rDrainage [Elec [Xl Mech rPlum Cu yd Cut Cu Vd Fill1 Project Address (Not mailing ddress) F Flood r— Fire r Liq F_ Landslide r_N/A Floor Suite No 504 Seaw d v � ki ■ Description of Work J Use R-3/U Contt Type /B Remodel & 139 sf addition to an existing 1-story single family residence w/detached garage. es new eleetrical # Stories 1- # Units (if Res)r t fixtures, new kitchen cabinets & appliances, new windows & doors, new FAU, nalmmom"e@6. Valuation$ New/Add SF i i 134 NC1 Remodel SF 1 Garage/New/Add 39�98&TSD� Material/Labor OWNER'S NAME Last IM& C Cardelucci Revocable Trust; First Owners Address Owner's E-mail Address 04 Seaward City Corona del Mar State CA Zip 2625 Telephone 949-975-0123 APPLICANT'S NAME Last Feale First Mark Applicant's Address Applicant's E-mail Address 900 Bristol Bldg A-203 mteale@tealearchitecture.com City Costa Mesa State Ca Zip 92626 Telephone 49-975 0123 ARCHITECT/DESIGNER'S NAME Last ITeale First Mark Lic. No. IC-22162 Architect/Designer's Address Architect/Designer's E-mail Address City �— State � Zip Telephone—; ENGINEER'S NAME Last ITran First Fohn Lic No. 2653 Engineer's Address Engineer's E-mail Address 111251 Gardenaire 'dtran07@gmail.com City Garden Grove State CA Zip 92841 Telephone 14-265-1200 CONTRACTOR'S NAME/COMPANY Lic No. F— Class ' Contractor's Address Contractor's E-mail Address City State 1 Zip F_ Telephoned SETBACKS REAR SETBACKS FRONT PERMIT NO. �IOZJ•$Itj F1011, 0540 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. v1I06 •S01-1 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $