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HomeMy WebLinkAboutX2022-1670 - Permit Application4r;ntForm�'; : Worksheet for Combo Building & Solar Permit Application City of Newport Beach - Building DivisionAV �� Cwnm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL XBuilding [-Grading [—Drainage (—Elec [-,Mech [-Plum CuYdCut F CuYdFill � Project Address (Not mailing address) [-; Flood j-, Fire r Liq F- Landslide [-N/A Floor Suite No 616, 1 Bedford Lane round arage Description of Work _ Use&R2 ConstType ✓-B OLUN ARYSOETSTORYSEISMICRETROFITWITHSPECIALCANTILEVEREDSTEELCOLUMNSAT i-- F Stories rt Units (if Res)! ' b' — IVETUCM UNDCRGARAGES .. r— New/AddSF� Remodel SF� [to 53 Garage/Nesdfi.dd Valuation 5 (Material/Labor F70#), ��_._ -- ------ -- OWNER'S N.AY;AE Last �CFi.. FRONT WP.TERFCRD DCVI Firs' PC JER JV,_.LLC Cwner's Add res, Uo-vne:'s E-ma.' ASdrzss � f 645 LONG B f',t H BLVFj f — — —_ -- tinar, bfpmin3com i City i.GIJG B A ,H State A Zip PUS'1' Telzphone 62-264 5078 — I _ __ F.t7P 1 C.JTS "<APA� Last iGar„ia �'la _ _. _ _ .._ _.. -. . -A Appl cr. t Adt-s p! c _�.., _-rn d Addr-s:, Cif tom to State PA _ip 07 i7 Ta!ephor.eFo_- 8 i 11 j - - it_t'��iM f NAME J, , last w .. ''. Lic. J. ..�^ A ch c i o'Add oo— � ... �r (s nia-i Ad ress_.___... F -Ln ty State lip ; Telephonz ENGM't_R'1.f..PVV` LastPa'eia Firf,LlDr::l-- Lie. Engineer's Address Enr near'?. E-mail Address P_4702 Narbonne Ave kn. eer`nJggstructures.com City Foliila State FA — Zip 0717 —` Telephon+0-294-8111 —' CONTrACTOR'SNAME/COMPANY .B.D, Lic.No.. �702Classl - Contractor's Address Conractor's E-mail Address OT300 Al447 City State F Zip TelephcneF— SETBACKS REAR SETBACKS FRONT _ PERMIT NO. XeL&— ` Lao SETBACKS LEFT SETBACKS RIGHT _ — — PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ A